Examining Leisure Re-Engagement and Its Relationship With Self-Regulation After Traumatic Brain Injury: A Cross-Sectional Study.

IF 1.5 4区医学 Q3 REHABILITATION Otjr-Occupation Participation and Health Pub Date : 2024-10-22 DOI:10.1177/15394492241288134

Amanda Gahlot, Denise Krch, Yael Goverover

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Abstract

Engagement in leisure activities is a significant contributor to health. Individuals with traumatic brain injury (TBI) report not returning to pre-injury levels of leisure participation. Self-regulation (SR) is a possible factor of limited re-engagement. This study aimed to examine leisure re-engagement patterns and the impact of SR on these patterns. Fifty-five adults with TBI were included in a cross-sectional study. Participants completed a leisure activity survey, rating engagement before and after injury. Participants and an informant completed the Frontal Systems Behavior Scale (FrSBe) to assess SR. Leisure was significantly lower after injury than before injury, t(54) = 3.83, p < .001. The FrSBe apathy score was significantly associated with lower re-engagement (eta = 0.42) and may predict engagement after injury (ΔR² = .09, p < .05). Apathy may contribute to difficulty re-engaging in leisure activities. Re-engagement in leisure activities should be a focus of occupational therapy intervention after TBI.

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探讨脑外伤后休闲再参与及其与自我调节的关系：一项横断面研究。

参与休闲活动是促进健康的重要因素。据报道，脑外伤（TBI）患者的休闲活动参与度无法恢复到受伤前的水平。自我调节（SR）是限制重新参与的一个可能因素。本研究旨在探讨重新参与休闲活动的模式以及自我调节对这些模式的影响。55 名患有创伤性脑损伤的成年人参与了这项横断面研究。参与者完成了一项休闲活动调查，对受伤前后的参与情况进行了评分。参与者和一名信息提供者完成了额叶系统行为量表（FrSBe），以评估SR。受伤后的休闲活动明显少于受伤前，t(54) = 3.83，p < .001。FrSBe 的冷漠评分与较低的重新参与度明显相关（eta = 0.42），并可预测受伤后的参与度（ΔR2 = .09, p < .05）。冷漠可能会导致难以重新参与休闲活动。重新参与休闲活动应成为创伤性脑损伤后职业治疗干预的重点。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.