None listed
Conditions
Brief summary
Orientation interventions have been recommended as being important within cognitive rehabilitation (e.g. Corrigan et al, 1985) and researchers have also suggested that environmental stimuli which may aid in reorientation, such as familiar pictures or personal possessions (Watanabe et al, 1998). However critical evaluation of how effective these interventions are has been limited to date, with only controlled studies investigating the use of daily screening (Tate et al, 2000) and the use of calendars (Watanabe et al, 1998), and none of the studies have investigated this issue in acute care. This trial will test the efficacy of a standardised reorientation program that can be administered in acute care is developed to reduce the length of time a person remains in PTA after TBI
Interventions
Environmental reorientation program which includes erecting a memory orientation board with a clock, automatic calendar (day of the week plus date), memory prompting posters, family education brochure (requesting families to re-orient patient) and a poster requesting consistent prompting from all healthcare staff and family members.
The duration of the intervention is 2 weeks. Occupational therapy staff will complete a daily check of the environment to monitor adherence to the environmental reo
Environmental reorientation program which includes erecting a memory orientation board with a clock, automatic calendar (day of the week plus date), memory prompting posters, family education brochure (requesting families to re-orient patient) and a poster requesting consistent prompting from all healthcare staff and family members. The duration of the intervention is 2 weeks. Occupational therapy staff will complete a daily check of the environment to monitor adherence to the environmental reorientation program.
Sponsors
La Trobe University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
*Participants must be admitted patients to the hospital site in which the research is undertaken. *Participants must be aged between 18-65 years. *Participants must be able to read in English for the purposes of being able to read the memory prompt posters. *Participants must have sustained a traumatic brain injury (TBI), as defined by one or more of the following: - Confusion or disorientation after the event - Loss of Consciousness - Glasgow Coma Scale Score <13 *Post Traumatic Amnesia (PTA) as measured by the Westmead PTA Scale score <12
Exclusion criteria
Patients who are documented to be in PTA for more than 48 hours prior to admission to Trauma Services because it is not possible to implement the environmental modifications in the Intensive Care Unit.
Outcome results
None listed