Weerd, Iris, de (2026) School-related Care Needs in Adolescents with Acquired Brain Injury: Implications for Rehabilitation Practice. Master thesis, Psychology.
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Abstract
Introduction. Adolescents with acquired brain injury (ABI) frequently experience persistent cognitive, socio-emotional and behavioural difficulties that interfere with school participation, thereby increasing the need for school-related care. The present study aimed to identify differences in personal, injury, functional and environmental factors derived from the ICF-CY framework, between adolescents with and without school-related care needs. Insights into the factors that distinguish adolescents with ABI who require school-related care from those who do not, may help clinicians in outpatient medical specialist rehabilitation in identifying adolescents at risk for long-term care dependency and guide targeted rehabilitation strategies. Method. Adolescents aged 12-18 years and their parents completed a digital questionnaire including validated PROM-items and additional questions assessing current functioning. The adolescents were classified into two groups: adolescents with and without school-related care needs. The groups were compared using independent t-tests, Mann-Whitney U tests and Chi-square analyses. Results. Overall, 43.9% of adolescents in this study required school-related care following ABI. The adolescents with and without school-related care needs differed primarily with regard to functional factors, especially social functioning, emotional functioning, current mood problems and current learning problems, and environmental factors, including family impact. In contrast, most personal and injury factors were not significantly different between the groups. A shorter time since injury however, was observed in adolescents without school-related care needs. Conclusions. Together, these findings suggest that outpatient medical specialist rehabilitation centres should systematically address cognitive and socio-emotional functioning, while actively involving the adolescent’s family. Early identification and targeted intervention aimed at functional and environmental factors may reduce school-related care needs after ABI and promote participation within the school setting. Keywords: acquired brain injury; adolescents; school-related care needs; outpatient medical specialist rehabilitation
| Item Type: | Thesis (Master) |
|---|---|
| Supervisor name: | Pijnenborg, G.H.M. |
| Degree programme: | Psychology |
| Differentiation route: | Clinical Neuropsychology (CN) [Master Psychology] |
| Date Deposited: | 29 Apr 2026 10:44 |
| Last Modified: | 29 Apr 2026 10:44 |
| URI: | http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/6393 |
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