Satisfaction with Cognitive Rehabilitation Delivered via the Internet in Persons with Acquired Brain Injury

Thomas F. Bergquist, Maya Yutsis, Molly J. Sullan

Abstract


We examined the level of satisfaction with cognitive rehabilitation delivered via the Internet in persons with moderate to severe acquired brain injury (ABI). Fifteen adults with moderate to severe ABI were randomized to 30 days of Internet-based active treatment (AT) or to a wait list (WL) group, and crossed over to the opposite condition after 30 sessions. Both caregivers and participants were assessed at three time points during the study. This study focused on participant satisfaction with receiving treatment in this manner. Though the results of this study showed no significant treatment effect, the vast majority of participants (>87%) were satisfied with treatment. Treatment satisfaction accounted for 25% of additional variance in predicting lower family ratings of mood difficulties after final assessment (p<.03). Greater satisfaction with treatment was positively correlated with greater employment rate after treatment (r=.63, p=.02), as well as lower family ratings of memory and mood difficulties after final assessment (r=-.59, p=.03; r=-.58, p=.03,). Results suggest that treatment satisfaction in persons with ABI is related to less activity limitations, and maintaining employment after cognitive rehabilitation delivered via the Internet.

 


 


References


Bergquist, T., Gehl, C., Lepore, S., Holzworth, N., & Beaulieu, W. (2008). Internet-based cognitive rehabilitation in individuals with acquired brain injury: A pilot feasibility study. Brain Injury, 22, 891-897. doi: 903534285 [pii] 10.1080/02699050802405487

Bergquist, T., Gehl, C., Mandrekar, J., Lepore, S., Hanna, S., Osten, A., & Beaulieu, W. (2009). The effect of Internet-based cognitive rehabilitation in persons with memory impairments after severe traumatic brain injury. Brain Injury, 23, 790-799. doi: 10.1080/02699050903196688

Bergquist, T. F., Thompson, K., Gehl, C., & Munoz Pineda, J. (2010). Satisfaction ratings after receiving Internet-based cognitive rehabilitation in persons with memory impairments after severe acquired brain injury. Telemedicine Journal and e-Health, 16, 417-423. doi: 10.1089/tmj.2009.0118

Cartwright M. (2013). Effect of telehealth on quality of life and psychological outcomes over 12 months. British Medical Journal, 51, 346.

Egan, J., Worrall, L., & Oxenham, D. (2005). An Internet training intervention for people with traumatic brain injury: Barriers and outcomes. Brain Injury, 19, 555-568.

Faul, M., Xu, L., Wald, M., & Coronado, V. (2010). Traumatic brain injury in the United States: Emergency department visits, hospitalizations, and deaths, 2002-2006. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.

Forducey, P. G., Glueckauf, R. L., Bergquist, T. F., Maheu, M. M., & Yutsis, M. (2012). Telehealth for persons with severe functional disabilities and their caregivers: Facilitating self-care management in the home setting. Psychological Services, 9, 144-162. doi: 2012-14616-003 [pii] 10.1037/a0028112

Goodman, N., Jette, A. M., Houlihan, B., & Williams, S. (2008). Computer and Internet use by persons after traumatic spinal cord injury. Archives of Physical Medicine and Rehabilitation, 89, 1492-1498.

Hirsh, A. T., Atchison, J. W., Berger, J. J., Waxenberg, L. B., Lafayette-Lucey, A., Bulcourf, B. B., & Robinson, M. E. (2005). Patient satisfaction with treatment for chronic pain: Predictors and relationship to compliance. Clinical Journal of Pain, 21, 302-310.

Johnstone, B., Nossaman, L. D., Schopp, L. H., Holmquist, L., & Rupright, S. J. (2002). Distribution of services and supports for people with traumatic brain injury in rural and urban Missouri. Journal of Rural Health, 18, 109-117.

Keith, R. A. (1998). Patient satisfaction and rehabilitation services. Archives of Physical Medicine and Rehabilitation, 79, 1122-1128.

Kupachi, A. (2002). A long term use of compensation techniques following outpatient TBI rehabilitation. Minneapolis, MN: University of Minnesota.

Malec, J. F., Smigielski, J. S., DePompolo, R. W., & Thompson, J. M. (1993). Outcome evaluation and prediction in a comprehensive-integrated post-acute outpatient brain injury rehabilitation programme. Brain Injury, 7(1), 15-29.

Marwitz, J. (2000). The Neurobehavioral Functioning Inventory: The Center for Outcome Measurement in Brain Injury.

Ponsford, J. L., Downing, M. G., Olver, J., Ponsford, M., Acher, R., Carty, M., & Spitz, G. (2014). Longitudinal follow-up of patients with traumatic brain injury: Outcome at two, five, and ten years post-injury. Journal of Neurotrauma, 31(1), 64-77. doi: 10.1089/neu.2013.2997

Randolph, C., Tierney, M. C., Mohr, E., & Chase, T. N. (1998). The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): Preliminary clinical validity. Journal of Clinical and Experimental Neuropsychology, 20, 310-319. doi: 10.1076/jcen.20.3.310.823

Schopp, L. H., Johnstone, B. R., & Merveille, O. C. (2000). Multidimensional telecare strategies for rural residents with brain injury. Journal of Telemedicine and Telecare, 6(Suppl 1), S146-S149.

Schönberger, M., Humle, F., & Teasdale, T. W. (2006). Subjective outcome of brain injury rehabilitation in relation to the therapeutic working alliance, client compliance and awareness. Brain Injury, 20, 1271-1282.

Sohlberg, M. M., & Mateer, C. A. (1989). Training use of compensatory memory books: A three stage behavioral approach. Journal of Clinical and Experimental Neuropsychology, 11, 871-891. doi: 10.1080/01688638908400941

Vaccaro, M., Hart, T., Whyte, J., & Buchhofer, R. (2007). Internet use and interest among individuals with traumatic brain injury: A consumer survey. Disability and Rehabilitation: Assistance and Technology, 2(2), 85-95.

Whitten P, Love B. (2005). Patient and provider satisfaction

with the use of telemedicine: Overview and rationale for cautious enthusiasm. Journal of Postgraduate Medicine, 51, 294–300.




DOI: https://doi.org/10.5195/ijt.2014.6142

  

Refbacks

  • There are currently no refbacks.




Copyright (c) 2015 Thomas F. Bergquist, Maya Yutsis, Molly J. Sullan

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.