Development of health promotion model in patient with severe traumatic brain injuries: A mixed-method study protocol.

Background: Patients with severe traumatic brain injury with some degree of long-term physical and cognitive disabilities are transferred from the hospital to home. So this study was conducted to the development a health promotion model in patient with severe traumatic brain injuries.

Materials and methods: This exploratory, mixed-methods, qualitative-quantitative study consists of 4 phases will be conducted in Isfahan University of Medical Sciences in 2023-2024. In The first phase, a literature review will be carried out to extract the patient need for care in postdischarge in many other countries. The second phase involves a directional content analysis of healthcare providers and caregivers of patients with severe-TBI to identify the needs of care of patients at home. In this phase, purposeful sampling will be used to collect data through semistructured interviews. In the third phase, the postdischarge care program will be designed based on the results of the first and second phases. In this phase, the classic Delphi method will be used to evaluate the final version of the program's initial draft and determine the program priorities and experts' consensus. In the last phase, the designed program will be implemented through a quasi-experimental study in two groups (before and after intervention), and the effectiveness of the intervention will be evaluated.

Discussion: Using of care plan based on patient needs in postdischarge and improving the quality of life in patients with severe brain damage, taking into account the cultural, social, and religious context of Iran, will provide the possibility of effective home care for these patients.