Cleary, O., Aviles, L., Clarissa, C., Henriquez Galindo, C., Holloway, A., Kelly, D.  ORCID: https://orcid.org/0000-0002-1847-0655 and Chandler, C.
2025.
A realist evaluation on a nurse-led, psychosocial intervention for young adults with an acquired brain injury [Abstract].
Presented at: 20th UK Stroke Forum Conference,
Aberdeen, Scotland,
25-27 November 2025.
International Journal of Stroke.
, vol.20
(3_supp)
p. 125.
|
Abstract
Introduction: Acquired Brain Injuries (ABIs), including stroke, are among the leading causes of death and disability in the UK, contributing to a major public health challenge for younger adults who may exhibit a range of psychosocial impacts such as isolation or diminished quality of life. Nurses play a pivotal role in helping individuals navigate a post-ABI world, but the exact mechanisms underlying psychosocial support in a younger population remains largely unknown. Method: This realist evaluation explores 10 initial Programme Theories (PTs) uncovered from a realist review. Online interview examining these IPTs were conducted across two participant groups in the UK: young adults with ABI (i.e., Experts by Experience; EbyEs) and service providers. All interviews were recorded, transcribed and uploaded to NVivo, where items were coded into relevant Contexts, Mechanisms and Outcomes (CMOs), ultimately refining the initial PTs and generating a series of CMO configurations. Results or details of the case: A total of 23 interviews were conducted across EbyEs (n=5) and service providers (n=18). The 10 initial PTs were confirmed/refined/refuted, resulting in 3 ‘refined’ PTs being generated: Psychosocial Health, Meaningful Rehabilitation and Interdisciplinary Rehabilitation. In addition, a logic model has been developed from these refined PTs, which will inform future research and intervention development in this population. Conclusion: The realist evaluation approach is invaluable in uncovering what works, for whom, under what conditions and how. By refining PTs derived from the literature, it is possible to develop a psychosocial intervention that can be led by nurses for youn
| Item Type: | Conference or Workshop Item (Paper) |
|---|---|
| Date Type: | Published Online |
| Status: | Published |
| Schools: | Schools > Healthcare Sciences |
| ISSN: | 17474930 |
| Funders: | RCN Foundation |
| Related URLs: | |
| Date of First Compliant Deposit: | 23 December 2025 |
| Date of Acceptance: | 10 November 2025 |
| Last Modified: | 23 Dec 2025 15:50 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/183434 |
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