Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul 31;23(1):814.
doi: 10.1186/s12913-023-09793-x.

Rehabilitation models that support transitions from hospital to home for people with acquired brain injury (ABI): a scoping review

Marianne Eliassen  1 , Cathrine Arntzen  2   3 , Morten Nikolaisen  2   3 , Astrid Gramstad  2
Affiliations

Rehabilitation models that support transitions from hospital to home for people with acquired brain injury (ABI): a scoping review

Marianne Eliassen et al. BMC Health Serv Res. .

Abstract

Background: Research shows a lack of continuity in service provision during the transition from hospital to home for people with acquired brain injuries (ABI). There is a need to gather and synthesize knowledge about services that can support strategies for more standardized referral and services supporting this critical transition phase for patients with ABI. We aimed to identify how rehabilitation models that support the transition phase from hospital to home for these patients are described in the research literature and to discuss the content of these models.

Methods: We based our review on the "Arksey and O`Malley framework" for scoping reviews. The review considered all study designs, including qualitative and quantitative methodologies. We extracted data of service model descriptions and presented the results in a narrative summary.

Results: A total of 3975 studies were reviewed, and 73 were included. Five categories were identified: (1) multidisciplinary home-based teams, (2) key coordinators, (3) trained family caregivers or lay health workers, (4) predischarge planning, and (5) self-management programs. In general, the studies lack in-depth professional and contextual descriptions.

Conclusions: There is a wide variety of rehabilitation models that support the transition phase from hospital to home for people with ABI. The variety may indicate a lack of consensus of best practices. However, it may also reflect contextual adaptations. This study indicates that health care service research lacks robust and thorough descriptions of contextual features, which may limit the feasibility and transferability to diverse contexts.

Keywords: Acquired brain injury; Care trajectory; Early supported discharge; Health care services; Rehabilitation; Transitional care.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flow diagram of the study selection process and outcomes. Modified PRISMA 2020 by Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. 10.1136/bmj.n71
See this image and copyright information in PMC

References

    1. Turner-Stokes L, Pick A, Nair A, Disler PB, Wade DT. Multi‐disciplinary rehabilitation for acquired brain injury in adults of working age. Cochrane Database of Systematic Reviews. 2015(12). - PMC - PubMed
    1. Stagg K, Douglas J, Iacono T. A scoping review of the working alliance in acquired brain injury rehabilitation. Disabil Rehabil. 2019;41(4):489–97. doi: 10.1080/09638288.2017.1396366. - DOI - PubMed
    1. Arntzen C, Hamran T. Stroke survivors’ and relatives’ negotiation of relational and activity changes: a qualitative study. Scand J Occup Ther. 2016;23(1):39–49. doi: 10.3109/11038128.2015.1080759. - DOI - PubMed
    1. Gerber GJ, Gargaro J, McMackin S. Community integration and health-related quality-of-life following acquired brain injury for persons living at home. Brain Injury. 2016;30(13):1552–60. doi: 10.1080/02699052.2016.1199896. - DOI - PubMed
    1. Shaikh NM, Kersten P, Siegert RJ, Theadom A. Developing a comprehensive framework of community integration for people with acquired brain injury: a conceptual analysis. Disabil Rehabilitation. 2019;41(14):1615–31. doi: 10.1080/09638288.2018.1443163. - DOI - PubMed

Publication types

LinkOut - more resources