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Christensen I, Power E, Togher L, Brassel S, Elbourn E, Folder N, Jensen LR. Communication between rehabilitation staff and people with traumatic brain injury: A systematic review. Neuropsychol Rehabil 2024; 34:1071-1109. [PMID: 37944003 DOI: 10.1080/09602011.2023.2274625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 10/04/2023] [Indexed: 11/12/2023]
Abstract
This systematic review aimed to synthesize barriers and facilitators in communicative interactions between staff and people with traumatic brain injury (TBI) in the rehabilitation context. Searches captured published evidence up to November 2022 in MEDLINE, Embase, SCOPUS, Web of Science, CINAHL, AMED, and PsycINFO. Eligible studies reported on the communicative interaction between rehabilitation staff and adults with TBI. In total, 31 studies were included in the review; including quantitative, qualitative, and mixed-methods designs. Quality assessment was carried out using standard checklists. Quantitative studies and quantitative components of mixed-method studies were synthesized descriptively according to reported communication barriers and facilitators. Qualitative studies and qualitative components of mixed-method studies were analysed through an inductive thematic meta-synthesis; generating six main themes with four subthemes. Themes were categorized as barriers or facilitators to communicative interaction. Findings demonstrated that cognitive-communication disorders of people with TBI challenge the communicative interaction between rehabilitation staff and people with TBI. However, the extent to which these disorders create a communicative barrier is closely related to staff's communicative approach. While staff holding a collaborative and acknowledging approach and using supportive strategies may facilitate successful communicative interactions, staff using the opposite approach may exacerbate communication barriers.
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Affiliation(s)
- Iben Christensen
- Department of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen South, Denmark
| | - Emma Power
- Department of Speech Pathology, University of Technology Sydney, Ultimo, Australia
| | - Leanne Togher
- Discipline of Speech Pathology, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Sophie Brassel
- Discipline of Speech Pathology, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Elise Elbourn
- Discipline of Speech Pathology, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Naomi Folder
- Department of Speech Pathology, University of Technology Sydney, Ultimo, Australia
| | - Lise Randrup Jensen
- Department of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen South, Denmark
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Tonnesen M, Nielsen CV, Andersen RS. What are your goals? Goal-setting logics in Danish Parkinson's rehabilitation. Med Anthropol 2022; 41:574-590. [PMID: 35904254 DOI: 10.1080/01459740.2022.2102493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
Across rehabilitation fields, rehabilitees and professionals meet to set rehabilitation goals. Portrayed as an ordinary, yet foundational practice in rehabilitation, participants often find goal-setting meetings challenging; ideal and real seem to clash. Based on a long-term fieldwork in Danish Parkinson's disease rehabilitation, we explore goal-setting and its rationale to gain insight into why goal-setting qualifies as challenging. We find that challenges relate to disease, organizational matters and an imbalance in institutional knowledge, but also that different logics, of choice, interdependence, and accountability, entangle and affect goal-setting. A competitive aspect between goal-setting logics appears pivotal to understand the challenges in goal-setting.
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Affiliation(s)
- Merete Tonnesen
- Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Claus Vinther Nielsen
- Department of Public Health, Aarhus University, Aarhus, Denmark.,DEFACTUM, Central Denmark Region, Aarhus, Denmark.,Department of Clinical Social Medicine and Rehabilitation, Region Hospital West Jutland, Herning, Denmark
| | - Rikke Sand Andersen
- Department of Public Health, University of Southern Denmark, Odense, Denmark.,Department of Anthropology, Aarhus University, Aarhus, Denmark
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3
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Anglade C, Tousignant M, Gaboury I. Rigorous Qualitative Research Involving Data Collected Remotely From People With Communication Disorders: Experience From a Telerehabilitation Trial. Neurorehabil Neural Repair 2022; 36:557-564. [PMID: 35599591 PMCID: PMC9373188 DOI: 10.1177/15459683221100489] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Diverse challenges arise with research involving people with communication disorders while using remote methods for data collection. Ethical and methodological issues related to the inclusion of people with communication disorders in research, specifically qualitative research, are magnified by communication challenges specific to remote communication. Avenues are discussed to ensure that remote data collection processes can include people with a communication disorder, while limiting negative impacts on the validity of the data.
