临床神经心理学康复方案，以改善心理健康和生活质量的人获得性脑损伤的快速

健康生活方式可以改善心理健康状态 #生活乐趣# #生活质量# #生活质量改善# #心理健康状况#

临床神经心理学康复方案，以改善心理健康和生活质量的人获得性脑损伤的快速现实审查。

IF 1.7 3区 心理学 Q4 NEUROSCIENCES

摘要

大约20%的获得性脑损伤(ABI)幸存者经历了心理健康(PWB)的下降。神经心理康复(NPR)是一种支持ABI患者在挑战中有意义地参与活动的方法。虽然文献支持NPR的有效性，但对其变化机制知之甚少。这篇系统的现实主义综述确定了为ABI患者设计、交付和评估的NPR计划，以改善PWB和/或生活质量(QOL)，并提供了NPR包括什么以及NPR如何导致积极结果的上下文相关理解。快速现实主义回顾分为三个阶段:(1)结构化检索和证据提取;(2)利益相关者协商;(3)分析综合。完成了搜索，并将35份出版物和一次利益相关者咨询的结果合成为一个精炼的逻辑模型。确定了6条情境-机制-结果链(cmoc)。参与者与内在体验的关系、自我价值感、掌控感和联系感似乎是导致PWB和QOL改善的机制。适应和个性化方案也是解释NPR成功的关键机制。将cmoc嵌入NPR可以改善ABI患者的PWB和/或生活质量。这个逻辑模型将为正在进行的新的在线、以小组为基础的国家公共广播节目的开发提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

A rapid realist review of clinical neuropsychology rehabilitation programmes to improve psychological wellbeing and quality of life for people with acquired brain injuries.

Approximately 20% of acquired brain injury (ABI) survivors experience reduced psychological wellbeing (PWB). Neuropsychological rehabilitation (NPR) is one approach supporting people with ABI to participate meaningfully in activities despite challenges. Although literature supports NPR effectiveness, little is known about change mechanisms. This systematic realist review identifies what NPR programmes have been designed, delivered, and evaluated for people with ABI to improve PWB and/or quality of life (QOL), as well as providing a context-relevant understanding of what NPR includes and how NPR might lead to positive outcomes. A rapid realist review was conducted in three phases: (1) structured retrieval and evidence extraction; (2) stakeholder consultation; (3) analysis and synthesis. Searches were completed, and findings from 35 publications and one stakeholder consultation were synthesized into a refined logic model. Six context-mechanism-outcome chains (CMOCs) were identified. Participants' relationships to internal experiences, and feelings of self-worth, mastery, and connection appeared to be mechanisms that led to improved PWB and QOL. Adaptation and individualized programmes were also key mechanisms to explain successful NPR. Embedding CMOCs into NPR could improve PWB and/or QOL for people with ABI. The logic model will inform ongoing development of a new online, group-based, NPR programme.

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来源期刊

期刊介绍： Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.

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