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Journal of the Australasian Society for the Study of Brain Impairment
RESEARCH ARTICLE

Health professionals’ and consumers’ perspectives of the important features of a community brain injury rehabilitation service

Jason Bransby-Bell A , Christian Minett https://orcid.org/0009-0000-6283-0278 A * , Liesel Jeffers A , Melanie Sauer A and Zoe A. Michaleff B
+ Author Affiliations
- Author Affiliations

A Northern Brain Injury Rehabilitation Service, Ballina, NSW, Australia.

B Research Office, Northern NSW Local Health District, Lismore, NSW, Australia.


Handling Editor: Nicholas Behn

Brain Impairment 26, IB24056 https://doi.org/10.1071/IB24056
Submitted: 11 June 2024  Accepted: 21 April 2025  Published: 16 May 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment.

Abstract

Background

Adults with traumatic brain injuries frequently encounter challenges with cognitive, emotional, physical and communicative function, and they require specialist rehabilitation and support. The aim of this study was to identify and prioritise features of a brain injury rehabilitation service that are important to health professionals and consumers (clients and family) in a regional area.

Methods

The nominal group technique methodology was used. Between July and September 2022, four workshops were held with healthcare professionals (HCPs, n = 19) and consumers (n = 3). Workshop discussions were recorded and thematically analysed to identify the most important themes per group and overall.

Results

Six key themes were identified. These related to a brain injury rehabilitation service being: (1) equitable and person-centred, (2) able to provide specialised services in response to client’s needs, (3) well-connected and having a central coordinating role, (4) providing advocacy, education and facilitation of peer support, (5) building the capacity of the wider workforce, and (6) having clear and transparent clinical processes. There was substantial alignment between the themes of HCPs and consumers.

Conclusion

The findings of this study offer valuable insights for the redesign, strategic planning and enhancement of brain injury rehabilitation services especially in regional areas.

Keywords: brain injury service, community rehabilitation, consumer perspective, health professional perspective, nominal group technique, traumatic brain injury, rural health, service design, service redesign.

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