title: Early rehabilitation of patients with severe acquired brain injury: strategies to promote participation.
abstract: OBJECTIVE
  The aim of this study was to explore the experiences of professional specialists in early rehabilitation who face demanding pedagogical challenges in facilitating and promoting participation of the severe acquired brain injury patient.
  
  
  METHODS
  In a qualitative study, using phenomenological philosophy and thinking, the experiences of specialist professional experts were investigated. Data were generated in five individual interviews and one focus-group interview. The interview questions were grounded in a preliminary field study. In a four-step phenomenological analysis, empirical themes were identified, using the computer program N-Vivo10; they were structured and organized, and the results were theoretically stated and supported.
  
  
  RESULTS
  Important practice knowledge emerged in this study that led to the proposal of a determined, client-centred approach when facilitating the promotion of severe acquired brain injury patients' participation in early rehabilitation. Four factors are important in this approach: (i) gain contact, (ii) register responses, (iii) intentional interaction, (iv) partial participation. Together they constitute the elements in a proposal for a new model: the GRIP model.
  
  
  CONCLUSIONS
  The four factors that shape the GRIP model can enrich neurorehabilitation services and support professional experts in early rehabilitation interventions with severe acquired brain injury patients regaining participation and functioning in everyday life.
authors: Hammel Neurorehabilitation Centre and University Research Clinic, RM, University of Aarhus , Hammel , Denmark.
authors: Inge
authors: I
authors: Buhl
authors: Hanne
authors: H
authors: Pallesen
mesh_terms: D000203:Activities of Daily Living; D001930:Brain Injuries / Q000523:psychology / Q000534:rehabilitation*; D003142:Communication; D017144:Focus Groups / Q000379:methods; D006801:Humans; D007407:Interviews as Topic; D010348:Patient Care Team; D010358:Patient Participation; D018802:Patient-Centered Care; D036301:Qualitative Research; D012046:Rehabilitation / Q000379:methods
keywords: bodily communication; consciousness; early rehabilitation; early strategy; interdisciplinary teamwork; learning; participation