Occupational therapy practice to support executive function impairment after acquired brain injury: A UK clinical survey

Sarah de Charentenay; Julie Whitney; Philippa A. Logan

doi:10.1177/03080226231206686

Occupational therapy practice to support executive function impairment after acquired brain injury: A UK clinical survey

Sarah de Charentenay^*, Julie Whitney, Philippa A. Logan

^*Corresponding author for this work

Population Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Introduction: This study explored treatment of executive functioning impairment in adults after acquired brain injury (ABI), clinician’s confidence and support received, in a sample of occupational therapists in the United Kingdom. Methods: A 24-item online questionnaire was sent to 750 members of the Royal College of Occupational Therapists Specialist-Section in Neurological Practice. Data was collected at a nominal and ordinal level and included yes/no Likert-type scale and free field comments. Descriptive statistical analysis was completed. Results: Seventy-six occupational therapists working in a range of neurological settings completed the survey. Frequently used interventions included education (n = 57, 75%), task modification (n = 56, 73%), instrumental activities of daily living (ADL) (n = 54, 71%), personal ADL (n = 53, 70%) and goal setting (n = 53, 70%). Seventy-one percent used metacognitive strategies. Occupation-based metacognitive approaches were rarely used. Thirty-one (41%) participants reported being fairly confident and 28 (37%) were very confident. Support for clinical practice was accessed most frequently through joint clinical sessions (n = 30, 39%). Findings: Participants used various clinical interventions to treat service users with executive dysfunction after ABI. Meta-cognitive strategies were employed; however, occupation-based metacognitive approaches were infrequently utilised, suggesting uncertainty in adopting these in practice. The need for further training on evidence-based interventions and knowledge translation support was highlighted.

Original language	English
Journal	BRITISH JOURNAL OF OCCUPATIONAL THERAPY
DOIs	https://doi.org/10.1177/03080226231206686
Publication status	Accepted/In press - 2023

Keywords

Acquired brain injury
executive function
intervention
metacognitive strategy
occupation-based approaches
occupational therapy

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10.1177/03080226231206686

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@article{57fa31480e5444d5a1a61460cef53445,

title = "Occupational therapy practice to support executive function impairment after acquired brain injury: A UK clinical survey",

abstract = "Introduction: This study explored treatment of executive functioning impairment in adults after acquired brain injury (ABI), clinician{\textquoteright}s confidence and support received, in a sample of occupational therapists in the United Kingdom. Methods: A 24-item online questionnaire was sent to 750 members of the Royal College of Occupational Therapists Specialist-Section in Neurological Practice. Data was collected at a nominal and ordinal level and included yes/no Likert-type scale and free field comments. Descriptive statistical analysis was completed. Results: Seventy-six occupational therapists working in a range of neurological settings completed the survey. Frequently used interventions included education (n = 57, 75%), task modification (n = 56, 73%), instrumental activities of daily living (ADL) (n = 54, 71%), personal ADL (n = 53, 70%) and goal setting (n = 53, 70%). Seventy-one percent used metacognitive strategies. Occupation-based metacognitive approaches were rarely used. Thirty-one (41%) participants reported being fairly confident and 28 (37%) were very confident. Support for clinical practice was accessed most frequently through joint clinical sessions (n = 30, 39%). Findings: Participants used various clinical interventions to treat service users with executive dysfunction after ABI. Meta-cognitive strategies were employed; however, occupation-based metacognitive approaches were infrequently utilised, suggesting uncertainty in adopting these in practice. The need for further training on evidence-based interventions and knowledge translation support was highlighted.",

keywords = "Acquired brain injury, executive function, intervention, metacognitive strategy, occupation-based approaches, occupational therapy",

author = "{de Charentenay}, Sarah and Julie Whitney and Logan, {Philippa A.}",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Sarah de Charentenay, Pre-doctoral Clinical Academic Fellow, NIHR300334, was funded by the National Institute for Health Research (NIHR) for this research project. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR, National Health Service (NHS) or the United Kingdom Department of Health and Social Care. Publisher Copyright: {\textcopyright} The Author(s) 2023.",

year = "2023",

doi = "10.1177/03080226231206686",

language = "English",

journal = "BRITISH JOURNAL OF OCCUPATIONAL THERAPY",

issn = "0308-0226",

publisher = "British Journal of Occupational Therapy",

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T1 - Occupational therapy practice to support executive function impairment after acquired brain injury

T2 - A UK clinical survey

AU - de Charentenay, Sarah

AU - Whitney, Julie

AU - Logan, Philippa A.

