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ECP 2013 in STockholm

The Bio-Psycho-Social Effect of Rehabilitation of Individuals with Acquired Brain Injury mediated by Coordinated InterventionS. ECP 2013 in STockholm. CHalotte glintborg, cgl@hum.aau.dk Ane Søndergaard Thomsen, anest@hum.aau.dk. Agenda. Background Timefraime The program evaluated

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ECP 2013 in STockholm

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  1. The Bio-Psycho-Social Effect of Rehabilitation of Individuals with Acquired Brain Injury mediated by Coordinated InterventionS ECP 2013 in STockholm CHalotte glintborg, cgl@hum.aau.dk Ane Søndergaard Thomsen, anest@hum.aau.dk

  2. Agenda • Background • Timefraime • The program evaluated • This study • Research design – quantitative effect study • Organizational evaluation • Articulated logic behind interventions • Halfway / preliminary results

  3. Background • In 2010 19.543 Danes acquired a brain injury (ABI) • Approx. 125.000 people in Denmark live with an ABI • In Denmark there is no research on the coordination of brain injury interventions at the municipal level or the effects of early, focused and coherent rehabilitation • Being able to offer an evidence-based intervention will have a huge practical impact on people suffering from ABI as well as economic benefits in the municipal providing the services. An evaluation of practice assists administrators in making program-level decisions

  4. Timefraime Implementation (april) Project end Project start 2012 2013 2014 2015 Pretest Posttest Organizational posttest Program theory (august) Organizational halfway status (april)

  5. The program evaluated • Heightening the level of the neuro scientific knowledge • Coordination internally at the municipal level (establish a coordination center and new ways of working together) • Interdisciplinary coordination of processes across the primary and secondary sectors • United efforts (joint outcome measures, tests and rehabilitation plans)

  6. This study 2 integrated projects: • An effect study of the coordinated interventions (CI) on adult individuals suffering from ABI and their families • An organizational study of the collaborative efforts and organizational change

  7. This study - continued Mixed method design: • Multiple measures from more than one source • A pre- and posttest qualitative study is conducted focusing on both the employee satisfaction and the citizens own perspective on the rehabilitation process • A quantitative study measures the effect before and after implementing coordinated rehabilitation regarding • Duration of rehabilitation • Level of self-reliance after rehabilitation • Return to work

  8. Research design – quantitative effect study Control group 2011 Intervention group 2013

  9. Test measures • Quality of Life (WHOQOL) • Depression (MDI) • Functional independence (FIM) • Participation and autonomy (IPAQ)

  10. Organizational evaluation • Gather information to help people improve their effectivenes and to assist administrators to make program-level decisions • Contribute to the provision of quality service to people in need

  11. Organizational evaluation - continued • Focus on both proces and result/effect • Involve stakeholders • Develop their program theories (model, conceptual framework linking the interventions to the projected outcomes, articulated logic of programs) • Use that theory or model to choose the criteria which are to be measured and that will indicate succesfull implementation and desirable outcomes • Detect implausible assumptions • Identify the intermediate results rather yhan just the final outcome

  12. Articulated logic

  13. Articulated logic - continued • Joint rehabilitation plans and tests • Joint objectives • Uniform line of direction • Joint use of instruments • Using the same language / Joint understanding • Meet the citiczens with one united package of instruments • Better refferals • Possiblity of joint accumulation of experiences • Easier knowledge transfer • Understand one another • Easier access for the citizen • Continuous sequence of steps • Frees resources from repeated tasks • Purposive use of resources • Identify indicators of rehabilitation-potential • A gradual transision across the primary and secondary sectors • Easier and better co-operation • Easier to involve the citizen • Efficient service • Rapid decision making

  14. Halfway evaluation • Joint rehabilitation plans and tests • Joint objectives • Uniform line of direction • Joint use of instruments • Using the same language / Joint understanding • Meet the citiczens with one united package of instruments • Better refferals • Possiblity of joint accumulation of experiences • Easier knowledge transfer • Understand one another • Easier access for the citizen • Continuous sequence of steps • Frees resources from repeated tasks • Purposive use of resources • Identify indicators of rehabilitation-potential • A gradual transision across the primary and secondary sectors • Easier and better co-operation • Easier to involve the citizen • Efficient service • Rapid decision making

  15. Questions?

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