Document Detail

Comparing the experience of outpatient therapy in home and day hospital settings after traumatic brain injury: patient, significant other and therapist perspectives.
MedLine Citation:
PMID:  20977391     Owner:  NLM     Status:  In-Data-Review    
Purpose. To explore how therapy in a home and day hospital setting impacts on rehabilitation processes and outcomes from the perspective of the patients, their significant others and their treating occupational therapists. Method. Fourteen participants with severe traumatic brain injury received a one-to-one, goal-directed, client-centred outpatient occupational therapy programme (a) in their home for 6 weeks and (b) in a day hospital clinic for 6 weeks. The experience of rehabilitation in both settings was explored using semi-structured interviews with the participants, their significant others and their treating occupational therapists. Results. Participants and their significant others described the two environments as disparate with home-based therapy perceived as more relaxing, normal, satisfying and effective. The approach to therapy at home was commonly described as 'real-life' whereas the therapy approach in day hospital was characterised as 'simulation of real life tasks' and 'remedial exercises'. Participants' experience of therapy relationships at home was characterised as 'friendship', in which the therapist was a 'visitor', whereas in the hospital, participants were characterised as 'patients' and therapists as 'bosses' and 'teachers'. Conclusion. The experience of home-based therapy was perceived as more convenient, positive and preferred by patients and their family members. Therapists described more therapeutic benefits and the ability to work more effectively on activity and participation level goals in the client's real-life environment.
Emmah Doig; Jennifer Fleming; Petrea Cornwell; Pim Kuipers
Publication Detail:
Type:  Journal Article     Date:  2010-10-27
Journal Detail:
Title:  Disability and rehabilitation     Volume:  33     ISSN:  1464-5165     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1203-14     Citation Subset:  IM    
Department of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD 4072, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Liquid and solid carbohydrate foods: comparative effects on glycemic and insulin responses, and sati...
Next Document:  Factors associated with quality of life and caregiver strain amongst frail older adults referred to ...