Relationship continuity and person-centred care: An exploratory mixed-methods investigation of spousal partners’ responses to the challenging care needs of those with acquired brain injury

Journal article


Gerard A. Riley, Hayley S. Keeble, Felles, N. and Barbara F. Hagger 2019. Relationship continuity and person-centred care: An exploratory mixed-methods investigation of spousal partners’ responses to the challenging care needs of those with acquired brain injury. Neuropsychological Rehabilitation. Vol 30 (Issue 6), pp. 1169-1189. https://doi.org/10.1080/09602011.2019.1566078
AuthorsGerard A. Riley, Hayley S. Keeble, Felles, N. and Barbara F. Hagger
Abstract

Some partners of people with an acquired brain injury experience the person with the injury and their relationship as continuous with the pre-injury person and relationship, but others experience the person and relationship as very different to what went before. Previous qualitative research has suggested that the experience of continuity may promote a more person-centred approach to how partners respond to challenging care needs. Given the value of triangulating evidence, this exploratory study used a mixed-methods design to investigate this suggestion. Twenty-six partners of people with an acquired brain injury completed the Birmingham Relationship Continuity Measure and a semi-structured interview about their response to challenging care needs. Interviews were coded and scored to provide a measure of the extent to which the participants’ understanding, management and emotional responses showed a person-centred approach. The findings supported the hypothesis. Greater continuity was significantly correlated with a more person-centred approach. Associating relationship continuity and person-centred care is a novel approach to the issue of how family relationships may impact on care quality. Person-centred care can have important benefits for both the giver and receiver of care. Whether it can be promoted through fostering a sense of continuity in the relationship merits further investigation.

Keywords Brain injury; Family carer; Relationship continuity; Person-centred care; Challenging behaviour
Year2019
JournalNeuropsychological Rehabilitation
Journal citationVol 30 (Issue 6), pp. 1169-1189
PublisherTaylor & Francis
ISSN0960-2011
1464-0694
Digital Object Identifier (DOI)https://doi.org/10.1080/09602011.2019.1566078
Web address (URL)http://dx.doi.org/10.1080/09602011.2019.1566078
https://pubmed.ncbi.nlm.nih.gov/30642233/
https://www.scopus.com/record/display.uri?eid=2-s2.0-85060142388&origin=resultslist&sort=plf-f&src=s&sid=77a9aa31ffca7e9d30aa8142f42ab438&sot=b&sdt=b&s=TITLE-ABS-KEY%28Relationship+continuity+and+person-centred+care%3A+An+exploratory+mixed-methods+investigation+of+spousal+partners%E2%80%99+responses+to+the+challenging+care+needs+of+those+with+acquired+brain+injury%29&sl=176&sessionSearchId=77a9aa31ffca7e9d30aa8142f42ab438
Output statusPublished
Publication dates
Online15 Jan 2019
02 Jul 2020
Publication process dates
Accepted02 Jan 2019
Deposited15 Jun 2023
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https://repository.derby.ac.uk/item/9z4q0/relationship-continuity-and-person-centred-care-an-exploratory-mixed-methods-investigation-of-spousal-partners-responses-to-the-challenging-care-needs-of-those-with-acquired-brain-injury

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