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Sarah de Charentenay, Pre-doctoral Clinical Academic Fellow, NIHR300334, was funded by the National Institute for Health Research (NIHR) for this research project. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR, National Health Service (NHS) or the United Kingdom Department of Health and Social Care. Publisher Copyright: © The Author(s) 2023.

PY - 2023

Y1 - 2023

N2 - Introduction: This study explored treatment of executive functioning impairment in adults after acquired brain injury (ABI), clinician’s confidence and support received, in a sample of occupational therapists in the United Kingdom. Methods: A 24-item online questionnaire was sent to 750 members of the Royal College of Occupational Therapists Specialist-Section in Neurological Practice. Data was collected at a nominal and ordinal level and included yes/no Likert-type scale and free field comments. Descriptive statistical analysis was completed. Results: Seventy-six occupational therapists working in a range of neurological settings completed the survey. Frequently used interventions included education (n = 57, 75%), task modification (n = 56, 73%), instrumental activities of daily living (ADL) (n = 54, 71%), personal ADL (n = 53, 70%) and goal setting (n = 53, 70%). Seventy-one percent used metacognitive strategies. Occupation-based metacognitive approaches were rarely used. Thirty-one (41%) participants reported being fairly confident and 28 (37%) were very confident. Support for clinical practice was accessed most frequently through joint clinical sessions (n = 30, 39%). Findings: Participants used various clinical interventions to treat service users with executive dysfunction after ABI. Meta-cognitive strategies were employed; however, occupation-based metacognitive approaches were infrequently utilised, suggesting uncertainty in adopting these in practice. The need for further training on evidence-based interventions and knowledge translation support was highlighted.

AB - Introduction: This study explored treatment of executive functioning impairment in adults after acquired brain injury (ABI), clinician’s confidence and support received, in a sample of occupational therapists in the United Kingdom. Methods: A 24-item online questionnaire was sent to 750 members of the Royal College of Occupational Therapists Specialist-Section in Neurological Practice. Data was collected at a nominal and ordinal level and included yes/no Likert-type scale and free field comments. Descriptive statistical analysis was completed. Results: Seventy-six occupational therapists working in a range of neurological settings completed the survey. Frequently used interventions included education (n = 57, 75%), task modification (n = 56, 73%), instrumental activities of daily living (ADL) (n = 54, 71%), personal ADL (n = 53, 70%) and goal setting (n = 53, 70%). Seventy-one percent used metacognitive strategies. Occupation-based metacognitive approaches were rarely used. Thirty-one (41%) participants reported being fairly confident and 28 (37%) were very confident. Support for clinical practice was accessed most frequently through joint clinical sessions (n = 30, 39%). Findings: Participants used various clinical interventions to treat service users with executive dysfunction after ABI. Meta-cognitive strategies were employed; however, occupation-based metacognitive approaches were infrequently utilised, suggesting uncertainty in adopting these in practice. The need for further training on evidence-based interventions and knowledge translation support was highlighted.

KW - Acquired brain injury

KW - executive function

KW - intervention

KW - metacognitive strategy

KW - occupation-based approaches

KW - occupational therapy

UR - http://www.scopus.com/inward/record.url?scp=85176129005&partnerID=8YFLogxK

U2 - 10.1177/03080226231206686

DO - 10.1177/03080226231206686

M3 - Article

AN - SCOPUS:85176129005

SN - 0308-0226

JO - BRITISH JOURNAL OF OCCUPATIONAL THERAPY

JF - BRITISH JOURNAL OF OCCUPATIONAL THERAPY

ER -

Occupational therapy practice to support executive function impairment after acquired brain injury: A UK clinical survey

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