@article{ref1,
title="Conceptualization of self-awareness in adults with acquired brain injury: a qualitative systematic review",
journal="Neuropsychological rehabilitation",
year="2021",
author="Sansonetti, Danielle and Fleming, Jennifer and Patterson, Freyr and Lannin, Natasha A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Self-awareness is an important consideration in cognitive rehabilitation for clinicians working with individuals following acquired brain injury (ABI), with impaired self-awareness linked to poor outcomes. To appropriately target assessment and intervention for self-awareness, its theoretical foundation and definition must be considered. The aim was to identify the definitions, theoretical models and conceptual frameworks of self-awareness in adults with ABI, and how self-awareness is conceptualized within those models. A qualitative systematic review was completed using search terms related to descriptions of models/frameworks, ABI and self-awareness. Data were analysed by narrative synthesis. Thirty-five papers were included in the review. Within these, 13 models, 12 conceptual frameworks and 2 theories were described. The main themes and subthemes conceptualized in the synthesis were: Clinical presentation of self-awareness (classifications and dimensions of self-awareness), development of self-awareness (knowledge, feedback mechanisms, temporal aspects, self-evaluation, enablers, barriers), understanding (dys)function (cognitive processing mechanisms, neurological foundations, causal factors), and practice guidance (assessment and intervention). This review identified an extensive theoretical basis to support conceptualization of self-awareness following ABI, underpinned by a distinction between intellectual awareness, on-line awareness, and psychological denial. Clinical application of an evaluation process that includes these elements would be beneficial to inform the rehabilitation process.<p /> <p>Language: en</p>",
language="en",
issn="0960-2011",
doi="10.1080/09602011.2021.1924794",
url="http://dx.doi.org/10.1080/09602011.2021.1924794"
}