Article

OBJECTIVES: To describe the amount and content of group therapies provided during
inpatient rehabilitation for traumatic brain injury (TBI), and to assess the
relations of group therapy with patient, injury, and treatment factors and
outcomes. DESIGN: Prospective observational cohort.
SETTING: Inpatient
rehabilitation. PARTICIPANTS: Consecutive admissions
(N=2130) for initial TBI
rehabilitation at 10 inpatient rehabilitation facilities (9 in the United States,
1 in Canada) from October 2008 to September 2011. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Proportion of sessions that were group therapy (>/=2
patients were treated simultaneously by >/=1 clinician); proportion of patients
receiving group therapy; type of activity performed and amount of time spent in
group therapy, by discipline; rehabilitation length of stay; discharge location;
and FIM cognitive and motor scores at discharge. RESULTS: Of the patients, 79%
received at least 1 session of group therapy, with group therapy accounting for
13.7% of all therapy sessions and 15.8% of therapy hours. On average, patients
spent 2.9h/wk in group therapy. The greatest proportion of treatment time in
group format was in therapeutic recreation (25.6%), followed by speech therapy
(16.2%), occupational therapy (10.4%), psychology (8.1%), and physical therapy
(7.9%). Group therapy time and type of treatment activities varied among
admission FIM cognitive subgroups and treatment sites. Several factors appear to
be predictive of receiving group therapy, with the treatment site being a major
influence. However, group therapy as a whole offered little explanation of
differences in the outcomes studied. CONCLUSIONS: Group therapy is commonly used
in TBI rehabilitation, to varying degrees among disciplines, sites, and cognitive
impairment subgroups. Various therapeutic activities take place in group therapy,
indicating its perceived value in addressing many domains of functioning.
Variation in outcomes is not explained well by overall percentage of therapy time
delivered in groups.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS