Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect)
Background and Objectives: Loss of social connections in the community is a common consequence of severe traumatic brain injury (TBI), resulting in reduced well-being and quality of life. M-ComConnect is an individualized multi-component community connection intervention with the key objectives of i...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-12-01
|
| Series: | Frontiers in Rehabilitation Sciences |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2021.786445/full |
| _version_ | 1797971459827564544 |
|---|---|
| author | Rebecca Leeson Michelle Collins Jacinta Douglas Jacinta Douglas |
| author_facet | Rebecca Leeson Michelle Collins Jacinta Douglas Jacinta Douglas |
| author_sort | Rebecca Leeson |
| collection | DOAJ |
| description | Background and Objectives: Loss of social connections in the community is a common consequence of severe traumatic brain injury (TBI), resulting in reduced well-being and quality of life. M-ComConnect is an individualized multi-component community connection intervention with the key objectives of increasing social activity, developing social relationships, and supporting community participation following severe TBI. As part of the M-ComConnect approach, semi-structured initial interviews were conducted to develop a holistic understanding of each participant and their goal focus for the project. In this paper we describe how clinicians worked with participants to identify a desired community-based social activity in which to participate.Method: Transcripts of initial interviews between participant and clinician were analyzed using the phases of reflexive thematic analysis developed by Braun and Clarke. Participants were ten individuals aged between 24 and 75 with severe TBI. All were living in the community and reported reduced social connections since their TBI. The aim of the analysis was to evaluate the skills and strategies used by clinicians in their interactions with participants to derive goal focus for the program.Results: Thematic analysis of initial interview data revealed three main categories and fourteen sub-categories of clinical strategies. These were: (1) Humanizing (curiosity; demonstrating respect and empathy; providing compliments and affirmations; simple reflections; revealing aspects of self; and humor and laughter), (2) Empowering (emphasizing choice and control; highlighting strengths; identifying roadblocks and reframing to reveal opportunities; and collaborative problem solving), and (3) Focusing (making suggestions; identifying preferences; working with ideas; and negotiating). These strategies aligned with the program's relational approach and supported the core processes of the goal-focussing framework, namely understanding and connecting with you, building a relationship, and working together with you to find focus.Conclusion: The goal-focusing framework and clinical strategies outlined provide guidance for clinicians working with people with TBI in the community and is a promising way to engage clients when focusing on individualized social activity-based goals. |
| first_indexed | 2024-04-11T03:31:53Z |
| format | Article |
| id | doaj.art-ffb811ccaff146d99e6f29d3c429b805 |
| institution | Directory Open Access Journal |
| issn | 2673-6861 |
| language | English |
| last_indexed | 2024-04-11T03:31:53Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj.art-ffb811ccaff146d99e6f29d3c429b8052023-01-02T06:18:02ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612021-12-01210.3389/fresc.2021.786445786445Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect)Rebecca Leeson0Michelle Collins1Jacinta Douglas2Jacinta Douglas3Living With Disability Research Centre, La Trobe University, Melbourne, VIC, AustraliaLiving With Disability Research Centre, La Trobe University, Melbourne, VIC, AustraliaLiving With Disability Research Centre, La Trobe University, Melbourne, VIC, AustraliaThe Summer Foundation, Melbourne, VIC, AustraliaBackground and Objectives: Loss of social connections in the community is a common consequence of severe traumatic brain injury (TBI), resulting in reduced well-being and quality of life. M-ComConnect is an individualized multi-component community connection intervention with the key objectives of increasing social activity, developing social relationships, and supporting community participation following severe TBI. As part of the M-ComConnect approach, semi-structured initial interviews were conducted to develop a holistic understanding of each participant and their goal focus for the project. In this paper we describe how clinicians worked with participants to identify a desired community-based social activity in which to participate.Method: Transcripts of initial interviews between participant and clinician were analyzed using the phases of reflexive thematic analysis developed by Braun and Clarke. Participants were ten individuals aged between 24 and 75 with severe TBI. All were living in the community and reported reduced social connections since their TBI. The aim of the analysis was to evaluate the skills and strategies used by clinicians in their interactions with participants to derive goal focus for the program.Results: Thematic analysis of initial interview data revealed three main categories and fourteen sub-categories of clinical strategies. These were: (1) Humanizing (curiosity; demonstrating respect and empathy; providing compliments and affirmations; simple reflections; revealing aspects of self; and humor and laughter), (2) Empowering (emphasizing choice and control; highlighting strengths; identifying roadblocks and reframing to reveal opportunities; and collaborative problem solving), and (3) Focusing (making suggestions; identifying preferences; working with ideas; and negotiating). These strategies aligned with the program's relational approach and supported the core processes of the goal-focussing framework, namely understanding and connecting with you, building a relationship, and working together with you to find focus.Conclusion: The goal-focusing framework and clinical strategies outlined provide guidance for clinicians working with people with TBI in the community and is a promising way to engage clients when focusing on individualized social activity-based goals.https://www.frontiersin.org/articles/10.3389/fresc.2021.786445/fulltraumatic brain injuryactivitysocial participationgoal-settingclinical strategies |
| spellingShingle | Rebecca Leeson Michelle Collins Jacinta Douglas Jacinta Douglas Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect) Frontiers in Rehabilitation Sciences traumatic brain injury activity social participation goal-setting clinical strategies |
| title | Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect) |
| title_full | Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect) |
| title_fullStr | Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect) |
| title_full_unstemmed | Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect) |
| title_short | Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect) |
| title_sort | finding goal focus with people with severe traumatic brain injury in a person centered multi component community connection program m comconnect |
| topic | traumatic brain injury activity social participation goal-setting clinical strategies |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2021.786445/full |
| work_keys_str_mv | AT rebeccaleeson findinggoalfocuswithpeoplewithseveretraumaticbraininjuryinapersoncenteredmulticomponentcommunityconnectionprogrammcomconnect AT michellecollins findinggoalfocuswithpeoplewithseveretraumaticbraininjuryinapersoncenteredmulticomponentcommunityconnectionprogrammcomconnect AT jacintadouglas findinggoalfocuswithpeoplewithseveretraumaticbraininjuryinapersoncenteredmulticomponentcommunityconnectionprogrammcomconnect AT jacintadouglas findinggoalfocuswithpeoplewithseveretraumaticbraininjuryinapersoncenteredmulticomponentcommunityconnectionprogrammcomconnect |