YARNS Transitions
YARNS Transitions (Young Adults Rehabilitation experiences and Needs following Stroke) is a project working to develop a nurse-led, holistic, neurological rehabilitation intervention which supports the psychosocial rehabilitation and survivorship of young adults following an Acquired Brain Injury (ABI).
Brain injury as a result of a bleed, clot or trauma (accident) can lead to a person experiencing physical and behavioral changes. These may appear as changes in the way a person moves, speaks, thinks, remembers and behaves. Such changes can affect all parts of their life, from their work and family life, to their social and economic prospectives.
The impact on adults between 18-45 varies but it might affect their relationships, work and personal life. As such, people with ABI need person-centred support to navigate the challenges of their rehabilitation process. Evidence indicates that nurses are in an ideal position to support people in their journeys. As such, nurse-led interventions for young people with ABI could be a more effective rehabilitation path.
YARNS Transitions is working to develop rehabilitation approaches using the expertise of those with brain injury. This will provide nurses with ways to support and enable young people (18-45) who have experienced a brain injury to progress and adapt through their rehabilitation journey and move on with their lives.
The project comprises of three parts (also called work packages):
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A review of what is published about psychosocial approaches to rehabilitation of young people who have experienced an Acquired Brain Injury (ABI).
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An evaluation of the different approaches used for 18-45 year olds post-ABI, using a case study approach across countries within the UK (Scotland, England, Northern Ireland and Wales).
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The development of psychosocial interventions, delivered by nurses, which support the rehabilitation and survivorship of young adults following an Acquired Brain Injury (ABI).
Find out more
YARNS 2020-21 - Young Adults Rehabilitation experiences and Needs following Stroke – a Scoping study
Work Package 1 (WP1)
The first work package is a realist review of published literature to understand what is known about psychosocial interventions for young adults following an Acquired Brain Injury (ABI). This will involve reviewing what works (or not), for whom, why and in what circumstances. This understanding will guide data collection in Work Package 2.
Work Package 2 (WP2)
The second work package is a realist evaluation of current psychosocial interventions in the UK for young adults who have experienced brain injury. Sites of best practice will be identified to collect data on relevant services provided currently to young adults. One site from each of the countries: Scotland, England, N. Ireland and Wales will be identified. Each will ideally have services based in a hospital, specialist rehabilitation centres and the community, in order to collect data identifying relevant services provided currently to young adults following ABI. This will explore the reality of how a psychosocial intervention for young adults after an ABI works in various contexts and produces the desired outcomes. This will then enable us to design a nurse-led psychosocial intervention.
Work Package 3 (WP3)
In this final work package, we will develop an acceptable psychosocial intervention for nurses and other professionals to work with younger adults post-ABI in a community (non-hospital) setting. We will use the information we have found in WP1 and WP2 and, working closely with young adults who have experience of stroke, identify and develop the interventions. We will also explore how feasible it is to use these interventions in different settings. The interventions could range from guidance and education, to specific techniques and strategies that can be used to overcome issues, or support with approaches to find a way forward in life.
Project leads
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Professor Aisha Holloway, University of Edinburgh
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Professor Danny Kelly, Cardiff University
Work Package leads
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Dr Catherine Clarissa, University of Edinburgh
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Dr Colin Chandler, University of Edinburgh
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Dr Lissette Aviles, University of Edinburgh
Project manager
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Dr Elaine Haycock-Stuart, University of Edinburgh
Other team members
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Dr Rosie Stenhouse, University of Edinburgh
Research Fellow
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Laura Wauthier, University of Edinburgh
Funded by the RCN Foundation in partnership with SameYou