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Levels of self-awareness after acute brain injury: How patients' and rehabilitation specialists' perceptions compare  Beatriz C. Abreu, PhD, OTR, Gary.

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Presentation on theme: "Levels of self-awareness after acute brain injury: How patients' and rehabilitation specialists' perceptions compare  Beatriz C. Abreu, PhD, OTR, Gary."— Presentation transcript:

1 Levels of self-awareness after acute brain injury: How patients' and rehabilitation specialists' perceptions compare  Beatriz C. Abreu, PhD, OTR, Gary Seale, MS, Randall S. Scheibel, PhD, Neil Huddleston, MS, Ling Zhang, MD, Kenneth J. Ottenbacher, PhD, OTR  Archives of Physical Medicine and Rehabilitation  Volume 82, Issue 1, Pages (January 2001) DOI: /apmr Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig. 1 The 3 levels of self-awareness. (Reprinted/Adapted with permission from Crosson et al,27 “Awareness of Compensation in Postacute Head Injury Rehabilitation,” J Head Trauma Rehabil 1989;4(3):46-54 © 1989, Aspen Publishers, Inc.) Archives of Physical Medicine and Rehabilitation  , 49-56DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig. 2 Limits of agreement between patients' versus clinician's ratings of anticipatory self-awareness for 3 tasks: (A) basic ADL, (B) meal planning, and (C) money management. Ratings in perfect agreement would fall on the mean (dashed) line. In these 3 plots, the patients' ratings are consistently higher than the clinician's. Archives of Physical Medicine and Rehabilitation  , 49-56DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig. 3 Comparisons of patient versus clinician ratings for 3 ADL-IADL tasks across 3 levels of awareness: intellectual awareness (IA), emergent awareness (EA), and anticipatory awareness (AA). Abbreviations: P/P, patient self-rating of ability to complete each task; C/P, clinician rating of the brain-injured patient's ability to complete the tasks; N/N, the non-brain-injured person's self-rating of ability to complete each task; C/N, the clinician rating of the non-brain-injured person's ability to complete the tasks; P/N, the brain-injured patient's rating of the non-brain-injured person's ability to complete each task. Archives of Physical Medicine and Rehabilitation  , 49-56DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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