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Exploring the goals and outcomes of adults with severe acquired brain injury participating in an extended inpatient brain injury rehabilitation unit in Australia1.71 MB
Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Exploring the goals and outcomes of adults with severe acquired brain injury participating in an extended inpatient brain injury rehabilitation unit in Australia
Disability and Rehabilitation, Vol.47(6), pp.1476-1484
2025
PMID: 38988260
Abstract
Purpose:
To explore the rehabilitation goals and evaluate goal attainment outcomes of people with severe acquired brain injury (ABI), and investigate the relationship between goal engagement and goal attainment.
Materials and methods:
Mixed-methods cohort study with twenty-nine adults with severe ABI in Australia. Demographic data, goal statements and pre-post program Goal Attainment Scale scores as well as Goal Engagement Scale scores were collected. Goals were coded using inductive content analysis and categorised by ICF component and domain. Goal attainment within ICF categories was described and compared using descriptive statistics. Pre-post program change in goal attainment was evaluated using Wilcoxon signed rank tests and correlations between goal engagement and attainment was explored using Spearman’s (rho).
Results:
94% of 320 goals were categorised as ICF Activity and Participation. There was significant improvement in goal attainment between admission and discharge (z=-0.47, p < 0.01). There was no significant relationship between goal engagement and goal attainment however there was a positive association between engagement in goal setting at admission and discharge.
Conclusions:
This interdisciplinary, inpatient rehabilitation program underpinned by key-worker facilitated person-centred, role-based goal setting resulted in goal attainment in chosen goals, which were primarily activity and participation-focused.
Details
- Title
- Exploring the goals and outcomes of adults with severe acquired brain injury participating in an extended inpatient brain injury rehabilitation unit in Australia
- Authors
- Emmah Doig (Corresponding Author) - The University of QueenslandAmos Teo (Author) - The University of QueenslandValerie Pick (Author) - Metro South HealthMarilia Libera (Author) - Metro South HealthAlison New (Author) - Metro South HealthBen Turner (Author) - Metro South HealthSameera Suleman (Author) - Metro South HealthMichele Foster (Author) - Griffith UniversityMelanie Hoyle (Author) - The University of Queensland
- Publication details
- Disability and Rehabilitation, Vol.47(6), pp.1476-1484
- Publisher
- Taylor & Francis
- Date published
- 2025
- DOI
- 10.1080/09638288.2024.2375058
- ISSN
- 1464-5165; 0963-8288
- PMID
- 38988260
- Copyright note
- © 2024 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
- Grant note
- Hopkins Centre Interdisciplinary Translation Research
- Organisation Unit
- School of Health - Occupational Therapy
- Language
- English
- Record Identifier
- 991054898302621
- Output Type
- Journal article
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- Rehabilitation
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