ENGAGE-TBI: adaptation of a community-based intervention to improve social participation after brain injury.

Background: Social isolation is prevalent after traumatic brain injury (TBI) and has negative implications for health and well-being. Interventions targeting social participation show promise for reducing social isolation. We adapted a social participation intervention, ENGAGE, to meet the needs of people with TBI.

Exploring the Experience of Loneliness among People Living with Schizophrenia: A Qualitative Study.

Background: People living with schizophrenia or schizoaffective disorder are at heightened risk for experiencing loneliness, which is associated with negative health, quality of life, and symptom-specific outcomes.

Aims: This study aimed to better understand the experience of loneliness among adults living with schizophrenia or schizoaffective disorder.

Methods: Using a semi-structured interview guide, researchers interviewed twelve participants living with schizophrenia or schizoaffective disorder.

Community participation disparities among people with disabilities during the COVID-19 pandemic.

Purpose: To describe disparities in community participation during the COVID-19 pandemic among people with disabilities.

Methods: Respondents to Phase 3.3 of the COVID Household Pulse Survey (US Census Bureau) were classified by disability status.

"They Just Love Me"-An Examination of Social Support Experiences and Values Among People With TBI.

Objective: Social support is important for health and functional outcomes after traumatic brain injury (TBI), but many adults with TBI report inadequate social support. Little research has examined the social support priorities of adults with TBI or what an optimal social support network should include. The objective of this study was to describe the social support structures and experiences of adults with TBI.

Similarities and differences in factors associated with high and low sedentary behavior after stroke: a mixed methods study.

Purpose: To identify similarities and differences in factors affecting activity engagement between adults with stroke who are more and less sedentary.

Materials And Methods: Data were pooled from two studies of adults with stroke ( = 36). Sedentary time was measured activPAL micro3.

Ongoing Challenges Related to the COVID-19 Pandemic Among People With Brain Injury.

The COVID-19 pandemic exacerbated social isolation among people with traumatic brain injury (TBI). Yet, little is known about how changes in personal factors, environmental factors, or the characteristics of activities affected social participation. We examined experiences with social isolation and barriers to social participation using the person-environment-occupation-performance model as a framework.

Participation and Its Association With Health Among Community-Dwelling Adults With Chronic Stroke.

Importance: Little is known about the severity of participation restrictions among people living in the community with chronic stroke. Even less is known about the association between participation and health in this population.

Objective: To describe participation among people with chronic stroke and examine the association between participation and physical and mental health.

MeTooOT: Sexual Harassment Experiences of Occupational Therapy Academics and Recommendations for Systemic Change.

Sexual harassment is pervasive in academic health fields. Although a predominantly female profession, early career academics and trainees in occupational therapy (OT) remain vulnerable to sexual harassment. We aimed to describe experiences of sexual harassment of female-identifying academic OT practitioners.

How does culture influence the implementation of strategy training in stroke rehabilitation? A rapid ethnographic study of therapist perspectives in Taiwan and the United States.

Purpose: Strategy training is a promising stroke rehabilitation intervention commonly delivered in Western countries. We examined the perspectives of rehabilitation therapists who have delivered strategy training in Taiwan and the United States to understand the influence of culture on strategy training implementation.

Materials And Methods: In this rapid ethnographic study, the maximum variation sampling approach was used to recruit seven therapists in Taiwan and seven therapists in the United States with experience delivering strategy training.

Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT).

Background: Strategy training is an intervention that may reduce disability when delivered in inpatient rehabilitation following stroke. However, shorter lengths of stay and challenges with continuity of care following discharge results in difficulties in achieving adequate intervention dosage and carryover of training.

Objective: We examined whether strategy training using a mobile health platform (iADAPT) is feasible during inpatient stroke rehabilitation and following discharge.

Effect of interventions on activity and participation outcomes for adults with brain injury: a scoping review.

Objective: To characterize the intervention elements associated with improvements in activity and participation outcomes for adults with brain injury.

Data Sources: PubMed and PsycINFO/Ovid.

Study Selection: We included RCTs that examined interventions for adults with acquired brain injury with an activity or participation outcome measure.

Cut points and sensitivity to change of the Enfranchisement scale of the Community Participation Indicators in adults with traumatic brain injury.

Background: Community participation is an important outcome of rehabilitation following traumatic brain injury. Yet, few measures assess inclusion and belonging (enfranchisement) as a dimension of community participation. The Enfranchisement scale of the Community Participation Indicators addresses this need.

Detecting change in community participation with the Enfranchisement scale of the community participation indicators.

Objective: This study determined the sensitivity to change of the Enfranchisement scale of the Community Participation Indicators in people with stroke.

Data Sources: We analyzed data from two studies of participants with stroke: an intervention study and an observational study.

Main Measures: The Enfranchisement Scale contains two subscales: the Importance subscale (feeling valued by and contributing to the community; range: 14-70) and the Control subscale (choice and control: range: 13-64).

Construct validity of the enfranchisement scale of the community participation indicators.

Objective: This study examined the construct validity of the Enfranchisement scale of the Community Participation Indicators.

Design: We conducted a secondary analysis of data collected in a cross-sectional study of rehabilitation outcomes.

Subjects: The parent study included 604 community-dwelling adults with chronic traumatic brain injury, stroke, or spinal cord injury.

Metacognitive Strategy Training Is Feasible for People With Aphasia.

Metacognitive strategy training shows promise for reducing disability following stroke, but previous trials have excluded people with aphasia. Considering the high incidence of poststroke aphasia, it is important to determine whether people with aphasia can benefit from strategy training. The purpose of this study was to determine the feasibility of an adapted strategy training protocol for people with aphasia.

EEG-based Neglect Detection for Stroke Patients.

Spatial neglect (SN) is a neurological syndrome in stroke patients, commonly due to unilateral brain injury. It results in inattention to stimuli in the contralesional visual field. The current gold standard for SN assessment is the behavioral inattention test (BIT).

Domains and dimensions of community participation following traumatic brain injury.

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).

Influence of Interventions on Daily Physical Activity and Sedentary Behavior after Stroke: A Systematic Review.

Background: Evidence suggests that frequent engagement in daily activities requiring physical activity may influence risk factors for recurrent stroke. The effects of nonpharmacological interventions on daily physical activity levels and sedentary behavior are unclear.

Objective: To describe the effects of interventions on levels of daily physical activity and sedentary behavior among people with stroke.

Effect of Strategy Training on Self-Awareness of Deficits After Stroke.

Importance: Self-awareness of deficits, or the ability to understand the effects of impairments on daily life, is often diminished after a stroke. Diminished self-awareness influences participation in rehabilitation and functional outcomes.

Objective: To examine whether self-awareness of deficits changed over time after a stroke (N = 43) and whether metacognitive strategy training (n = 21) resulted in improved self-awareness compared with direct skill training (n = 22).

A Scoping Review of Predictors of Community Integration Following Traumatic Brain Injury: A Search for Meaningful Associations.

Objective: The purpose of this scoping review was to identify predictors of community integration for adults with traumatic brain injury.

Data Sources: We searched the PubMed and PsycINFO databases and reviewed references of included studies. We selected studies exploring multiple components of community integration, including instrumental activities of daily living, leisure activities, and social activities.

EEG-based neglect assessment: A feasibility study.

Background: Spatial neglect (SN) is a neuropsychological syndrome that impairs automatic attention orienting to stimuli in the contralesional visual space of stroke patients. SN is commonly assessed using paper and pencil tests. Recently, computerized tests have been proposed to provide a dynamic assessment of SN.