PRIMARY OBJECTIVE To examine patterns of community participation, as well as the relationship among community participation outcomes and time since injury, impairments, environmental factors, and enfranchisement in adults with traumatic brain injury (TBI). RESEARCH DESIGN Cross-sectional study of a sample of 61 adults with TBI. METHODS AND PROCEDURES We administered the Participation Measure- 3 Domains 4 Dimensions to examine community participation in the three domains (productivity, community activities, and social participation) using four dimensions (diversity of activities, frequency, difficulty, and desire for change). MAIN RESULTS AND OUTCOMES All dimensions of community participation seem to be impaired following TBI, as evidenced by scores in the lower half of the available range. Most impaired was social participation (frequency: M = 10.0, SD = 3.4, possible range 0-24; difficulty: M= 11.3, SD = 3.2, possible range 4-16). Correlational analyses revealed that depression (r = 0.51), environmental factors (r = 0.51), and enfranchisement (r = 0.42), seem to play an important role in community participation outcomes, and may be potential targets for intervention. Results did not vary based on time since injury. CONCLUSION Our results suggest that depression, environmental factors, and enfranchisement may be important considerations for future interventions aiming to promote management of identified barriers.

中文翻译：

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脑外伤后社区参与的领域和范围。

主要目的研究创伤性脑损伤（TBI）成人的社区参与模式以及社区参与结果与伤害，损伤，环境因素和获得授权的时间之间的关系。研究设计对61名TBI成人的样本进​​行横断面研究。方法和程序我们采用了“参与度测量-3个领域4个维度”，使用四个维度（活动的多样性，频率，难度和变革欲望）来检查社区在这三个领域（生产力，社区活动和社会参与）中的参与。主要结果和结果在TBI之后，社区参与的所有方面似乎都受到了损害，可用范围下半部分的得分证明了这一点。最受影响的是社会参与（频率：M = 10.0，SD = 3.4，可能范围0-24；难度：M = 11.3，SD = 3.2，可能范围4-16）。相关分析显示，抑郁症（r = 0.51），环境因素（r = 0.51）和公民权（r = 0.42）在社区参与成果中似乎起着重要作用，并且可能是干预的潜在目标。自受伤以来，结果并未随时间而变化。结论我们的结果表明，抑郁症，环境因素和公民权可能是未来干预措施的重要考虑因素，旨在促进对已发现障碍的管理。似乎在社区参与成果中起着重要作用，并且可能是干预的潜在目标。自受伤以来，结果并未随时间而变化。结论我们的结果表明，抑郁症，环境因素和公民权可能是未来干预措施的重要考虑因素，旨在促进对已发现障碍的管理。似乎在社区参与成果中起着重要作用，并且可能是干预的潜在目标。自受伤以来，结果并未随时间而变化。结论我们的结果表明，抑郁症，环境因素和公民权可能是未来干预措施的重要考虑因素，旨在促进对已发现障碍的管理。