Achievement of client-centred goals by persons with acquired brain injury in comprehensive day treatment is associated with improved functional outcomes

Thomas Bergquist, Jackie L. Micklewright, Maya Yutsis, Jeffrey S. Smigielski, Carissa Gehl, Allen W Brown

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: To study the relationship between goal achievement and vocational and independent living at discharge and 1-year follow-up in persons with acquired brain injury (ABI) participating in a Comprehensive Day Treatment (CDT) programme. Design: A retrospective review of longitudinal data. Methods: One hundred and fifty-four participants with ABI were included in the analyses. Personal, short-term and graduation goals were generated for each participant. A graduation goal was generated in each of four primary domains of the intervention (Orientation, Cognitive, Social Awareness and Communication). Participants who achieved all graduation goals at discharge were classified as 'goals met', while those who did not meet all goals were classified as 'goals unmet'. Results: Forty-eight percent of participants were classified into the goals met group and 52% were classified into the goals unmet group. There were no group differences at programme admission. A significantly greater percentage of individuals in the goals met group were both living independently and engaging in community-based employment at programme discharge than individuals in the goals unmet group. These group differences were maintained or exceeded at 1-year follow-up. Conclusions: The results demonstrate that achievement of individualized CDT graduation goals is associated with greater levels of vocational and residential independence following acquired brain injury.

Original languageEnglish (US)
Pages (from-to)1307-1314
Number of pages8
JournalBrain Injury
Volume26
Issue number11
DOIs
StatePublished - Oct 2012

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Brain Injuries
Therapeutics
Graduation
Brain Injury
Person
Independent Living
Group Differences
Communication

Keywords

  • Brain injury
  • Goals
  • Outcomes
  • Rehabilitation

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Achievement of client-centred goals by persons with acquired brain injury in comprehensive day treatment is associated with improved functional outcomes. / Bergquist, Thomas; Micklewright, Jackie L.; Yutsis, Maya; Smigielski, Jeffrey S.; Gehl, Carissa; Brown, Allen W.

In: Brain Injury, Vol. 26, No. 11, 10.2012, p. 1307-1314.

Research output: Contribution to journalArticle

Bergquist, Thomas ; Micklewright, Jackie L. ; Yutsis, Maya ; Smigielski, Jeffrey S. ; Gehl, Carissa ; Brown, Allen W. / Achievement of client-centred goals by persons with acquired brain injury in comprehensive day treatment is associated with improved functional outcomes. In: Brain Injury. 2012 ; Vol. 26, No. 11. pp. 1307-1314.
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