TY - JOUR
T1 - Life goals as a driving force in traumatic brain injury rehabilitation
T2 - a longitudinal dyadic perspective
AU - Nielsen, Iben Husted
AU - Poulsen, Ingrid
AU - Larsen, Kristian
AU - Larsen, Niels Sandholm
PY - 2022
Y1 - 2022
N2 - BACKGROUND: Traumatic brain injury significantly impacts survivors and their families. Rehabilitation following traumatic brain injury is often complex due to the physical, psychological, and socio-economic problems survivors face. Life goals are considered a motivational factor in rehabilitation.OBJECTIVE: The aim was to explore expectations, problems, and strategies for goal setting in survivors of traumatic brain injury and their family caregivers for one-year during rehabilitation.METHODS: A longitudinal qualitative study using dyadic interviews with survivors and family caregivers was carried out at three time points during the first year following traumatic brain injury. Data was analyzed according to Braun and Clarke's thematic analysis.RESULTS: Eight survivors of traumatic brain injury and their family caregivers completed 24 interviews. Three themes and one sub-theme were identified: 1) life goals as a driving force (subtheme: dyadic discrepancies and conflicts); 2) conflicts between specific, measurable, achievable, realistic, and timed (SMART) goals and life goals; and 3) changing perceptions of the impact of impairments.UNLABELLED: Life goals are important motivation in the rehabilitation process. Health care professionals must integrate life goals and rehabilitation goals (i.e. SMART goals) to decrease barriers and survivor ambivalence about rehabilitation. Involving both survivors and family caregivers in goal setting increases rehabilitation success.
AB - BACKGROUND: Traumatic brain injury significantly impacts survivors and their families. Rehabilitation following traumatic brain injury is often complex due to the physical, psychological, and socio-economic problems survivors face. Life goals are considered a motivational factor in rehabilitation.OBJECTIVE: The aim was to explore expectations, problems, and strategies for goal setting in survivors of traumatic brain injury and their family caregivers for one-year during rehabilitation.METHODS: A longitudinal qualitative study using dyadic interviews with survivors and family caregivers was carried out at three time points during the first year following traumatic brain injury. Data was analyzed according to Braun and Clarke's thematic analysis.RESULTS: Eight survivors of traumatic brain injury and their family caregivers completed 24 interviews. Three themes and one sub-theme were identified: 1) life goals as a driving force (subtheme: dyadic discrepancies and conflicts); 2) conflicts between specific, measurable, achievable, realistic, and timed (SMART) goals and life goals; and 3) changing perceptions of the impact of impairments.UNLABELLED: Life goals are important motivation in the rehabilitation process. Health care professionals must integrate life goals and rehabilitation goals (i.e. SMART goals) to decrease barriers and survivor ambivalence about rehabilitation. Involving both survivors and family caregivers in goal setting increases rehabilitation success.
KW - Brain Injuries, Traumatic/psychology
KW - Caregivers/psychology
KW - Goals
KW - Humans
KW - Qualitative Research
KW - Survivors/psychology
KW - rehabilitation
KW - Traumatic brain injury
KW - qualitative longitudinal research
KW - life goals
KW - dyadic
UR - http://www.scopus.com/inward/record.url?scp=85137084528&partnerID=8YFLogxK
U2 - 10.1080/02699052.2022.2109748
DO - 10.1080/02699052.2022.2109748
M3 - Journal article
C2 - 36047479
VL - 36
SP - 1158
EP - 1166
JO - Brain Injury
JF - Brain Injury
SN - 0269-9052
IS - 9
ER -