Effective occupational therapy intervention with adults demonstrating agitation during post-traumatic amnesia.

Objective: To investigate the effectiveness of occupational therapy (OT) with adults demonstrating agitation and post-traumatic amnesia (PTA) following brain injury. Design: Single-system experimental design (ABAB) across subjects. Methods: Eight subjects were recruited during acute rehabilitation....

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Publicado en:Brain Injury Vol. 22; no. 9; pp. 669 - 684
Autores principales: Nott MT, Chapparo C, Heard R
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2008
      vid: 22
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02699050802227170
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        atl: Effective occupational therapy intervention with adults demonstrating agitation during post-traumatic amnesia.
      aug:
        au:
          Nott MT
          Chapparo C
          Heard R
        affil: Brain Injury Rehabilitation Service, Westmead Hospital, Sydney, Australia.
      sug:
        subj:
          Brain Injuries Complications
          Brain Injuries Rehabilitation
          Cognition
          Occupational Therapy
          Adult
          Agitation
          Amnesia
          Analysis of Variance
          Comparative Studies
          Confidence Intervals
          Descriptive Statistics
          Female
          Glasgow Coma Scale
          Inpatients
          Internal Validity
          Interrater Reliability
          Intraclass Correlation Coefficient
          Intrarater Reliability
          Linear Regression
          Male
          Middle Age
          Multidisciplinary Care Team
          Neuropsychological Tests
          P-Value
          Post Hoc Analysis
          Rehabilitation Centers
          Rehabilitation Patients
          Retrospective Design
          Scales
          Task Performance and Analysis
          Treatment Outcomes
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To investigate the effectiveness of occupational therapy (OT) with adults demonstrating agitation and post-traumatic amnesia (PTA) following brain injury. Design: Single-system experimental design (ABAB) across subjects. Methods: Eight subjects were recruited during acute rehabilitation. Current OT intervention was alternated with the experimental Perceive, Recall, Plan and Perform (PRPP) System approach over 4-weeks. Therapy was conducted daily. Information processing capacity during occupational tasks was measured using the PRPP System of Task Analysis. PTA status was monitored with the Westmead PTA Scale. Experimental intervention: The PRPP System is a dynamic assessment and intervention approach that directly links results of cognitive task analysis with strategies for intervention. PRPP Intervention adopts an information processing approach that simultaneously focuses on task training, strategy training and strategy application within occupational performance. Results: Seven subjects significantly improved in their application of processing strategies during the PRPP Intervention in comparison to current OT Intervention phases. Large treatment effects favoured the PRPP Intervention. Subjects demonstrated improved information processing strategy use both prior to and following emergence from PTA. Conclusions: Occupational therapy intervention based upon the PRPP System of Task Analysis and Intervention improved subjects' ability to apply information processing strategies during occupational performance when compared to current intervention approaches.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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