Improving client-centered brain injury rehabilitation through research-based theater

Area of Science:

• Neuroscience
• Rehabilitation Medicine
• Performance Studies

Background:

• Traumatic brain injury (TBI) frequently causes impairments limiting patient participation in treatment decisions.
• Healthcare practitioners often perceive these impairments as barriers to client engagement.

Purpose of the Study:

• To evaluate the impact of a research-based drama, "After the Crash," on client-centered care principles for brain injury rehabilitation staff.
• To assess the short- and long-term effects of the play on staff practices and patient care.

Main Methods:

• Qualitative methods were employed, including interviews and observations.
• Data were collected from staff on two inpatient neurorehabilitation units in Ontario, Canada.

Main Results:

• The play effectively reduced medical jargon, enhancing client understanding and participation.
• Staff developed a greater appreciation for clients' emotional and intimacy needs.
• Family caregiver involvement increased, and staff avoided discussing clients as if they were unaware.

Conclusions:

• Research-based drama can promote reflexivity, empathy, and practice change in brain injury rehabilitation.
• The play facilitated a more client-centered culture of practice.
• Drama is a viable tool for professional development in healthcare settings.