Exploring the Goals and Outcomes of Adults with Severe Acquired Brain Injury Participating in an Extended Inpatient Brain Injury Rehabilitation Unit in Australia

First published online 19 November 2025.

Why this study was done

This study looked at adults with severe acquired brain injury who participated in a specialised extended inpatient rehabilitation program in Australia. Acquired brain injuries can result from events such as stroke, trauma, infection, or lack of oxygen to the brain. People with severe brain injuries often require long-term rehabilitation to rebuild skills, increase independence, and improve quality of life.

What the study did

The researchers reviewed information from people admitted to an extended inpatient brain injury rehabilitation unit. They examined the goals participants worked towards during rehabilitation and measured changes in their functioning and independence over time.

What the study found

The study found that:

• People with severe acquired brain injury were able to make meaningful progress during extended rehabilitation.
• Goals commonly focus on increasing independence, improving daily living skills, enhancing mobility, and supporting community participation.
• Many participants achieved at least some of the goals they set during their rehabilitation program.
• Functional outcomes improved over time, suggesting that longer-term rehabilitation can provide benefits even for people with complex support needs.
• Progress was often gradual and varied between individuals, reflecting the diverse impacts of severe brain injury.

What this means

People with severe acquired brain injury may need rehabilitation for months or even years after their injury. Access to specialised rehabilitation services can help individuals regain skills, increase independence, and improve their participation in everyday life. The findings suggest that extended rehabilitation programs can produce positive outcomes and should be considered an important part of long-term recovery.

The study highlights the value of:

• Person-centred goal setting.
• Access to specialist brain injury rehabilitation services.
• Long-term rehabilitation options for people with complex needs.
• Measuring outcomes that are meaningful to individuals and their families.
• Supporting people to achieve greater independence and community participation.

This study was conducted by: Dr. Emmah Doig, Amos Teo, Ms Valerie Pick, Dr. Marilia Libera, Ms. Alison New, Dr. Ben Turner, Ms. Sameera Suleman, Professor Michele Foster and Dr Melanie Hoyle.

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Disclaimer: The QDRN has utilised generative AI to refine the wording of this plain language summary. All content has been checked for accuracy, appropriate tone, and clarity and approved by the author.