Projects per year
Abstract
Background
Acquired brain injury (ABI) has diverse outcomes for young adults, ranging from sudden death to varying disability levels, impacting physical, cognitive, psychological, emotional, social and behavioural aspects (IMHE, 2018). The need for neurorehabilitation post-ABI varies amongst individuals, but there is limited evidence of how psychosocial interventions can work, for whom and in what context for young adults.
Aim
To develop programme theories of psychosocial interventions for young adults post-ABI regarding what works (or not), for whom, why and in what context.
Method
We used Pawson’s (2005) realist review method to analyse secondary data, employing two theory-driven iterative stages in searching the evidence. We searched databases from January 2013 to February 2024 (CINAHL, MEDLINE, EMBASE, PsycINFO, ASSIA, AMED, PEDro, Cochrane Library, and Web of Science) and grey literature. Data was extracted and analysed using abductive and retroductive reasoning, resulting in the formulation of initial program theories (IPTs) in the first stage. These IPTs informed the second stage, where we developed
refined programme theories. An Advisory Board, comprising experts and individuals with lived experience, validated evidence analysis and synthesis.
Results
We analysed 51 studies, developed 19 IPTs and refined the IPTs into 10 programme theories highlighting key areas: (1) engagement in rehabilitation is influenced by how young adults’ life situations are considered in rehabilitation plans, (2) group settings should facilitate peer connection for young adults to benefit, (3) Applying coping strategies and engaging in enjoyable activities helps young adults manage ABI consequences and
maintain daily participation, and (4) an interdisciplinary rehabilitation team facilitates addressing the needs of young adults.
Conclusion
Our findings highlight the necessity of comprehensive psychosocial support for young adults post-ABI, encompassing person-centred care planning, fostering peer connection, providing safe rehabilitation environments, and adopting holistic rehabilitation approaches. Our theories offer actionable recommendations for practitioners and policymakers on the necessary elements in psychosocial interventions that can lead to positive
outcomes.
Acquired brain injury (ABI) has diverse outcomes for young adults, ranging from sudden death to varying disability levels, impacting physical, cognitive, psychological, emotional, social and behavioural aspects (IMHE, 2018). The need for neurorehabilitation post-ABI varies amongst individuals, but there is limited evidence of how psychosocial interventions can work, for whom and in what context for young adults.
Aim
To develop programme theories of psychosocial interventions for young adults post-ABI regarding what works (or not), for whom, why and in what context.
Method
We used Pawson’s (2005) realist review method to analyse secondary data, employing two theory-driven iterative stages in searching the evidence. We searched databases from January 2013 to February 2024 (CINAHL, MEDLINE, EMBASE, PsycINFO, ASSIA, AMED, PEDro, Cochrane Library, and Web of Science) and grey literature. Data was extracted and analysed using abductive and retroductive reasoning, resulting in the formulation of initial program theories (IPTs) in the first stage. These IPTs informed the second stage, where we developed
refined programme theories. An Advisory Board, comprising experts and individuals with lived experience, validated evidence analysis and synthesis.
Results
We analysed 51 studies, developed 19 IPTs and refined the IPTs into 10 programme theories highlighting key areas: (1) engagement in rehabilitation is influenced by how young adults’ life situations are considered in rehabilitation plans, (2) group settings should facilitate peer connection for young adults to benefit, (3) Applying coping strategies and engaging in enjoyable activities helps young adults manage ABI consequences and
maintain daily participation, and (4) an interdisciplinary rehabilitation team facilitates addressing the needs of young adults.
Conclusion
Our findings highlight the necessity of comprehensive psychosocial support for young adults post-ABI, encompassing person-centred care planning, fostering peer connection, providing safe rehabilitation environments, and adopting holistic rehabilitation approaches. Our theories offer actionable recommendations for practitioners and policymakers on the necessary elements in psychosocial interventions that can lead to positive
outcomes.
| Original language | English |
|---|---|
| Pages | 272-273 |
| Number of pages | 1 |
| Publication status | Published - 11 Sept 2024 |
| Event | RCN International Nursing Research Conference 2024: Inclusivity in nurse research: working together to make a difference - Northumbria University, City Campus East 1 (CCE1), Business and Law Building , 12 Falconar Street, Newcastle Upon Tyne, United Kingdom Duration: 10 Sept 2024 → 12 Sept 2024 https://www.rcn.org.uk/news-and-events/events/inrc#About |
Conference
| Conference | RCN International Nursing Research Conference 2024 |
|---|---|
| Country/Territory | United Kingdom |
| City | Newcastle Upon Tyne |
| Period | 10/09/24 → 12/09/24 |
| Internet address |
Fingerprint
Dive into the research topics of 'A realist review of psychosocial interventions in neurorehabilitation for young adults post acquired brain injury'. Together they form a unique fingerprint.Projects
- 1 Active
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A feasibility study to co-design and preliminarily test a nurse-led, holistic, neurological rehabilitation intervention which supports the psychosocial rehabilitation and survivorship of young adults following an Acquired Brain In
Holloway, A. (Principal Investigator), Chandler, C. (Co-investigator), Clarissa, C. (Co-investigator), Haycock-Stuart, E. (Co-investigator) & Stenhouse, R. (Co-investigator)
7/12/22 → 6/02/26
Project: Research
Research output
- 1 Protocols
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A realist review of psychosocial interventions in neurological rehabilitation for young adults following an Acquired Brain Injury (ABI)
Clarissa, C., Aviles, L., Chandler, C., Haycock-Stuart, E., Wauthier, L., Holloway, A., Kelly, D. & Stenhouse, R., 30 May 2023, PROSPERO.Research output: Other contribution › Protocols
Activities
- 1 Oral presentation
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A realist review of psychosocial interventions in neurorehabilitation for young adults post-acquired brain injury
Clarissa, C. (Invited speaker), Aviles, L. (Contributor), Chandler, C. (Contributor), Haycock-Stuart, E. (Contributor), Wauthier, L. (Contributor), Holloway, A. (Contributor), Kelly, D. (Contributor), Cleary, O. (Contributor) & Henriquez Galindo, C. (Speaker)
10 Sept 2024 → 12 Sept 2024Activity: Academic talk or presentation types › Oral presentation
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