Credentials Display

Anahita Brown, BSc(Hons), OT; Dr. Tamara Tse, BOT, PhD; Tracy Fortune, PhD; Grad Cert (Higher Ed); FHERDSA; Susan Petrie, BSc(Hons), OT


Background: Behavioral disturbance impacts almost 50% of people living with acquired brain injury (ABI) and severely impedes occupational participation. Occupational therapists are appropriately qualified and well placed to address behavioral disturbance. This scoping review analyzes the literature to ascertain approaches used by occupational therapists to treat behavioral disturbance.

Method: A literature search of three databases revealed 379 papers for consideration, five of which met inclusion criteria. The Critical Appraisal Skills Programme (CASP) checklists were used for the analysis. This paper employs the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) framework.

Results: Sensory modulation interventions, community-based interventions, behavior therapy, and neurofunctional activity of daily living (ADL) retraining were identified as approaches that could be used by occupational therapists to promote participation for people living with behavioral disturbance after an ABI.

Conclusion: According to current occupational therapy literature, evidenced-based behavioral interventions to enable participation for almost half of people living with an ABI are lacking. To promote the occupational therapy role in this area of rehabilitation, further empirical research is needed.


The authors declare that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript.