title: Effectiveness of a multidisciplinary rehabilitation program for persons with acquired brain injury and executive dysfunction.
abstract: The purpose of this study is to explore the effects of a multidisciplinary acquired brain injury rehabilitation out-patient program (5 d/week for 7 weeks) on improvements to participants' activity and participation outcomes related to meal preparation and to determine whether gains are maintained at 3 and 6 months post program.
  
  
  
  A single case experimental design with repeated measures pre- and post-intervention with 7 adult participants with ABI and executive dysfunction (4 females, mean age 38 ± 10.1 years) was used.
  
  
  
  A strong improvement effect between pre and post phases was found for number of errors on the Cooking Task for 6/7 participants; four participants showed significant improvement immediately after the program and at 3 and 6 months post. Six out of seven participants improved significantly on the Instrumental Activities of Daily Living Profile and four participants improved between the post and 6 month follow-up. Four out of seven participants showed significantly improved Life Habits scores pre- versus post-program.
  
  
  
  Significant improvements were observed in activity and participation outcomes related to preparing a meal in adults with ABI and executive dysfunction who participated in a 7-week multidisciplinary rehabilitation out-patient program. Treatment gains were maintained for the majority of participants at 3 and 6 months following the program. Implication of Rehabilitation A 7-week multidisciplinary rehabilitation out-patient program appears to improve activities and participation; the effects are sustainable after 6 months. A detailed description of the therapeutic interventions provided during the cooking activity should help clinicians better understand what specific functions are solicited or required during a particular activity. Knowledge from this study may help guide clinicians in their work within this complex area of rehabilitation.
authors.affiliation: a Service de Médecine Physique et de Réadaptation , Hôpital Pitié-Salpêtrière, APHP , Paris , France.|b Sorbonne Universités, UPMC Univ Paris 06, AP-HP, GRC n°18, Handicap cognitif et réadaptation (HanCRe), Paris, France, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix , Paris , France.|c Centre for Interdisciplinary Rehabilitation Research of Greater Montreal (CRIR) , Montréal , Canada.|d École de réadaptation , Université de Montréal , Montréal , Canada.
authors.forename: Frédérique
authors.initials: F
authors.lastname: Poncet
authors.affiliation: c Centre for Interdisciplinary Rehabilitation Research of Greater Montreal (CRIR) , Montréal , Canada.|d École de réadaptation , Université de Montréal , Montréal , Canada.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Swaine
authors.affiliation: a Service de Médecine Physique et de Réadaptation , Hôpital Pitié-Salpêtrière, APHP , Paris , France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Migeot
authors.affiliation: c Centre for Interdisciplinary Rehabilitation Research of Greater Montreal (CRIR) , Montréal , Canada.
authors.forename: Julie
authors.initials: J
authors.lastname: Lamoureux
authors.affiliation: a Service de Médecine Physique et de Réadaptation , Hôpital Pitié-Salpêtrière, APHP , Paris , France.|b Sorbonne Universités, UPMC Univ Paris 06, AP-HP, GRC n°18, Handicap cognitif et réadaptation (HanCRe), Paris, France, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix , Paris , France.
authors.forename: Christine
authors.initials: C
authors.lastname: Picq
authors.affiliation: a Service de Médecine Physique et de Réadaptation , Hôpital Pitié-Salpêtrière, APHP , Paris , France.|b Sorbonne Universités, UPMC Univ Paris 06, AP-HP, GRC n°18, Handicap cognitif et réadaptation (HanCRe), Paris, France, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix , Paris , France.
authors.forename: Pascale
authors.initials: P
authors.lastname: Pradat
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000553:Ambulatory Care; D001930:Brain Injuries / Q000503:physiopathology / Q000534:rehabilitation*; D004185:Disability Evaluation; D056344:Executive Function / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy; D010348:Patient Care Team; D026741:Physical Therapy Modalities; D013070:Speech Therapy
keywords: Effectiveness; acquired brain injury; participation; rehabilitation