Evaluation of a group programme for adult family members of individuals with traumatic brain injury in Aotearoa New Zealand

Traumatic brain injury (TBI) has adverse, long-term impacts on injured individuals and their whanau/ family members. Family often have a critical role in rehabilitation, especially in New Zealand culture, which is traditionally family centric. An established family education programme (The Brain Injury Family Intervention Programme) was applied with six multifamily groups in New Zealand between 2017 and 2020. Outcomes were evaluated using pre and post group questionnaires (Perceived stress scale, Family needs questionnaire, Brief coping orientation to problems experienced questionnaire and a satisfaction survey). The results showed a significant reduction in stress and coping by 'behavioural disengagement' and a trend away from coping by 'denial', with significant increases in met emotional and professional support needs. Group members reported better coping, improved understanding of TBI and benefiting from peer-support. These findings enhance existing evidence that curriculum-based family/ whanau groups can improve understanding and coping of family members. Challenges of evaluating clinical interventions are discussed.