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Occupational therapy practice to support executive function impairment after acquired brain injury: A UK clinical survey.
- Source :
- British Journal of Occupational Therapy; Apr2024, Vol. 87 Issue 4, p239-250, 12p
- Publication Year :
- 2024
-
Abstract
- Introduction: This study explored treatment of executive functioning impairment in adults after acquired brain injury (ABI), clinician's confidence and support received, in a sample of occupational therapists in the United Kingdom. Methods: A 24-item online questionnaire was sent to 750 members of the Royal College of Occupational Therapists Specialist-Section in Neurological Practice. Data was collected at a nominal and ordinal level and included yes/no Likert-type scale and free field comments. Descriptive statistical analysis was completed. Results: Seventy-six occupational therapists working in a range of neurological settings completed the survey. Frequently used interventions included education (n = 57, 75%), task modification (n = 56, 73%), instrumental activities of daily living (ADL) (n = 54, 71%), personal ADL (n = 53, 70%) and goal setting (n = 53, 70%). Seventy-one percent used metacognitive strategies. Occupation-based metacognitive approaches were rarely used. Thirty-one (41%) participants reported being fairly confident and 28 (37%) were very confident. Support for clinical practice was accessed most frequently through joint clinical sessions (n = 30, 39%). Findings: Participants used various clinical interventions to treat service users with executive dysfunction after ABI. Meta-cognitive strategies were employed; however, occupation-based metacognitive approaches were infrequently utilised, suggesting uncertainty in adopting these in practice. The need for further training on evidence-based interventions and knowledge translation support was highlighted. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN physiology
REHABILITATION for brain injury patients
SCALE analysis (Psychology)
EXECUTIVE function
OCCUPATIONAL therapists
QUESTIONNAIRES
STATISTICAL sampling
CONTINUUM of care
CONFIDENCE
TREATMENT effectiveness
GOAL (Psychology)
UNCERTAINTY
DESCRIPTIVE statistics
TRANSLATIONAL research
ALLIED health personnel
UNLICENSED medical personnel
SOCIAL support
EVIDENCE-based medicine
COMPARATIVE studies
OCCUPATIONAL therapy services
PSYCHOSOCIAL factors
ACCESS to information
ACTIVITIES of daily living
COGNITION
Subjects
Details
- Language :
- English
- ISSN :
- 03080226
- Volume :
- 87
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- British Journal of Occupational Therapy
- Publication Type :
- Academic Journal
- Accession number :
- 176356115
- Full Text :
- https://doi.org/10.1177/03080226231206686