Intensive Rehabilitation of Patients With Severe Traumatic Brain Injury - Development of a Didactic Model

Improvement of the Interaction Between Motivation, Involvement and Re-learning of Daily Life Competences During the Intensive Neurorehabilitation of Patients With Severe TBI. Development of a Research-based Didactic Model.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT00419939

Enrollment

Registered

2007-01-09

Start date

2007-02-28

Completion date

2011-06-30

Last updated

2011-06-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Craniocerebral Trauma

Keywords

Severe traumatic brain injury, Intensive neurorehabilitation, Patient Participation[Professional-Patient Relations, Re-learning, Daily life activities, Rehabilitation

Brief summary

The aim of the study is to develop a research-based pedagogic model to improve the interaction between the patient's motivation, influence and learning.The hypothesis is: A neuro-rehabilitation effort in patients with severe traumatic brain injury based on a didactic model for improvement of motivation, involvement and re-learning of daily life competences will * improve the patients experience of meaningful learning and influence * provide staff with a tool which contributes to the experience to work in a targeted way concerning motivation, patient influence and re-learning daily life competencies The aim of the study is to develop a research-based didactic model to improve the interaction between the patient's motivation, influence and learning.

Detailed description

Annually, about 7500 people get a traumatic brain injury (TBI) in Denmark. According to Danish and international experiences 250 of these get severe injuries. About 120 younger people often males need highly specialised neuro-rehabilitation at one of the two regional centres in Denmark. Due to the limited amount of research in this field it cannot be documented but assumed, that the patient's motivation and involvement in planning and implementation of rehabilitation improve subjective and objective outcome. Motivation, involvement and learning in patients with severe traumatic brain injury constitute a major challenge. The cases are individual, but often involve disturbances in language and perception, lack of realization, reduced initiative, tiredness and depression. The focus of this project is the intensive physical and psychosocial rehabilitation viewed as a process of relearning targeted daily life competences using the ICF levels of function, activity and participation.

Interventions

None listed

Study design

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

1. Severe traumatic brain injury (GCS 3-9) 2. Older than 18 years 3. Post Traumatic Amnesiphase (PTA) at the end, 4 Ranchos Los Amigos (RLAS) score at minimum 4 4. Informed consent

Exclusion criteria

1. Younger than 18 years 2. In PTA phase 3. RLAS score lower than 4 4. No informed consent

Design outcomes

Primary

Measure	Time frame
Improvement of the patients experience of meaningful learning and influence	4 -8 weeks

Secondary

Measure	Time frame
Provide staff with a tool which contributes to the experience to work in a targeted way concerning motivation, patient influence and re-learning daily life competencies	4 - 8 weeks

Countries

Denmark

Outcome results