‘We struggle and muddle.’ A qualitative study exploring community ABI therapists’ experiences of using, training in and implementing behaviour interventions
| Autor: | Jennie Ponsford, Timothy J. Feeney, Jai Jason Carmichael, Penelope Analytis, Amelia J. Hicks, Kate Rachel Gould |
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| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
Cognitive Neuroscience Applied psychology Psychological intervention Community integration medicine.disease 03 medical and health sciences Speech and Hearing Behavioral Neuroscience 0302 clinical medicine Neuropsychology and Physiological Psychology Quality of life (healthcare) Neurology Prosocial behavior medicine Community practice Neurology (clinical) Thematic analysis 0305 other medical science Psychology Acquired brain injury 030217 neurology & neurosurgery Qualitative research |
| Zdroj: | Brain Impairment. 22:34-49 |
| ISSN: | 1839-5252 1443-9646 |
| DOI: | 10.1017/brimp.2020.6 |
| Popis: | Objectives:Individuals with acquired brain injury (ABI) may present with challenging behaviours (CB) that place themselves and others at risk of harm and impact their community integration. It is crucial for community ABI therapists to successfully train in and implement behaviour interventions. The current study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions. An additional aim was to determine these therapists’ understanding of Positive Behaviour Support (PBS), one approach to addressing CB with a focus on improving quality of life.Methods:Semi-structured interviews were conducted with 24 Australian community ABI therapists about their experiences of using, training in and implementing behaviour interventions and understanding of PBS. Inductive thematic analysis and content analysis were performed on interview transcripts.Findings:The thematic analysis resulted in the generation of six themes which described the difficulties participants faced in training in and delivering behaviour interventions and identified their training and implementation needs. The content analysis resulted in 10 categories that characterised participants’ understanding of PBS, which centred around the absence of consequences, a focus on antecedents, person-centred practice and encouraging prosocial alternatives to CB.Conclusions:The findings highlight a need and desire for more practical and interactive clinician training in behaviour interventions for individuals with ABI. Moreover, the findings suggest a limited understanding of PBS amongst community ABI therapists. Important considerations for the development of clinician training in ABI behaviour interventions and subsequent implementation into community practice are discussed. |
| Databáze: | OpenAIRE |
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