Journal of rehabilitation medicine · 2026
Occupational performance priorities and outcomes in long-term transitional rehabilitation for young adults with acquired brain injury.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Heurlin Charlotte, Schult Marie-Louise, Barfai Aniko, Rosén Annelie, Ekholm Jan, Löfgren Monika
Аннотация
BACKGROUND: In a new long-term transitional rehabilitation service following acquired brain injury, occupational performance problems are analysed.
AIM: The objective was to describe these problems and the participants' prioritization, and also to describe the changes between admission and discharge. Another objective was to describe changes in assessed independence-related disability.
DESIGN: Observational clinical study.
PATIENTS: Young adults (18-25 years), (n = 46), who had earlier undergone traditional medical rehabilitation following acquired brain injury.
METHODS: The Canadian Occupational Performance Measure (COPM) was used on both admission and discharge. Independence-related general disability was assessed using the Glasgow Outcome Scale-Extended (GOSE).
RESULTS: Patients identified 122 occupational performance problems as important. Most problems were in socialization (3/7), community activities (1/3), and finding paid or unpaid work (1/4). Self-rated levels of performance and satisfaction in COPM were significantly higher on discharge compared with admission. The range of GOSE scores increased from 4-6 to 4-8 between admission and discharge.
CONCLUSION: Young adults with acquired brain injury tend to prioritize rehabilitation goals to reduce difficulties in establishing relationships and/or in professional life. On discharge, ratings of implementation and satisfaction of performance were distinctly elevated, while assessed global disability was decreased.
CLINICAL REHABILITATION IMPACT: The results highlight the need for transitional rehabilitation for patient-centred remediating measures.
AIM: The objective was to describe these problems and the participants' prioritization, and also to describe the changes between admission and discharge. Another objective was to describe changes in assessed independence-related disability.
DESIGN: Observational clinical study.
PATIENTS: Young adults (18-25 years), (n = 46), who had earlier undergone traditional medical rehabilitation following acquired brain injury.
METHODS: The Canadian Occupational Performance Measure (COPM) was used on both admission and discharge. Independence-related general disability was assessed using the Glasgow Outcome Scale-Extended (GOSE).
RESULTS: Patients identified 122 occupational performance problems as important. Most problems were in socialization (3/7), community activities (1/3), and finding paid or unpaid work (1/4). Self-rated levels of performance and satisfaction in COPM were significantly higher on discharge compared with admission. The range of GOSE scores increased from 4-6 to 4-8 between admission and discharge.
CONCLUSION: Young adults with acquired brain injury tend to prioritize rehabilitation goals to reduce difficulties in establishing relationships and/or in professional life. On discharge, ratings of implementation and satisfaction of performance were distinctly elevated, while assessed global disability was decreased.
CLINICAL REHABILITATION IMPACT: The results highlight the need for transitional rehabilitation for patient-centred remediating measures.