Poster: A combination of self-report questionnaires used to capture cognitive functioning in everyday life in the clients’ personal context: will that enable clients to participate in a goal setting process in rehabilitation?
: Karolinska Institutet Department of Neurobiology, Care Science and Society, at Karolinska Institutet.
Åke Seger: Professor, Karolinska Institutet.
Gunilla Eriksson: PhD in Occupational Therapy, Karolinska Institutet & Department of Neuroscience at Uppsala University.
Exploring how a combination of self-report questionnaires could be used to identify clients’ self-perceived problems in everyday life prior goal setting in rehabilitation after ABI.
Two matching groups were recruited (ABI and healthy controls). The diagnoses in the ABI group (n15) were:
8 cerebrovascular diseases
4 intracranial injury
2 anoxic brain damage
1 malignant neoplasma
This case mix will/can be found in any Swedish rehabilitation clinic offering publically founded rehabilitation programs to in- and out patients with neurological diagnoses. Time since onset of brain injury varied from 6 month to 5 years.
Single female (ABI) CIQ 1) Home integration - was doing all chores alone, except from grocery shopping left to somebody else to do 2) Social integration – took part in activities away from home less often than once a week. CAPM Frequent memory lapses in 1 BADL and in 8 IADL activities, 5 items NA CFQ Most cognitive mishaps due to distractibility.
Married male with children (ABI) CIQ 1)Home integration – carried out all chores together with someone else, except from grocery shopping done alone 2) Social integration – left home almost every day, and was engaged in leisure activities and visited family/friends several times/month. CAPM Frequent memory lapses in 4 IADL activities, 5 items NA CFQ Cognitive mishaps equally distributed between distractibility, blunders and memory.
CIQ, CAPM and CFQ together illustrated the clients’ life situation, when analysing responds in each subscale. CIQ and CAPM added knowledge about activities carried out in everyday life. CFQ illustrated if mistakes where based on distractibility, memory or blunders.
The frequency of memory lapses was influenced by the number of activities: left to somebody else/skipped or doing together/alone.
The question has to be raised if the client desire to reduce frequent memory lapses or to become involved in more everyday chores, when identifying goals.
Using formal assessments to include the client’s perspective, might enable clients with ABI to participate in the goal setting process.
The combination of self-report questionnaires highlighted the clients’ personal context. Memory problems and cognitive mishaps has to be interpreted in relation to the clients’ life situation. Moreover, subscale Home Integration in CIQ, and items Not Applicable in CAPM illustrated which chores the client actually carried out in everyday life. The factor analysis in CFQ might underpin the choice of interventions after goalsetting. Still, studies are needed to confirm if the combination of self-report questionnaires could be used as a client-centred method of formal goal identification and goal setting in rehabilitation after ABI.
Publicerad: 2016-03-02, 2016 World congress on brain injury in Haag