Article

A holistic, intensive and interdisciplinary rehabilitation program
for people with acquired brain injury (ABI) was developed at the
Pitie-Salpetriere Hospital, France (5 days/week for 7 weeks).
This program,
recently demonstrated effective, aimed to optimize the ability of people with ABI
to perform activities and improve their participation by using individual and
group interventions involving ecologically valid activities inside (e.g., in the
gym and kitchen) and outside the hospital. However, the perception of the quality
of the program by participants and service providers has not yet been reported.
OBJECTIVES: This study had 3 objectives: (1) report the perception of
participants (adults with ABI) in terms of service quality of the program, (2)
report the strengths, weaknesses, opportunities, and threats (SWOT analysis) of
the program as perceived by service providers, and (3) triangulate findings to
draw conclusions about the program's quality and provide recommendations for
quality improvement. METHODS: We used a mixed-methods design with a validated
questionnaire (Perception of Quality of Rehabilitation Services [PQRS-Montreal])
and interviews (structured around a SWOT analysis) involving program participants
and service providers. RESULTS: We included 33 program participants (mean age
43.6 years) and 12 service providers (mean years with program 7.6 years). In
general, study participants showed a convergence of opinion about the high
quality of the program, particularly regarding the team and its
participant-focused approach. Specific aspects of the program were viewed more
negatively by both participants and service providers (i.e., addressing
sexuality, family involvement and return to work/volunteer work/school).
CONCLUSION: Participant and service provider perceptions of the rehabilitation
program under study were generally positive. A reliable and valid questionnaire
and interviews helped identify aspects of the program that worked well and those
that could be targeted for future quality improvement.
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Langue : ANGLAIS