The long-term process of recovering self-leadership in patients with disability due to acquired brain injury: II. Interactions with surrounding people that promote recovery of self-leadership

  • Wada Shinichi
    Moriyama Rehabilitation Clinic
  • Hasegawa Miki
    Sangenjaya Rehabilitation Clinic The Japan Society of a Caring Community for People with Brain Injury

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  • 脳損傷による中途障害者の長期的な主体性回復のプロセス II 主体性回復を促す周囲のかかわり方

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Abstract

<p>Wada S, Hasegawa M. The long-term process of recovering self-leadership in patients with disability due to acquired brain injury: II. Interactions with surrounding people that promote recovery of self-leadership. Jpn J Compr Rehabil Sci 2019; 10: 50-59.</p><p>Objective: To create a model of interactions with surrounding people that promote recovery of self-leadership leading to long-term improvements in patients with disability due to acquired brain injury.</p><p>Methods: We held the 18th Self-Leadership (Shutaisei) Research Conference comprising about 20 members, including patients, formal caregivers, medical personnel, and researchers. The results of semi-structured interviews with members related to “long-term recovery of daily activity at home” and “self-leadership” in patients with disability due to acquired brain injury were qualitatively analyzed using the Modified Grounded Theory Approach.</p><p>Results: The model was created from 16 concepts related to caregiver interactions generated from an analysis worksheet. “Gaining the patient’s trust” was the starting point of this model. It was found that patients seem to progress more smoothly when the people surrounding them “suggest tasks and roles set at the appropriate level,” then “provide support to gain successful experiences,” and then close the cycle by “creating opportunities to reflect on each experience.”</p><p>Conclusion: The model illustrates the flow of interactions that effectively promote recovery of self-leadership and has the potential to be developed into a standardized rehabilitation method for patients with disability due to acquired brain injury.</p>

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