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Affiliation(s)
- Carole Anglade
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada
| | - Michel Tousignant
- School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Isabelle Gaboury
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada
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Dörfler E, Kulnik ST. Despite communication and cognitive impairment – person-centred goal-setting after stroke: a qualitative study. Disabil Rehabil 2019; 42:3628-3637. [DOI: 10.1080/09638288.2019.1604821] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Elisa Dörfler
- Department of Health Sciences, FH Campus Wien – University of Applied Sciences, Vienna, Austria
| | - Stefan Tino Kulnik
- Department of Health Sciences, FH Campus Wien – University of Applied Sciences, Vienna, Austria
- Faculty of Health, Social Care and Education, Kingston University and St George’s, University of London, London, UK
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Franklin M, Lewis S, Willis K, Rogers A, Venville A, Smith L. Controlled, Constrained, or Flexible? How Self-Management Goals Are Shaped By Patient-Provider Interactions. QUALITATIVE HEALTH RESEARCH 2019; 29:557-567. [PMID: 29871583 DOI: 10.1177/1049732318774324] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
A person-centered approach to goal-setting, involving collaboration between patients and health professionals, is advocated in policy to support self-management. However, this is difficult to achieve in practice, reducing the potential effectiveness of self-management support. Drawing on observations of consultations between patients and health professionals, we examined how goal-setting is shaped in patient-provider interactions. Analysis revealed three distinct interactional styles. In controlled interactions, health professionals determine patients' goals based on biomedical reference points and present these goals as something patients should do. In constrained interactions, patients are invited to present goals, yet health professionals' language and questions orientate goals toward biomedical issues. In flexible interactions, patients and professionals both contribute to goal-setting, as health professionals use less directive language, create openings, and allow patients to decide on their goals. Findings suggest that interactional style of health professionals could be the focus of interventions when aiming to increase the effectiveness of goal-setting.
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Affiliation(s)
| | - Sophie Lewis
- The University of New South Wales, Sydney, Australia
| | - Karen Willis
- La Trobe University, Melbourne, Australia
- The Royal Melbourne Hospital, Parkville, Australia
| | - Anne Rogers
- University of Southampton, Southampton, United Kingdom
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6
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Prescott S, Fleming J, Doig E. Refining a clinical practice framework to engage clients with brain injury in goal setting. Aust Occup Ther J 2019; 66:313-325. [DOI: 10.1111/1440-1630.12556] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Sarah Prescott
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia
| | - Jennifer Fleming
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia
| | - Emmah Doig
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia
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Cameron LJ, Somerville LM, Naismith CE, Watterson D, Maric V, Lannin NA. A qualitative investigation into the patient-centered goal-setting practices of allied health clinicians working in rehabilitation. Clin Rehabil 2018; 32:827-840. [DOI: 10.1177/0269215517752488] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Lisa J Cameron
- Occupational Therapy Department, The Alfred, Alfred Health, Melbourne, VIC, Australia
| | - Lisa M Somerville
- Occupational Therapy Department, The Alfred, Alfred Health, Melbourne, VIC, Australia
| | - Catherine E Naismith
- Occupational Therapy Department, The Alfred, Alfred Health, Melbourne, VIC, Australia
| | - Dina Watterson
- Occupational Therapy Department, The Alfred, Alfred Health, Melbourne, VIC, Australia
| | - Valentina Maric
- Occupational Therapy Department, The Alfred, Alfred Health, Melbourne, VIC, Australia
| | - Natasha A Lannin
- Occupational Therapy Department, The Alfred, Alfred Health, Melbourne, VIC, Australia
- School of Allied Health, La Trobe University, Melbourne, VIC, Australia
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Prescott S, Fleming J, Doig E. Rehabilitation goal setting with community dwelling adults with acquired brain injury: a theoretical framework derived from clinicians’ reflections on practice. Disabil Rehabil 2017; 40:2388-2399. [DOI: 10.1080/09638288.2017.1336644] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Sarah Prescott
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Jennifer Fleming
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- Occupational Therapy Department, Princess Alexandra Hospital and the Centre for Functioning and Health Research, Metro South Health District, Queensland Health, Brisbane, Australia
| | - Emmah Doig
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
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D’Cruz K, Unsworth C, Roberts K, Morarty J, Turner-Stokes L, Wellington-Boyd A, Matchado J, Lannin NA. Engaging patients with moderate to severe acquired brain injury in goal setting. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2016. [DOI: 10.12968/ijtr.2016.23.1.20] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Kate D’Cruz
- Lecturer, Department of Community and Clinical Allied Health, La Trobe University, Melbourne, Australia
| | - Carolyn Unsworth
- Professor, Department of Community and Clinical Allied Health, La Trobe University, Melbourne, Australia
| | - Karen Roberts
- Occupational therapist, Alfred Health, Melbourne, Australia
| | - Jacqui Morarty
- Manager, ABI Community and Transitional Living Service, Alfred Health, Melbourne, Australia
| | - Lynne Turner-Stokes
- Herbert Dunhill Professor of Rehabilitation, Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London and Director, Regional Rehabilitation Unit, Northwick Park Hospital, Harrow, Middlesex, UK
| | - Anna Wellington-Boyd
- Clinical support and development leader–acute social work, Alfred Health, Melbourne, Australia
| | - Joanne Matchado
- Social worker–acute neurosurgery, Alfred Health, Melbourne, Australia
| | - Natasha A Lannin
- Associate professor in occupational therapy, La Trobe University, Melbourne, Australia
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