Original Article

Validity of the progress notebook in supporting patients with higher cortical dysfunction

Shigeru Sonoda, MD, PhD, Yasuhiko Shirayama, PhD, Sachiko Tanabe, MSW, Kouji Shimomura, MSW, Shin Suzuki, MSW
Jpn J Compr Rehabil Sci 5: 93-96, 2014

Purpose: To validate the usefulness of a progress notebook (p-notebook) in supporting patients with higher cortical dysfunction by analyzing the difference in interview time in a new hospital or facility with and without the p-notebook. The p-notebook was created to assist those with higher cortical dysfunction, which is not well understood by non-experts.
Methods: Interview times with and without the p-notebook (notebook group: n=34, non-notebook group: n=32) were compared when patients with higher cortical dysfunction went to a new hospital or facility. Impressions of the families and support coordinators of patients in the notebook group were evaluated using visual analogue scales.
Results: The average interview time was 32.4 } 10.7 minutes in the notebook group and 57.2 } 28.9 minutes in the non-notebook group, and this difference was significant (p< 0.0001). Regarding the impressions of family and support coordinators, the length of explanation was shorter and understandability was improved when using the p-notebook. These tendencies were dominant in families compared with support coordinators.
Conclusion: Our p-notebook is useful since it decreases the interview time and lowers the burden of giving explanations.

Key words: higher cortical dysfunction, traumatic brain injury, cerebrovascular disorders, compensatory methods, notebook

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