Exploring the experiences of residents and their families in an alcohol-related brain injury residential rehabilitation unit in Northern Ireland: a qualitative study.

IF 3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Frontiers in Public Health Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1397428
Anne Campbell, Sharon Millen, Uisce Jordan, Diane Watson, Joy Watson, Roger McCorry
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引用次数: 0

Abstract

Objective: Limited research exists on comprehensive interventions for individuals with Alcohol Related Brain Injury (ARBI). Exploring the impact of a rehabilitation service on individuals with ARBI and their relatives/caregivers, this study aimed to gain insights into their experiences and assess how the service influenced cognitive functioning, psychological well-being, social relationships, community engagement, and the desire for abstinence.

Method: This was a qualitative, semi structured interview study as part of a larger mixed methods study of residents and their family members. Data was collected over 4 timepoints with n = 20 residents: baseline (n = 20 interviews), 6 months (n = 15 interviews), 12 months (n = 6 interviews) and at discharge (n = 8 interviews). The interviews took place at a specialist residential rehabilitation facility for people with ARBI. Remote interviews were conducted with family members (n = 10). A thematic analysis of transcripts using NVivo software was undertaken.

Results: Qualitative findings for residents with ARBI across 4 timepoints from baseline to time of discharge indicated an improvement in all outcomes. Overall, residents reported that the ARBI holistic intervention improved psychological wellbeing, social relationships/community participation, functioning abilities, and abstinence from alcohol, particularly when residents were residing in the unit. Family members and carers presented more trepidation regarding the long-term impacts.

Conclusion: Whilst the residential unit provided structure and a protective environment, residents required ongoing support post discharge for their addictive behaviours. An outreach intervention for these individuals is currently being piloted.

北爱尔兰与酒精有关的脑损伤住院康复中心居民及其家人的经历探索:一项定性研究。
目的:针对酒精相关脑损伤(ARBI)患者的综合干预研究有限。本研究探讨了康复服务对酒精相关脑损伤患者及其亲属/照顾者的影响,旨在深入了解他们的经历,并评估该服务如何影响认知功能、心理健康、社会关系、社区参与和戒酒愿望:这是一项定性、半结构化访谈研究,是一项针对住院者及其家庭成员的大型混合方法研究的一部分。在 4 个时间点收集了 n = 20 名居民的数据:基线(n = 20 次访谈)、6 个月(n = 15 次访谈)、12 个月(n = 6 次访谈)和出院时(n = 8 次访谈)。访谈在一家专为 ARBI 患者开设的寄宿康复机构进行。对家庭成员(10 人)进行了远程访谈。使用 NVivo 软件对访谈记录进行了主题分析:从基线到出院的 4 个时间点上,对患有 ARBI 的居民进行的定性研究结果表明,所有结果均有所改善。总体而言,居民报告说,ARBI 整体干预改善了他们的心理健康、社会关系/社区参与、工作能力和戒酒情况,尤其是当居民居住在单位时。家庭成员和照顾者则对长期影响表示担忧:虽然住宿单位提供了结构性和保护性环境,但住院者在出院后仍需要针对其成瘾行为提供持续支持。目前正在试行针对这些人的外联干预措施。
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
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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