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.

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.

Study Overview

• Status: Completed
• Conditions: Craniocerebral Trauma

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.

• Study Type: Observational
• Enrollment (Actual): 11

Contacts and Locations

Study Locations

• Denmark
  • Hammel
    • Voldbyvej 15, Hammel, Denmark, 8450
      • Regional Hospital Hammel Neurorehabilitation Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

ab 10 patientsr with acquired severe brain injury (GCS 3 - 9), >18 år, PTA phase at the end (GOAT scoring), RLAS score at minimum 4 and informed consent in writing

Description

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

Study Plan

How is the study designed?

Design Details

• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
1; ab 10 patientsr with acquired severe brain injury (GCS 3 - 9), >18 år, PTA phase at the end (GOAT scoring), RLAS score at minimum 4 and informed consent in writing

What is the study measuring?

Primary Outcome Measures

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

Secondary Outcome Measures

Outcome 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

Collaborators and Investigators

• Sponsor: University of Aarhus
• Collaborators: Regionshospitalet Hammel Neurocenter
• Investigators: Study Director: Karsten Koch-Jensen, Head of c, Regionshospitalet Hammel Neurocenter; Study Chair: Marit Kirkevold, Professor, Department of nursing science, Aarhus University; Principal Investigator: Lena Aadal, Ph.d stud., Regionshospitalet Hammel Neurocenter

Study record dates

Study Major Dates

• Study Start: February 1, 2007
• Primary Completion (Actual): June 1, 2011
• Study Completion (Actual): June 1, 2011

Study Registration Dates

• First Submitted: January 8, 2007
• First Submitted That Met QC Criteria: January 8, 2007
• First Posted (Estimate): January 9, 2007

Study Record Updates

• Last Update Posted (Estimate): June 21, 2011
• Last Update Submitted That Met QC Criteria: June 20, 2011
• Last Verified: June 1, 2011

More Information

Terms related to this study

• Keywords: Rehabilitation; Severe traumatic brain injury; Intensive neurorehabilitation; "Patient Participation"[Professional-Patient Relations"; Re-learning; Daily life activities
• Additional Relevant MeSH Terms: Nervous System Diseases; Wounds and Injuries; Trauma, Nervous System; Craniocerebral Trauma
• Other Study ID Numbers: 2007-RHN-01

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No