Service User/Carer Education in Neuroplastic Processes: Implications for Use in Practice

Background: The process of neuroplasticity is essential for functional recovery following an acquired brain injury (ABI). Short hourly rehabilitation sessions alone are often not enough to lead to neuroplastic changes in the... [ view full abstract ]

Background:
The process of neuroplasticity is essential for functional recovery following an acquired brain injury (ABI). Short hourly rehabilitation sessions alone are often not enough to lead to neuroplastic changes in the brain. The engagement and commitment required to create these positive neuroplastic changes during rehab is often insufficient sessions. The national clinical guidelines for professionals working in ABI rehabilitation state educational interventions should be a part of routine practice. However, there is no specific standard clinical practice or current research around educating service users or carers in neuroplastic processes in relation to understanding their ABI. The aim of this study is to explore how and why occupational therapists choose to discuss the neuroplastic process during the rehabilitation process with service users with an ABI and their carers. The study will explore; current practice, methods utilised and examine viewpoints around such a provision detailing its relevancy to neuro occupational therapy (OT).

Method:
A positivist and post-positivist approach was utilised via an online survey that elicited mixed-methods data. A purposive sample of UK occupational therapists who work with people with an ABI were recruited through the College of Occupational Therapists Specialist Section Neurological Practice and third-sector and private brain injury organisations. Data analysis is through both SPSS and thematic analysis.

Results:
Initial results confirm the overarching necessity for standardising this educational provision. It is expected that the results may help steer neuro care pathways and guide future practice in OT that have significant implications for rehab outcomes for the service user.