Research Reports - Effectiveness of interventions to improve occupational performance for people with psychosocial, behavioral, and emotional impairments after brain injury

Am J Occup Ther. 2016 May-Jun;70(3):7003180060p1-9. doi: 10.5014/ajot.115.020677.

Wheeler S(1), Acord-Vira A(2), Davis D(3).

OBJECTIVE: This systematic review evaluates the effectiveness of interventions to
improve occupational performance for people with psychosocial, behavioral, or
emotional impairments after traumatic brain injury (TBI).
METHOD: Medline, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of
Systematic Reviews were searched. Of the 1,512 articles initially identified, 35
met the inclusion criteria.
RESULTS: Six types of interventions were identified: (1) education, (2) peer
mentoring, (3) goal-directed therapy, (4) physical activity, (5) skills training,
and (6) cognitive-behavioral therapy (CBT). Strong evidence from well-conducted
research supports the use of CBT in individual and group settings. Moderate
evidence supports goal-directed interventions, aquatic exercise, and functional
skills training. Limited evidence supports peer mentoring, aerobic exercise,
educational interventions, and various skills training.
CONCLUSION: An increasing body of evidence supports specific interventions to
improve occupational performance and participation for people with psychosocial,
behavioral, or emotional impairments after TBI. 

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