Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial

doi:10.5334/ijic.8650

. 2025 Jul 7;25(3):6.

doi: 10.5334/ijic.8650. eCollection 2025 Jul-Sep.

Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial

Annemarie P M Stiekema^{1

2}, Desiree Bierlaagh³, Mireille Donkervoort⁴, Natska Jansen^{5

6}, Kitty H M Jurrius⁴, Judith Zadoks^{7

8}, Caroline M Van Heugten^{1

9}

Affiliations

¹ Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands.
² Limburg Brain Injury Center, Maastricht University, Maastricht, The Netherlands.
³ Self-employed, Houten, The Netherlands.
⁴ Health Care and Social Work Division, Windesheim University of Applied Sciences, Almere, The Netherlands.
⁵ Mevrouw Slimmer Werken Social Innovation in Health Care and Well-Being, Drogteropslagen, Netherlands.
⁶ Brain Injury Team, Overijssel, The Netherlands.
⁷ In-Tussen Foundation, Utrecht, the Netherlands.
⁸ BreinDok Innovation in Care, Utrecht, The Netherlands.
⁹ Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.

PMID: 40656644
PMCID: PMC12247791
DOI: 10.5334/ijic.8650

Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial

Annemarie P M Stiekema et al. Int J Integr Care. 2025.

. 2025 Jul 7;25(3):6.

doi: 10.5334/ijic.8650. eCollection 2025 Jul-Sep.

Authors

Annemarie P M Stiekema^{1

2}, Desiree Bierlaagh³, Mireille Donkervoort⁴, Natska Jansen^{5

6}, Kitty H M Jurrius⁴, Judith Zadoks^{7

8}, Caroline M Van Heugten^{1

9}

Affiliations

¹ Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands.
² Limburg Brain Injury Center, Maastricht University, Maastricht, The Netherlands.
³ Self-employed, Houten, The Netherlands.
⁴ Health Care and Social Work Division, Windesheim University of Applied Sciences, Almere, The Netherlands.
⁵ Mevrouw Slimmer Werken Social Innovation in Health Care and Well-Being, Drogteropslagen, Netherlands.
⁶ Brain Injury Team, Overijssel, The Netherlands.
⁷ In-Tussen Foundation, Utrecht, the Netherlands.
⁸ BreinDok Innovation in Care, Utrecht, The Netherlands.
⁹ Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.

PMID: 40656644
PMCID: PMC12247791
DOI: 10.5334/ijic.8650

Abstract

Introduction: People with acquired brain injury (PwABI) and their families may face psychosocial problems and unmet needs. We assessed the feasibility of Case Management (CM) for PWABI in the Netherlands which aims to facilitate access to and integration of health care and social services for people with complex problems.

Methods: We evaluated if CM was delivered according to plan, if participants and case managers (CMrs) were satisfied with CM, and which factors affected implementation. Data were collected using evaluation forms, logs and minutes, and interviews.

Results: Twenty-eight PwABI, 13 caregivers, 17 CMr and all 3 project leaders participated. CM key elements were applied. PwABI and their caregivers generally expressed satisfaction with CM, though for some it did not meet expectations. CMrs valued the continuous involvement and the ability to support family. Facilitators were CMr working independent from existing care services and the diversity in expertise in the CMr teams. Barriers were imposed when a region offers medical stroke care but no integrated long-term services after brain injury.

Discussion: It is important to ensure clear communication with PwABI and their family regarding the roles of CMr, as well as managing and aligning expectations.

Conclusion: CM after ABI is feasible and warrants further research.

Keywords: acquired brain injury; caregivers; feasibility; integrated care; long-term; psychosocial.

PubMed Disclaimer

Conflict of interest statement

The authors have no competing interests to declare.

References

1. Allanson F, Pestell C, Gignac GE, Yeo YX, Weinborn M. Neuropsychological Predictors of Outcome Following Traumatic Brain Injury in Adults: a Meta-Analysis. Neuropsychol Rev. 2017;27(3):187–201. DOI: 10.1007/s11065-017-9353-5 - DOI - PubMed
1. De Wit L, Theuns P, Dejaeger E, Devos S, Gantenbein AR, Kerckhofs E, et al. Long-term impact of stroke on patients’ health-related quality of life. Disabil Rehabil [Internet]. 2017. Jul 3;39(14):1435–40. Available from: https://www.tandfonline.com/doi/full/10.1080/09638288.2016.1200676 - PubMed
1. Bieńkiewicz MMN, Brandi ML, Hughes C, Voitl A, Hermsdörfer J. The complexity of the relationship between neuropsychological deficits and impairment in everyday tasks after stroke. Brain Behav. 2015;5(10):1–14. DOI: 10.1002/brb3.371 - DOI - PMC - PubMed
1. Norrving B, Barrick J, Davalos A, Dichgans M, Cordonnier C, Guekht A, et al. Action Plan for Stroke in Europe 2018–2030. Eur Stroke J. 2018;3(4):309–36. DOI: 10.1177/2396987318808719 - DOI - PMC - PubMed
1. Sacco RL, Sandercock P, Endres M, Feigin V, Pandian J, Shinohara Y, et al. Review and prioritization of stroke research recommendations to address the mission of the World Stroke Organization: a call to action from the WSO Research Committee. Int J Stroke [Internet]. 2015. Oct 26;10(SA100):4–9. Available from: http://journals.sagepub.com/doi/10.1111/ijs.12625 - PubMed

