Effectiveness of a multidisciplinary rehabilitation program for persons with acquired brain injury and executive dysfunction

摘要

Purpose: The purpose of this study is to explore the effects of a multidisciplinary acquired brain injury rehabilitation out-patient program (5d/week for 7 weeks) on improvements to participants' activity and participation outcomes related to meal preparation and to determine whether gains are maintained at 3 and 6 months post program. Methods: A single case experimental design with repeated measures pre- and post-intervention with 7 adult participants with ABI and executive dysfunction (4 females, mean age 38 ±10.1 years) was used. Results: A strong improvement effect between pre and post phases was found for number of errors on the Cooking Task for 6/7 participants;four participants showed significant improvement immediately after the program and at 3 and 6 months post. Six out of seven participants improved significantly on the Instrumental Activities of Daily Living Profile and four participants improved between the post and 6 month follow-up. Four out of seven participants showed significantly improved Life Habits scores preversus post-program. Conclusions: Significant improvements were observed in activity and participation outcomes related to preparing a meal in adults with ABI and executive dysfunction who participated in a 7-week multidisciplinary rehabilitation out-patient program. Treatment gains were maintained for the majority of participants at 3 and 6 months following the program