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Evaluation of an Interdisciplinary Team Intervention to Improve Therapeutic Alliance in Postacute Brain Injury Rehabilitation

Evans, Clea C. PhD; Sherer, Mark PhD, ABPP-CN; Nakase-Richardson, Risa PhD; Mani, Tanja PhD; Irby, James W. Jr PhD

Journal of Head Trauma Rehabilitation: September/October 2008 - Volume 23 - Issue 5 - p 329–338
doi: 10.1097/01.HTR.0000336845.06704.bc

Objective: Evaluate an intervention to improve an alliance between an interdisciplinary team and clients with traumatic brain injury attending post–acute brain injury rehabilitation.

Design: Prospective design, 2 consecutive samples—historical control (CNT) and treatment (TX).

Methods: Sample of 104 clients (69 CNT, 35 TX) admitted to post–acute brain injury rehabilitation completed admit/discharge questionnaires.

Results: The TX group had higher functional status at discharge than the CNT group. Stronger team alliance was associated with program completion, return to productivity, stronger client alliance, less family discord, and fewer depressive symptoms.

Conclusions: Findings provide direction for a larger study examining the effectiveness of this intervention to improve outcome after traumatic brain injury.

From the Methodist Rehabilitation Center (Drs Evans, Sherer, Nakase-Richardson, Mani, and Irby) and University of Mississippi Medical Center (Drs Evans and Nakase-Richardson), Jackson, Miss; TIRR/Memorial Hermann (Dr Sherer) and Baylor College of Medicine (Dr Sherer), Houston, Tex; and Tampa VA Medical Center, Tampa, Fla (Dr Nakase-Richardson).

Corresponding author: Clea C. Evans, PhD, 1350 E Woodrow Wilson D, Jackson, MS 39047 (e-mail:

This investigation was supported by funding from the National Institute on Disability and Rehabilitation Research (NIDRR grant #H133A980067).

© 2008 Lippincott Williams & Wilkins, Inc.