This article describes the results of a qualitative investigation of social changes and challenges for rural adolescents who have a traumatic brain injury (TBI). We interviewed adolescents with mild to moderate TBI and their mothers using an iterative approach based in grounded theory. Interviews focused on social adjustment and interaction as well as environmental variables, especially those related to the adolescents’ rural status. In-depth interviews produced multifaceted and interrelated social process themes expressed by participants in the study. Four umbrella themes emerged, which were personal change, environmental response, social needs, and facilitators and inhibitors of intentional changes (FIICs). These themes, and their subthemes, capture both assets and needs as they develop over time and provide guidance for both researchers and practitioners working with adolescents who have a TBI.

中文翻译：

---

农村青少年创伤性脑损伤的社会变化和挑战的定性检查

本文描述了对患有创伤性脑损伤 (TBI) 的农村青少年的社会变化和挑战的定性调查结果。我们使用基于扎根理论的迭代方法采访了患有轻度至中度 TBI 的青少年及其母亲。访谈侧重于社会调整和互动以及环境变量，尤其是与青少年农村状况相关的变量。深入访谈产生了研究参与者表达的多方面和相互关联的社会过程主题。出现了四个总括主题，即个人改变、环境响应、社会需求以及有意改变的促进因素和抑制因素 (FIIC)。这些主题及其副主题，