Team-based rehabilitation after traumatic brain injury: a qualitative synthesis of evidence of experiences of the rehabilitation process
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)
2022-02-162022-02-162022-12-13Bibliographically approved