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Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health / KATIE GIBBS

Swansea University Author: KATIE GIBBS

DOI (Published version): 10.23889/SUThesis.70831

Abstract

Living with acquired brain injury necessitates significant personal adjustment. While holistic neurorehabilitation aims to support recovery, clinical practice remains largely deficit-focussed, prioritising recovery and functional gains as opposed to promoting wellbeing in its fullest sense. Current...

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Published: Swansea 2025
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Kemp, A. and Fisher, Z.
URI: https://cronfa.swan.ac.uk/Record/cronfa70831
first_indexed 2025-11-04T11:07:19Z
last_indexed 2025-11-05T10:00:38Z
id cronfa70831
recordtype RisThesis
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spelling 2025-11-04T11:29:15.2440781 v2 70831 2025-11-04 Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health 07a3482d92de3decb48e36eafd632660 KATIE GIBBS KATIE GIBBS true false 2025-11-04 Living with acquired brain injury necessitates significant personal adjustment. While holistic neurorehabilitation aims to support recovery, clinical practice remains largely deficit-focussed, prioritising recovery and functional gains as opposed to promoting wellbeing in its fullest sense. Current interventions often focus on isolated aspects of health rather than addressing them integrally, compounded by a lack of transdisciplinary frameworks to guide intervention design. Through the systematic application of the transdisciplinary, metatheoretical GENIAL framework, this thesis highlights how wellbeing science may add value to holistic neurorehabilitation by building foundations for wellbeing at multiple levels of scale.Using primarily qualitative methodologies and reflexive thematic analysis situated within a critical realist perspective, this work unpacks interview and focus group data from 75 participants (aged 18-86 years old) involved in group-based interventions delivered byholistic neurorehabilitation units in South Wales. Interventions included an adapted-Acceptance and Commitment Therapy programme designed to foster psychological adjustment, and, in partnership with community interest companies, an immersive, nature-based surf therapy programme and a sustainable construction ecotherapy programme that promoted meaningful environmental engagement. Using the GENIAL framework as an analytical lens through which participant insights were critically unpacked, this thesis retrospectively evaluates the potential of each intervention to support wellbeing across individual, social, and environmental domains, offering a nuanced understanding of the mechanisms through which wellbeing can be facilitated in clinical practice.The results illustrate how holistic neurorehabilitation can synergistically build foundations for wellbeing by supporting connection across multiple levels, including to the self (enhancing self-connectedness through emotional regulation and identity reconstruction), others (fostering social connections through shared experiences, group identification andbelonging), and the environment (promoting nature connectedness and pro-environmental attitudes through meaningful environmental engagement). This work exemplifies how rehabilitation, informed by wellbeing science, can transcend beyond domain-specific deficit reduction and instead cultivate the conditions to support individuals, community and planetary wellbeing. E-Thesis Swansea Wellbeing, Acquired Brain Injury, Holistic Neurorehabilitation, Nature-based Interventions 25 9 2025 2025-09-25 10.23889/SUThesis.70831 COLLEGE NANME COLLEGE CODE Swansea University Kemp, A. and Fisher, Z. Doctoral Ph.D The Regional Neuropsychology and Community Brain Injury Service The Regional Neuropsychology and Community Brain Injury Service 2025-11-04T11:29:15.2440781 2025-11-04T10:46:42.4150137 Faculty of Medicine, Health and Life Sciences School of Psychology KATIE GIBBS 1 70831__35549__0fae7a9849dc4ed681034fa77e550d40.pdf 2025_Gibbs_K.final.70831.pdf 2025-11-04T11:05:51.8265965 Output 3972014 application/pdf E-Thesis – open access true Copyright: The author, Katie Gibbs, 2025 true eng
title Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health
spellingShingle Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health
KATIE GIBBS
title_short Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health
title_full Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health
title_fullStr Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health
title_full_unstemmed Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health
title_sort Enhancing Neurorehabilitation for Adults with Acquired Brain Injury: Integrating Wellbeing Science for Whole Health
author_id_str_mv 07a3482d92de3decb48e36eafd632660
author_id_fullname_str_mv 07a3482d92de3decb48e36eafd632660_***_KATIE GIBBS
author KATIE GIBBS
author2 KATIE GIBBS
format E-Thesis
publishDate 2025
institution Swansea University
doi_str_mv 10.23889/SUThesis.70831
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description Living with acquired brain injury necessitates significant personal adjustment. While holistic neurorehabilitation aims to support recovery, clinical practice remains largely deficit-focussed, prioritising recovery and functional gains as opposed to promoting wellbeing in its fullest sense. Current interventions often focus on isolated aspects of health rather than addressing them integrally, compounded by a lack of transdisciplinary frameworks to guide intervention design. Through the systematic application of the transdisciplinary, metatheoretical GENIAL framework, this thesis highlights how wellbeing science may add value to holistic neurorehabilitation by building foundations for wellbeing at multiple levels of scale.Using primarily qualitative methodologies and reflexive thematic analysis situated within a critical realist perspective, this work unpacks interview and focus group data from 75 participants (aged 18-86 years old) involved in group-based interventions delivered byholistic neurorehabilitation units in South Wales. Interventions included an adapted-Acceptance and Commitment Therapy programme designed to foster psychological adjustment, and, in partnership with community interest companies, an immersive, nature-based surf therapy programme and a sustainable construction ecotherapy programme that promoted meaningful environmental engagement. Using the GENIAL framework as an analytical lens through which participant insights were critically unpacked, this thesis retrospectively evaluates the potential of each intervention to support wellbeing across individual, social, and environmental domains, offering a nuanced understanding of the mechanisms through which wellbeing can be facilitated in clinical practice.The results illustrate how holistic neurorehabilitation can synergistically build foundations for wellbeing by supporting connection across multiple levels, including to the self (enhancing self-connectedness through emotional regulation and identity reconstruction), others (fostering social connections through shared experiences, group identification andbelonging), and the environment (promoting nature connectedness and pro-environmental attitudes through meaningful environmental engagement). This work exemplifies how rehabilitation, informed by wellbeing science, can transcend beyond domain-specific deficit reduction and instead cultivate the conditions to support individuals, community and planetary wellbeing.
published_date 2025-09-25T18:11:44Z
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score 11.08899

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