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Team-based rehabilitation after traumatic brain injury: a qualitative synthesis of evidence of experiences of the rehabilitation process
Department of Health, Education and Technology, Occupational Therapy, Luleå University of Technology, Luleå, Sweden.
Swedish Agency for Health Technology Assessment and Assessment of Social Services, SBU, Stockholm, Sweden.
Örebro University, School of Law, Psychology and Social Work. School of Health and Welfare, Dalarna University, Falun, Sweden; The Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-4578-0501
2022 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 54, article id jrm00253Article in journal (Refereed) Published
Abstract [en]

Objective: To synthesize and explore experiences of the rehabilitation process for adults with traumatic brain injury receiving team-based rehabilitation.

Data sources: A qualitative evidence synthesis was conducted according to the “Enhancing transparency in reporting the synthesis of qualitative research” (ENTREQ) Guidelines, of qualitative studies published in 5 databases in 2000–21.

Study selection and data extraction: Screening, selection of relevant studies, assessment of methodological limitations, systematic qualitative content analysis and assessment of confidence with Grading of Recommendations Assessment, Development, and Evaluation- Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) were carried out by independent researchers.

Data synthesis: The 10 included studies revealed how people with traumatic brain injury perceived that they struggled on their own for a long time to adapt their daily life. They experienced that access to team-based rehabilitation was scarce and that the interventions offered were neither individually tailored nor coordinated. A respectful attitude from professionals and individually adapted information facilitated their rehabilitation process.

Conclusion: This qualitative evidence synthesis indicates areas for improvement and a need to develop person-centred team-based rehabilitation for adults with traumatic brain injury, in terms of accessibility, coordination, continuity, content and participation. Given the limited opportunities for team-based rehabilitation after hospital discharge, further research is needed to understand how rehabilitation can sup-port the adaptation of everyday life.

Place, publisher, year, edition, pages
Foundation for Rehabilitation Information , 2022. Vol. 54, article id jrm00253
Keywords [en]
brain injury, evidence-based practice, rehabilitation, review, qualitative research, qualitative evidence synthesis
National Category
Nursing Neurology
Research subject
Disability research
Identifiers
URN: urn:nbn:se:oru:diva-97567DOI: 10.2340/jrm.v53.1409ISI: 000890661700013Scopus ID: 2-s2.0-85124056102OAI: oai:DiVA.org:oru-97567DiVA, id: diva2:1638469
Note

Funding agency:

Statens beredning för medicinsk och social utvärdering (SBU)

Available from: 2022-02-16 Created: 2022-02-16 Last updated: 2022-12-13Bibliographically approved

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Strandberg, Thomas

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