Rebuilding the self through valued action and group connections after acquired brain injury: Participant perspectives of the VaLiANT group intervention.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Nick Sathananthan, Eric Morris, David Gillanders, Roshan das Nair, Lucy Knox, Dana Wong
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引用次数: 0

Abstract

Effective interventions that facilitate adjustment following acquired brain injury (ABI) are needed to improve long-term outcomes and meaningful reengagement in life. VaLiANT is an 8-week group intervention that combines cognitive rehabilitation with Acceptance and Commitment therapy to improve valued living, wellbeing, and adjustment. This study explored participant experiences of VaLiANT to optimize its ongoing development. This included characterization of individually meaningful treatment outcomes, mechanisms of action, and intervention acceptability. Qualitative interviews and quantitative ratings were collected from 39 ABI survivors (Mage = 52, SD = 15; 54% stroke) following their participation in VaLiANT. Participants reported diverse outcomes which resulted in three themes being generated following reflexive thematic analysis. "A fuller toolkit for life with brain injury" indicated increased strategy usage and better daily functioning; "The value of connection and belonging" captured the importance of social experiences in shaping recovery; and "Finding the me I can be" represented cognitive, behavioural, and emotional aspects of identity reconstruction post-ABI. The content and delivery of the intervention were rated highly but participants desired greater follow-up and tailoring of the intervention. Overall, VaLiANT appears to facilitate adjustment through several mechanisms, but greater intervention individualization and dosage may be required to enhance the treatment impact.

后天性脑损伤后通过有价值的行动和团体联系重建自我:VaLiANT 小组干预的参与者观点。
后天性脑损伤(ABI)后需要有效的干预措施来促进适应,以改善长期疗效和有意义地重新参与生活。VaLiANT 是一项为期 8 周的小组干预措施,它将认知康复与接纳与承诺疗法相结合,以改善有价值的生活、福祉和适应。本研究探讨了参与者对 VaLiANT 的体验,以优化其持续发展。这包括对有个体意义的治疗结果、作用机制和干预可接受性的描述。研究收集了 39 名 ABI 幸存者(年龄 = 52,SD = 15;54% 中风)参与 VaLiANT 后的定性访谈和定量评分。参与者报告了不同的结果,经过反思性主题分析,产生了三个主题。"脑损伤生活工具包 "表明了策略使用的增加和日常功能的改善;"联系和归属的价值 "体现了社会经验在塑造康复过程中的重要性;"找到可以成为的我 "代表了脑损伤后身份重建的认知、行为和情感方面。干预的内容和实施都得到了很高的评价,但参与者希望能有更多的跟进和更有针对性的干预。总的来说,VaLiANT 似乎可以通过多种机制促进适应,但可能需要更多的干预个性化和剂量来提高治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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