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Development and description of SAAM intervention: A brief, multidimensional and psycho-educational intervention for adults with mild traumatic brain injury.
- Source :
-
Annals of physical and rehabilitation medicine [Ann Phys Rehabil Med] 2021 Sep; Vol. 64 (5), pp. 101424. Date of Electronic Publication: 2020 Aug 18. - Publication Year :
- 2021
-
Abstract
- Background: Mild traumatic brain injury (mTBI) is associated with persistent post-concussive symptoms (PCSs) in approximately 15% of cases. These symptoms can be somatic (e.g., headache), cognitive (e.g., forgetfulness, poor attention and concentration capacities), emotional (e.g., anxiety, depression, irritability) and/or sleep-arousal complaints (e.g., fatigue, sleep problems). Although practice guidelines recommend early intervention to prevent and treat PCS, we still lack an effective, standardized, integrative, post-acute intervention based on a sound and validated theoretical model.<br />Objectives: The purpose of this article is to present the development and theoretical background underpinning a novel intervention for patients with PCSs in the post-acute phase after mTBI (1-3 months post-injury).<br />Procedure: With a biopsychosocial approach (Hou et al., 2012) and best practice recommendations, we developed a novel multidimensional intervention targeting factors that perpetuate PCSs and that can be changed with the intervention. This individual-session intervention provides practical tools for managing PCSs and is designed to provide psycho-education and reassurance, reinforce individual objectives and promote a return to activities. Each session targets one category of PCSs: Sleep/fatigue, Attention, Anxiety/depressed mood, Memory/Organization (SAAM intervention). The rationale underlying the choices of format and content for the intervention is discussed, as are the associated strengths, limitations, opportunities and challenges.<br />Conclusion: This article could support researchers and clinicians to develop, replicate and/or implement interventions addressing current best practices in mTBI management.<br /> (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Adult
Headache
Humans
Brain Concussion therapy
Post-Concussion Syndrome therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1877-0665
- Volume :
- 64
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Annals of physical and rehabilitation medicine
- Publication Type :
- Academic Journal
- Accession number :
- 32771586
- Full Text :
- https://doi.org/10.1016/j.rehab.2020.07.007