Description of an interdisciplinary, holistic cognitive rehabilitation program for adults with mild to moderate cognitive impairment after acquired brain injury
Résumé
Purpose Cognitive rehabilitation research has progressed slowly, in part due to incomplete reporting of intervention content and delivery, and the difficulties this produces for discerning program effectiveness. This knowledge gap can be reduced by providing detailed intervention descriptions. We document the content/ingredients and therapeutic targets of a cognitive rehabilitation program for adults with mild-tomoderate cognitive impairment. Methods The documentation process used a method of participatory/collaborative research. Discussions with the clinical team identified session content/ingredients and therapeutic targets, which were then described using Body Functions, and Activities & Participation domains from the International Classification of Function, Disability and Health (ICF). Domains most frequently targeted by each clinician were identified as Primary Targets. Results Each clinician produced a detailed description of session content, implementation, and ICF-coded therapeutic targets. This revealed that the whole program targets 29 ICF domains, seven of which were identified as Primary Targets: Higher-level Cognitive; Attention; Memory; Emotional; Global Psychosocial, Temperament and Personality, and Conversation. Conclusions Documentation of treatment targets enabled identification of appropriate outcome measures that are currently being used to investigate program efficacy. This step-by-step explanation could serve as a guide for other teams wanting to document their rehabilitation interventions and/or establish similar programs.
Mots clés
- acquired brain injury International Classification of Functioning, Disability, and Health cognitive rehabilitation complex intervention participatory research
- acquired brain injury
- International Classification of Functioning, Disability, and Health
- participatory research
- complex intervention
- cognitive rehabilitation
- Disability and Health
- International Classification of Functioning
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