TY - JOUR PY - 2018// TI - Evaluating an intervention to increase meaningful activity after severe traumatic brain injury: a single-case experimental design with direct inter-subject and systematic replications JO - Neuropsychological rehabilitation A1 - Tate, Robyn L. A1 - Wakim, Donna A1 - Sigmundsdottir, Linda A1 - Longley, Wendy SP - 1 EP - 32 VL - ePub IS - ePub N2 - Severe traumatic brain injury (sTBI) often results in significant morbidity, with fewer than 50% returning to work and only a minority resuming leisure and social activity. Yet few effective interventions are available for non-vocational activity. The aim of the study was to develop a new goal-directed intervention, the Programme for Engagement, Participation and Activities (PEPA), and evaluate its effect. The research design was a multiple-baseline design across behaviours, with direct inter-subject and systematic replications. Seven participants with sTBI, neurobehavioural impairment including apathy, inability to work, and limited leisure/social activities were categorised into two groups. Group 1 (nā€‰=ā€‰4) had cognitive impairments but were functionally independent. Systematic replication was conducted in a further three participants (group 2) with major neurobehavioural impairments and functional disability. Generalisation measures evaluated other life domains in group 1 participants (e.g., mood, community participation).

RESULTS of the weighted average Tau-U across the tiers was significant for six out of seven participants, with large effect sizes (ā‰„.64) for five participants. Generalisation effects extended to other domains of life. The PEPA thus shows promise as an effective intervention to increase non-vocational activity and improve mental health outcomes in people with neurobehavioural disability after sTBI. These results add to the evidence for the effectiveness of goal-directed interventions.

Language: en

LA - en SN - 0960-2011 UR - http://dx.doi.org/10.1080/09602011.2018.1488746 ID - ref1 ER -