Implementing an integrated approach to self-management support in an acute major trauma therapy team: an improvement project.

More patients now survive multiple trauma injuries, but the level of long-term unmet needs is high. Evidence shows self-management support can improve patients ' confidence to manage these needs but traditionally this support starts post-hospital. Starting self-management support early could prepare patients and families for successful transitions from hospital.

Supporting self-management after traumatic brain injury: Codesign and evaluation of a new intervention across a trauma pathway.

Background: Supported self-management (SSM) is a recognized approach for people with long-term conditions but, despite the prevalence of unmet needs, little is known about its role for people with traumatic brain injury (TBI).

Objectives: To codesign an SSM intervention with people with TBI and evaluate feasibility of implementation through multidisciplinary staff across a trauma pathway.

Setting And Participants: People who had previously been admitted to a Major Trauma Centre following TBI and family members participated in a series of codesign activities.

"I'm still me - I'm still here!" Understanding the person's sense of self in the provision of self-management support for people with progressive neurological long-term conditions.

Purpose: There is increasing interest in tailoring self-management support, but little detail is available on the relevance and impact of such approaches for people with progressive neurological conditions. The aim of this study was to draw on individuals' experiences to inform the practice of self-management support for these groups.

Method: Community rehabilitation service users were purposively recruited and took part in in-depth qualitative interviews.