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Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review

Brett, CE and Sykes, C and Pires-Yfantouda, R (2015) Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review. Neuropsychological Rehabilitation, 25 (6). pp. 1-24. ISSN 0960-2011

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Abstract

Rehabilitation in adults with acquired brain injury is often hampered by a lack of client engagement with the rehabilitation process, leading to frustration, withdrawal of services and poorer recovery. Motivation, apathy and awareness are potential mechanisms underlying engagement, but few studies have suggested potential intervention techniques. A systematic review of the literature was carried out to identify and evaluate interventions designed to increase rehabilitation engagement in adults with acquired brain injury. Database searches used the following terms: rehabilitation, brain injury, and compliance/engagement/adherence in PsychInfo, Medline, Cinahl, Embase, AMED, Web of Knowledge, PsycBite, Cochrane clinical trials, and clinicaltrials.org. Hand searches were conducted of reference lists and relevant journals. Fifteen studies were included in the review. Intervention techniques fell into two broad categories: behavioural modification techniques and cognitive/meta-cognitive skills. Contingent reward techniques were most effective at increasing adherence and compliance, while interventions enabling clients' active participation in rehabilitation appeared to increase engagement and motivation. The review highlighted methodological and measurement inconsistencies in the field and suggested that interventions should be tailored to clients' abilities and circumstances.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis Group in Neuropsychological Rehabilitation on 29/09/2015, available online: http://dx.doi.org/10.1080/09602011.2015.1090459
Uncontrolled Keywords: 17 Psychology And Cognitive Sciences, 11 Medical And Health Sciences
Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Natural Sciences and Psychology
Publisher: Taylor & Francis (Routledge)
Date Deposited: 23 Oct 2015 11:47
Last Modified: 29 Sep 2016 23:50
DOI or Identification number: 10.1080/09602011.2015.1090459
URI: http://researchonline.ljmu.ac.uk/id/eprint/2220

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