LinkOut - more resources

Full Text Sources
- PubMed Central
- Ubiquity Press

[1] Allanson F, Pestell C, Gignac GE, Yeo YX, Weinborn M. Neuropsychological Predictors of Outcome Following Traumatic Brain Injury in Adults: a Meta-Analysis. Neuropsychol Rev. 2017;27(3):187–201. DOI: 10.1007/s11065-017-9353-5 - DOI - PubMed

[2] Allanson F, Pestell C, Gignac GE, Yeo YX, Weinborn M. Neuropsychological Predictors of Outcome Following Traumatic Brain Injury in Adults: a Meta-Analysis. Neuropsychol Rev. 2017;27(3):187–201. DOI: 10.1007/s11065-017-9353-5 - DOI - PubMed

[3] De Wit L, Theuns P, Dejaeger E, Devos S, Gantenbein AR, Kerckhofs E, et al. Long-term impact of stroke on patients’ health-related quality of life. Disabil Rehabil [Internet]. 2017. Jul 3;39(14):1435–40. Available from: https://www.tandfonline.com/doi/full/10.1080/09638288.2016.1200676 - PubMed

[4] De Wit L, Theuns P, Dejaeger E, Devos S, Gantenbein AR, Kerckhofs E, et al. Long-term impact of stroke on patients’ health-related quality of life. Disabil Rehabil [Internet]. 2017. Jul 3;39(14):1435–40. Available from: https://www.tandfonline.com/doi/full/10.1080/09638288.2016.1200676 - PubMed

[5] Bieńkiewicz MMN, Brandi ML, Hughes C, Voitl A, Hermsdörfer J. The complexity of the relationship between neuropsychological deficits and impairment in everyday tasks after stroke. Brain Behav. 2015;5(10):1–14. DOI: 10.1002/brb3.371 - DOI - PMC - PubMed

[6] Bieńkiewicz MMN, Brandi ML, Hughes C, Voitl A, Hermsdörfer J. The complexity of the relationship between neuropsychological deficits and impairment in everyday tasks after stroke. Brain Behav. 2015;5(10):1–14. DOI: 10.1002/brb3.371 - DOI - PMC - PubMed

[7] Norrving B, Barrick J, Davalos A, Dichgans M, Cordonnier C, Guekht A, et al. Action Plan for Stroke in Europe 2018–2030. Eur Stroke J. 2018;3(4):309–36. DOI: 10.1177/2396987318808719 - DOI - PMC - PubMed

[8] Norrving B, Barrick J, Davalos A, Dichgans M, Cordonnier C, Guekht A, et al. Action Plan for Stroke in Europe 2018–2030. Eur Stroke J. 2018;3(4):309–36. DOI: 10.1177/2396987318808719 - DOI - PMC - PubMed

[9] Sacco RL, Sandercock P, Endres M, Feigin V, Pandian J, Shinohara Y, et al. Review and prioritization of stroke research recommendations to address the mission of the World Stroke Organization: a call to action from the WSO Research Committee. Int J Stroke [Internet]. 2015. Oct 26;10(SA100):4–9. Available from: http://journals.sagepub.com/doi/10.1111/ijs.12625 - PubMed

[10] Sacco RL, Sandercock P, Endres M, Feigin V, Pandian J, Shinohara Y, et al. Review and prioritization of stroke research recommendations to address the mission of the World Stroke Organization: a call to action from the WSO Research Committee. Int J Stroke [Internet]. 2015. Oct 26;10(SA100):4–9. Available from: http://journals.sagepub.com/doi/10.1111/ijs.12625 - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial

Affiliations

Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

References

LinkOut - more resources

Full Text Sources

Abstract

Conflict of interest statement

Similar articles

References

Related information

LinkOut - more resources

Full Text Sources