Skip to main content Accessibility help
×
Home

The Potential of a Narrative and Creative Arts Approach to Enhance Transition Outcomes for Indigenous Australians Following Traumatic Brain Injury

  • India Bohanna (a1), Michelle Fitts (a2), Katrina Bird (a3), Jennifer Fleming (a4), John Gilroy (a5), Alan Clough (a6), Adrian Esterman (a7), Paul Maruff (a8) and Martin Potter (a9)...

Abstract

Background:

Increasingly, narrative and creative arts approaches are being used to enhance recovery after traumatic brain injury (TBI). Narrative and arts-based approaches congruent with Indigenous storytelling may therefore provide benefit during the transition from hospital to home for some Indigenous TBI patients. This qualitative study explored the use and impact of this approach as part of a larger, longitudinal study of TBI transition with Indigenous Australians.

Method:

A combined narrative and arts-based approach was used with one Indigenous Australian artist to describe his transition experiences following TBI. Together with the researchers and filmmaking team, the artist was involved in aspects of the process. The artist contributed two paintings, detailing the story of his life and TBI. Based on the artworks, a film was co-created. Following the viewing of the film, impacts of the narrative and arts-based process were examined through semi-structured interviews with the artist, a service provider and a family member. Multiple sources of data were used in the final thematic analysis including transcripts of the interviews and filming, paintings (including storylines) and researcher notes.

Results:

Positive impacts from the process for the artist included positive challenge; healing and identity; understanding TBI and raising awareness.

Discussion:

This approach may enable the individual to take ownership over their transition story and to make sense of their life following TBI at a critical point in their recovery. A combined narrative and arts-based approach has potential as a culturally responsive rehabilitation tool for use with Indigenous Australians during the transition period following TBI.

