Article

This study aimed to evaluate the effectiveness of an intervention based
on the ICF 'Environment' dimension for enhancing the well-being and psychosocial
outcomes of patients with acquired brain injury in an outpatient (day hospital)
setting. METHOD: A mixed methodology cohort study comparing an intervention group
with an historical non-intervention group using pre- and post-intervention and
follow-up measures. The 6-week group intervention involved participants and their
significant others. Pre- and post-intervention data from the intervention group
and the non-intervention group were compared using 2 x 2 analyses of variance for
five standardised outcome measures. Semi-structured interviews with intervention
participants and significant others were used to provide qualitative feedback.
RESULTS: A significant group by time interaction was found for level of community
integration on the Sydney Psychosocial Reintegration Scale and depression scores
on the Hospital Anxiety and Depression Scale, with greater improvements for the
intervention group compared with the non-intervention group. No other significant
differences between groups were found. Gains in community integration were
maintained by the intervention group at 1-month follow-up. Qualitative feedback
from participants indicated the value of: sharing experiences, the group content,
goal setting, comparing with others and the group processes. CONCLUSIONS: The
Environment-focused intervention was useful in improving patient outcomes in
terms of better self-reported community integration.

Langue : ANGLAIS