Increasing functional rehabilitation in acquired brain injury treatment: effective applications of behavioural principles.
This paper investigated ways to increase the participation of direct care staff in the functional rehabilitation activities (FRAs) of adults with acquired brain injuries (ABIs). FRAs were rehabilitation agendas written by clinical staff for delivery by paraprofessionals. Increases in FRA completion were believed to be directly related to clinical success. These FRAs had been identified as key components in the rehabilitation programmes of the adults living within the residential facilities. Increases in FRAs were crucial in improving the quality of the rehabilitation programmes of the participants involved. The study observed four residential settings serving adults with ABIs using a multiple baseline design. The treatment approach consisted of public posting of weekly FRA documentation, incorporation of staff input, and reinforcement for documentation of FRAs. The results indicated a positive impact on the participation of staff in all of the residences in the study, consistent with implementation of the treatment package.
Guercio
John
J
Center for Comprehensive Services, Personal Intervention Program, Carbondale, IL 62901, USA. jogurcio@medwest.net
Davis
Paula
P
Faw
Gerry
G
McMorrow
Martin
M
Ori
Lindsay
L
Berkowitz
Brooke
B
Nigra
Megan
M
D000328:Adult; D001521:Behavior Therapy; D001930:Brain Injuries / Q000503:physiopathology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008503:Medical Staff / Q000458:organization & administration; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D015397:Program Evaluation; D020127:Recovery of Function / Q000502:physiology*; D012047:Rehabilitation Centers / Q000458:organization & administration; D013997:Time Factors