Copyright

Corresponding author

*Corresponding author. Email: india.bohanna@jcu.edu.au

Footnotes

Hide All

Joint first authors

Footnotes

References

Hide All
Armstrong, E., Hersh, D., Hayward, C., Fraser, J., & Brown, M. (2012). Living with aphasia: Three Indigenous Australian stories. International Journal of Speech and Language Pathology, 14(3), 271280. doi: 10.3109/17549507.2011.663790.
Baker, F. A., Rickard, N., Tamplin, J., & Roddy, C. (2015). Flow and meaningfulness as mechanisms of change in self-concept and well-being following a songwriting intervention for people in the early phase of neurorehabilitation. Frontiers in Human Neuroscience, 9, 299. doi: 10.3389/fnhum.2015.00299.
Baker, F. A., Tamplin, J., MacDonald, R. A. R., Ponsford, J., Roddy, C., Lee, C., & Rickard, N. (2017). Exploring the self through songwriting: An analysis of songs composed by people with acquired neurodisability in an inpatient rehabilitation program. Journal of Music Therapy, 54(1), 3554. doi: 10.1093/jmt/thw018.
Barney, K., & Mackinlay, E. (2010). “Singing Trauma Trails”: Songs of the stolen generations in Indigenous Australia. Music and Politics, 4(2). doi: 10.3998/mp.9460447.0004.202.
Bohanna, I., Fitts, M. S., Bird, K., Fleming, J., Gilroy, J., Esterman, A., … Clough, A. R. (2018). The transition from hospital to home: Protocol for a longitudinal study of Australian Aboriginal and Torres Strait Islander Traumatic Brain Injury (TBI). Brain Impairment, 19(3): 112. doi: 10.1017/BrImp.2018.1.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77101. doi: 10.1191/1478088706qp063oa.
Cameron, L. (2010). Using the arts as a therapeutic tool for counselling-an Australian Aboriginal perspective. Procedia-Social and Behavioral Sciences, 5, 403407. doi: 10.1016/j.sbspro.2010.07.112.
Cunsolo Willox, A., Harper, S. L., Edge, V. L., Rigolet Inuit Community Government, & ‘My Word’: Storytelling and Digital Media Lab. (2013). Storytelling in a digital age: Digital storytelling as an emerging narrative method for preserving and promoting indigenous oral wisdom. Qualitative Research, 13(2), 127147. doi: 10.1177/1468794112446105.
D’Cruz, K., Douglas, J., & Serry, T. (2019). Personal narrative approaches in rehabilitation following traumatic brain injury: A synthesis of qualitative research. Neuropsychological Rehabilitation, 29(7), 9851004. doi: 10.1080/09602011.2017.1361844.
Doig, E. Fleming, J., & Tooth, L. (2001). Patterns of community integration 2-5 years post-discharge from brain injury rehabilitation. Brain Injury, 15(9), 747762. doi: 10.1080/02699050119845.
Eron, J. B., & Lund, T. W. (1996). Narrative solutions in brief therapy. New York: Guilford Press.
Fitts, M. S., Bird, K., Gilroy, J., Fleming, J., Clough, A. R., … Bohanna, I. (Under Review). The transition support needs of Indigenous Australians following traumatic brain injury. Brain Impairment.
Gauld, S., Smith, S., & Kendall, M. B. (2018). Exploring the impact of sharing personal narratives of brain injury through film in Australian Indigenous communities. Disability and Rehabilitation, 4. doi: 100037D05SG2018.
Geia, L. K., Hayes, B., & Usher, K. (2013). Yarning/Aboriginal storytelling: Towards an understanding of an Indigenous perspective and its implications for research practice. Contemporary Nurse, 46(1), 1317. doi: 10.5172/conu.2013.46.1.13.
Hogan, B. A. (1999). Narrative therapy in rehabilitation after brain injury: A case study. Neurorehabilitation, 13(1), 2125.
Hovane, V., Dalton, T., & Smith, P. (2014). Aboriginal offender rehabilitation programs. In Purdie, N., Dudgeon, P., & Walker, R. (Eds.), Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice, pp. 509519, Commonwealth of Australia, Barton ACT.
Hunt, J. (2013). Engaging with Indigenous Australia—exploring the conditions for effective relationships with Aboriginal and Torres Strait Islander communities. Issues paper no. 5. Produced for the Closing the Gap Clearinghouse. Canberra: Australian Institute of Health and Welfare & Melbourne: Australian Institute of Family Studies.
Jamieson, L. M., Harrison, J. E., & Berry, J. G. (2008). Hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians, July 1999-June 2005. Medical Journal of Australia, 188(10), 576579. doi: 10.5694/j.1326-5377.2008.tb01793.x.
Katzenellenbogen, J. M., Atkins, E., Thompson, S. C., Hersh, D., Coffin, J., Flicker, L., … Greenland, M. E. (2018). Missing voices: Profile, extent, and 12-month outcomes of nonfatal traumatic brain injury in aboriginal and non-aboriginal adults in Western Australia using linked administrative records. The Journal of Head Trauma Rehabilitation, 33(6), 412423. doi: 10.1097/HTR.0000000000000371.
Lakhani, A., Townsend, C., & Bishara, J. (2017). Traumatic brain injury amongst indigenous people: A systematic review. Brain Injury, 31(13–14), 17181730. doi: 10.1080/02699052.2017.1374468.
Levack, W. M., Kayes, N. M., & Fadyl, J. K. (2010). Experience of recovery and outcome following traumatic brain injury: A metasynthesis of qualitative research. Disability and Rehabilitation, 32(12), 986999. doi: 10.3109/09638281003775394.
Moore, E., Indig, D., & Haysom, L. (2014). Traumatic brain injury, mental health, substance use, and offending among incarcerated young people. Journal of head trauma rehabilitation, 29(3), 239247.
Morris, S. D. (2004). Re-building identity through narrative following traumatic brain injury. The Journal of Cognitive Rehabilitation, 22, 1521.
Muirhead, S., & de Leeuw, S. (2012). Art and wellness: The importance of art for Aboriginal peoples’ health and healing. Retrieved from https://artshealthnetwork.ca/sites/default/files/art_wellness_en_web.pdf.
Nagel, T., & Thompson, C. (2007). AIMHI NT ‘Mental Health Story Teller Mob’: Developing stories in mental health. Australian e-Journal for the Advancement of Mental Health, 6(2), 119124. doi: 10.5172/jamh.6.2.119.
Nalder, E., Fleming, J., Cornwell, P., Foster, M., Ownsworth, T., Shields, C., & Haines, T. (2012). Recording sentinel events in the life course of individuals with acquired brain injury: A preliminary study. Brain Injury, 26(11), 13811396. doi: 10.3109/02699052.2012.676225.
Nalder, E., Fleming, J., Cornwell, P., Shields, C., & Foster, M. (2013). Reflections on life: Experiences of individuals with brain injury during the transition from hospital to home. Brain Injury, 27(11), 12941303. doi: 10.3109/02699052.2013.823560.
Ownsworth, T. (2014). Self identity after brain injury. London and New York: Psychology Press.
Perruzza, N., & Kinsella, E. A. (2010). Creative arts occupations in therapeutic practice: A review of the literature. British Journal of Occupational Therapy, 73(6), 261268.
Pope, C., Ziebland, S., & Mays, N. (2000). Analysing qualitative data. BMJ, 320(7227), 114116. doi: 10.1136/bmj.320.7227.114.
Rasmussen, M. K., Donoghue, D. A., & Sheehan, N. W. (2018). Suicide/self-harm-risk reducing effects of an Aboriginal art program for Aboriginal prisoners. Advances in Mental Health, 16(2), 141151. doi: 10.1080/18387357.2017.1413950.
Reynolds, F., & Prior, S. (2003). ‘A lifestyle coat-hanger’: A phenomenological study of the meanings of artwork for women coping with chronic illness and disability. Disability and Rehabilitation, 25(14), 785794. doi: 10.1080/0963828031000093486.
Symons, J., Clark, H., Williams, K., Hansen, E., & Orpin, P. (2011). Visual art in physical rehabilitation: experiences of people with neurological conditions. British Journal of Occupational Therapy, 74(1), 4452. doi: 10.4276/030802211X12947686093729.
Tamplin, J. (2006). Song collage technique: A new approach to songwriting. Nordic Journal of Music Therapy, 15(2), 177190. doi: 10.1080/08098130609478164.
Tamplin, J., Baker, F., Macdonald, R. A. R., Roddy, C., & Rickard, N. (2015). A theoretical framework and therapeutic songwriting protocol to promote integration of self-concept in people with acquired neurological injuries. Nordic Journal of Music Therapy, 25(2), 111133. doi: 10.1080/08098131.2015.1011208.
Tanev, K. S., Pentel, K. Z., Kredlow, M. A., & Charney, M. E. (2014). PTSD and TBI co-morbidity: Scope, clinical presentation and treatment options. Brain Injury, 28(3), 261270. doi: 10.3109/02699052.2013.873821.
Thomas, D. R. (2017). Feedback from research participants: are member checks useful in qualitative research? Qualitative Research in Psychology, 14(1), 2341. doi: 10.1080/14780887.2016.1219435.
Walker, M., Fredericks, B., Mills, K., & Anderson, D. (2014) “Yarning” as a method for community-based health research with indigenous women: The indigenous women’s wellness research program. Health Care for Women International, 35(10), 12161226. doi: 10.1080/07399332.2013.815754.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed