The experience of challenging behaviours following severe TBI: A family perspective.
OBJECTIVE
Family caregivers play an important role in managing challenging behaviours after TBI. The aims of this study were to understand how family caregivers of individuals with TBI perceive challenging behaviours and their impact on the TBI individual's community integration and family functioning.


METHODS
A qualitative research design was employed to capture the lived experience of family caregivers of individuals with TBI.


METHODS
Face-to-face interviews were conducted on six female family caregivers of individuals with severe TBI (sustained an average of 17 years earlier) and long-standing challenging behaviours.


RESULTS
The results revealed that family caregivers adopted a broader definition of challenging behaviour than that used by professionals and these behaviours impacted on the community integration of the individual with TBI, most notably leading to poor social relationships. Challenging behaviours were viewed as a key source of distress and burden for family caregivers and they used many different strategies to manage the behaviours.


CONCLUSIONS
Greater understanding of challenging behaviours from the perspectives of family caregivers may help provide more effective support and interventions to improve quality-of-life for individuals with challenging behaviours after TBI and their families.
School of Psychological Sciences, Monash University , Melbourne , Australia .
Sammi
S
Tam
Adam
A
McKay
Sue
S
Sloan
Jennie
J
Ponsford
D000223:Adaptation, Psychological; D000328:Adult; D001930:Brain Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation; D017028:Caregivers / Q000523:psychology; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000209:etiology / Q000523:psychology*; D036301:Qualitative Research; D012944:Social Support; D013997:Time Factors
Community integration; coping; family experience; thematic analysis; traumatic brain injury