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Experience of recovery and outcome following traumatic brain injury : a metasynthesis of qualitative research

LEVACK WM; KAYES NM; FADYL JK
DISABIL REHABIL , 2010, vol. 32, n° 12, p. 986-999
Doc n°: 150723
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638281003775394
Descripteurs : AF3 - TRAUMATISME CRANIEN

PURPOSE: To explore the use of qualitative metasynthesis to inform debate on the
selection of outcome measures for evaluation of services provided to adults with
traumatic brain injury (TBI). METHOD: Fifteen databases were searched for
qualitative research published between 1965 and June 2009, investigating the
lived experience of recovery following TBI acquired during adulthood. Two
reviewers independently screened all abstracts. Included studies were evaluated
using methodological criteria to provide a context for interpretation of
substantive findings.
Data were extracted and synthesised by three reviewers,
using QSR NVivo to assist with data management. RESULTS: From 23 studies, eight
inter-related themes were identified to describe the enduring experience of TBI:
1) mind/body disconnect; 2) disconnect with pre-injury identity; 3) social
disconnect; 4) emotional sequelae; 5) internal and external resources; 6)
reconstruction of self-identity; 7) reconstruction of a place in the world; 8)
reconstruction of personhood. CONCLUSION: Currently, there are outcome measures
for some but not all of the issues identified in qualitative research on surviving TBI. In particular, new outcome measures may be required to evaluate
experiences of loss of personal identity, satisfaction with reconstructed
identity and sense of connection with one's body and one's life following TBI.

Langue : ANGLAIS

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