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Using the Delphi method to develop trauma-informed practice guidelines for neurorehabilitation.

Colette M Smart¹, Sarah J Macoun¹, Lauren K Qualls¹

¹Department of Psychology, University of Victoria.

Rehabilitation Psychology

|May 12, 2025

Summary

This summary is machine-generated.

This study developed consensus guidelines for trauma-informed practice (TIP) to support individuals with acquired brain injury and traumatic stress during neurorehabilitation. These guidelines aim to improve patient care and recovery outcomes in clinical settings.

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Area of Science:

Neuroscience
Psychology
Rehabilitation Medicine

Background:

Traumatic stress is prevalent in individuals with acquired brain injury (ABI).
Untreated trauma can impede mental health, rehabilitation progress, and recovery.
Neurorehabilitation professionals may lack specialized training to address patient trauma.

Purpose of the Study:

To establish consensus guidelines for implementing trauma-informed practice (TIP) within neurorehabilitation.
To provide a framework for creating safe and supportive environments for patients with ABI and trauma.

Main Methods:

The Delphi method was employed over 12 months.
Participants included researchers, trainees, neurorehabilitation professionals, and individuals with lived experience of ABI and trauma.
Data collection involved group meetings and individual qualitative interviews.

Main Results:

Preliminary items for guidelines were generated through qualitative interviews.
Items were rank-ordered to identify key consensus points.
A draft set of guidelines was created and formatted into a brochure for dissemination.

Conclusions:

The developed guidelines offer a foundational resource for implementing TIP in neurorehabilitation settings.
Further research should focus on testing these guidelines in diverse environments to assess outcomes and satisfaction.
Successful implementation of TIP can enhance patient care and recovery trajectories.