Poster 8: Personalized Accompaniment for Community Integration for People With a Traumatic Brain Injury in Postrehabilitation

Abstract

Objective: To analyze the effects of an individualized community integration (CI) accompaniment postrehabilitation to promote increased social participation in individuals with mild or severe traumatic brain injury (TBI) in order to help them maintain or improve their ability to complete everyday activities and to enjoy leisure activities. Design: Participative and collaborative research relying on unique case histories is proposed. 4 analysis times: T0, T6 months, T12 months, and T15 months. Each participant will be compared to him/herself and then to the group. Setting: An individualized accompaniment of individuals with a TBI by people who are not health professionals, to help motivate them to accomplish leisure and everyday activities in the most autonomous way possible. Participants: 14 people with a mild or severe TBI on the Glasgow Coma Scale accompanied by a relative. Participants have completed their rehabilitation; have returned to living independently with no postrehabilitation services; and have unfulfilled needs with regard to leisure and everyday activities. Intervention: Accompaniment in the community 2 times 3 hours a week for 12 months. Main Outcome Measures: Activities of Daily Living Profile, Profile of leisure activities, Beck, medical history, journals of the people accompanying, interviews. Results: The analysis of the 0-6 months time frame is underway. Preliminary results show that none of the participants have regressed on the level of everyday activities and that they are more motivated to take part in leisure activities. Some are using tools to plan their activities and budget and have a better socialization. Detailed results will be presented. Conclusions: This project should contribute to the development of new intervention practices to better support the community integration of these individuals.