Article

Impaired self-awareness is a potential obstacle to successful
rehabilitation. OBJECTIVE: To obtain clinicians' ratings of the importance of
self-awareness for brain injury rehabilitation and use of instruments to assess
self-awareness. PARTICIPANTS: One hundred sixty-three members of 3 major Dutch
organizations for neuropsychology or rehabilitation. MAIN MEASURE: Online survey
addressing: (1) factors participants consider important for the course and
success of rehabilitation, (2) whether they assess patients' levels of
self-awareness, and (3) the instruments they use to do so. RESULTS: Of the 163
respondents, 116 (71.2%) considered self-awareness to be important for the course
of rehabilitation; 113 (69.3%) considered it to be important for the success of
rehabilitation. One hundred fifty-six clinicians (95.7%) reported assessing
patients' levels of self-awareness, but only 12 (7.4%) reported using
standardized instruments specifically designed for this purpose. The instruments
most frequently reported to be used were the Awareness Questionnaire and Patient
Competency Rating Scale. CONCLUSIONS: It is difficult to capture different
aspects of self-awareness in a standardized manner. There is a need for
instruments that are valid and reliable and that have good clinical utility.

Langue : ANGLAIS