Shinichi Wada, MD, MPH, PhD, Miki Hasegawa, MD
Jpn J Compr Rehabil Sci 10: 50-59, 2019
Objective: To create a model of interactions with
surrounding people that promote recovery of selfleadership
leading to long-term improvements in
patients with disability due to acquired brain injury.
Methods: We held the 18th Self-Leadership (Shutaisei)
Research Conference comprising about 20 members,
including patients, formal caregivers, medical personnel,
and researchers. The results of semi-structured interviews
with members related to “long-term recovery of daily
activity at home” and “self-leadership” in patients with
disability due to acquired brain injury were qualitatively
analyzed using the Modified Grounded Theory Approach.
Results: The model was created from 16 concepts
related to caregiver interactions generated from an
analysis worksheet. “Gaining the patient’s trust” was
the starting point of this model. It was found that
patients seem to progress more smoothly when the
people surrounding them “suggest tasks and roles set
at the appropriate level,” then “provide support to gain
successful experiences,” and then close the cycle by
“creating opportunities to reflect on each experience.”
Conclusion: The model illustrates the flow of interactions
that effectively promote recovery of self-leadership and
has the potential to be developed into a standardized
rehabilitation method for patients with disability due to
acquired brain injury
Key words: stroke, acquired brain injury, life-stage rehabilitation, in-home rehabilitation, self-leadership