Management of persons with brain injury : lack of self-awareness deficit

Pao Yue-kong Library Electronic Theses Database

Management of persons with brain injury : lack of self-awareness deficit

 

Author: Cheng, Kwok-wah Steven
Title: Management of persons with brain injury : lack of self-awareness deficit
Degree: M.Sc.
Year: 2005
Subject: Hong Kong Polytechnic University -- Dissertations
Brain damage -- Patients -- Rehabilitation
Anosognosia -- Patients -- Rehabilitation
Department: Dept. of Rehabilitation Sciences
Pages: viii, 50 leaves ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1818205
URI: http://theses.lib.polyu.edu.hk/handle/200/4457
Abstract: Objectives: The purpose of this study was to develop a systematic intervention program for the management of lack of self-awareness deficit (LSD) for people with brain injury and investigating the effect of an intervention program on outcome measures for this group of people. Research Design: Pretest-posttest control group design with random assignment of subjects was adopted. Wilcoxon Signed-Ranks Tests were conducted to compare the within group change of outcome measures of Self-Awareness of Deficits Interview (SADI), Functional Independence Measure (FIM), and Lawton Instrumental Activities of Daily Living Score (Lawton IADL), in control group and experimental groups. Mann Whitney U Tests were conducted to compare the across group differences of improvements of outcome measures between patients in control group and experimental group. Method and Procedures: 21 patients with brain injury were randomly assigned to control group and experimental group according to their admission sequence. Conventional rehabilitation program and Awareness Intervention Program (AIP) were implemented in two groups respectively for four weeks. Pre and post intervention outcome measures taken from the two groups were compared. Instrumentation: AlP was used as the testing treatment in the study. Foundation areas for intervention and the intervention modalities were built up from the consensuses from models of self-awareness and suggestions from literatures. Results: After AIP, participants in experimental group demonstrated significant improvement in level of awareness than those in the control group. However functional outcomes from participants in experimental group did not showed significant difference from those in control group. Conclusion: AIP did induce positive effect in promoting improvement in level of self-awareness in people with brain injury. However such improvement in level of self-awareness did not bring marked difference in improvement in functional outcomes when compared with conventional rehabilitation program.

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