Community-Based Physical Activity Interventions after Moderate to Severe Traumatic Brain Injury

BACKGROUND Long-term physical, cognitive, and psychosocial problems resulting from moderate to severe traumatic brain injury (TBI) can prevent individuals from returning to preinjury lifestyles because of significant challenges with employment, leisure, and relationships. While physical activity (PA) is proposed as a cost-effective method to alleviate problems after moderate to severe TBI, there is no review to date that synthesizes the evidence for PA in the community-based context. Further, although sex- and gender-based considerations in research are considered requisite to good science, there is no review on PA and TBI that has included this explicit focus. OBJECTIVE The purpose of this review is to map and synthesize the current evidence identified through a systematic search of community-based PA interventions for individuals of all ages with moderate to severe TBI and provide an overview of that evidence by asking the following research questions: (1) what are the characteristics of community-based PA programs for individuals with moderate to severe TBI, (2) what are the reported health-related outcomes and measurement tools used to evaluate them, and (3) what considerations have been given to sex and/or gender? METHODS Searches will be conducted of six academic databases for peer-reviewed articles. Two reviewers will independently screen the articles for inclusion and extract data for the analysis. The extracted data will be coded according to the Consensus on Exercise Reporting Template checklist and the Template for Intervention Description and Replication checklist to provide sufficient detail for replication. RESULTS The abstract screening was completed by two reviewers and the extracted data were analyzed. A qualitative synthesis and description of community-based PA interventions for individuals with moderate to severe TBI will be provided. CONCLUSIONS This scoping review will generate new knowledge from published and publicly available literature. Dissemination of the results will include activities related to knowledge transfer for community-based PA after moderate to severe TBI for future research and practice. Evidence-based recommendations, future directions, potential limitations, use of online/digital components, and the possible need for a systematic review will be discussed as well. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/24689

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Community-Based Physical Activity Interventions for Individuals with Moderate to Severe Traumatic Brain Injury: Scoping Review Protocol

JMIR Research Protocols ◽

10.2196/24689 ◽

2021 ◽

Vol 10 (1) ◽

pp. e24689

Author(s):

Enrico Quilico ◽

Bonnie Swaine ◽

Christophe Alarie ◽

Angela Colantonio

Keyword(s):

Physical Activity ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Severe Traumatic Brain Injury ◽

Scoping Review ◽

Current Evidence ◽

Future Research ◽

Sex And Gender ◽

Community Based ◽

Severe Tbi

Background Long-term physical, cognitive, and psychosocial problems resulting from moderate to severe traumatic brain injury (TBI) can prevent individuals from returning to preinjury lifestyles because of significant challenges with employment, leisure, and relationships. While physical activity (PA) is proposed as a cost-effective method to alleviate problems after moderate to severe TBI, there is no review to date that synthesizes the evidence for PA in the community-based context. Further, although sex- and gender-based considerations in research are considered requisite to good science, there is no review on PA and TBI that has included this explicit focus. Objective The purpose of this review is to map and synthesize the current evidence identified through a systematic search of community-based PA interventions for individuals of all ages with moderate to severe TBI and provide an overview of that evidence by asking the following research questions: (1) what are the characteristics of community-based PA programs for individuals with moderate to severe TBI, (2) what are the reported health-related outcomes and measurement tools used to evaluate them, and (3) what considerations have been given to sex and/or gender? Methods Searches will be conducted of six academic databases for peer-reviewed articles. Two reviewers will independently screen the articles for inclusion and extract data for the analysis. The extracted data will be coded according to the Consensus on Exercise Reporting Template checklist and the Template for Intervention Description and Replication checklist to provide sufficient detail for replication. Results The abstract screening was completed by two reviewers and the extracted data were analyzed. A qualitative synthesis and description of community-based PA interventions for individuals with moderate to severe TBI will be provided. Conclusions This scoping review will generate new knowledge from published and publicly available literature. Dissemination of the results will include activities related to knowledge transfer for community-based PA after moderate to severe TBI for future research and practice. Evidence-based recommendations, future directions, potential limitations, use of online/digital components, and the possible need for a systematic review will be discussed as well. International Registered Report Identifier (IRRID) DERR1-10.2196/24689

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What Makes a Community-Based Physical Activity Program Successful for Adults With Moderate-Severe Traumatic Brain Injury?

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2020.10.091 ◽

2020 ◽

Vol 101 (12) ◽

pp. e155

Author(s):

Enrico Quilico ◽

Bonnie Swaine ◽

Shane Sweet ◽

Lindsay Duncan ◽

Shawn Wilkinson ◽

...

Keyword(s):

Physical Activity ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Severe Traumatic Brain Injury ◽

Physical Activity Program ◽

Community Based ◽

Activity Program

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Australian Relevance of Community-based Social Skills and Work Readiness Training for Adults with Traumatic Brain Injury

Australian Journal of Rehabilitation Counselling ◽

10.1017/s1323892200000648 ◽

2002 ◽

Vol 8 (1) ◽

pp. 1-11

Author(s):

Thomas D. Upton ◽

James Bordieri ◽

Mary Ann Roberts

Keyword(s):

Traumatic Brain Injury ◽

Social Skills ◽

Brain Injury ◽

Severe Traumatic Brain Injury ◽

Social Skill ◽

Training Programs ◽

Rehabilitation Services ◽

Work Readiness ◽

Community Based ◽

Skill Deficits

Social skill deficits following severe traumatic brain injury (TBI) are prevalent. However, the development and provision of pro-active treatments for these deficits during rehabilitation have not kept pace with the need. Previous research described the development and presented encouraging data for community-based intensive social skills and work readiness training programs for adults with a brain injury. Brain injury residuals present similar social and vocational challenges to professionals worldwide. As such, this paper proposes these rehabilitation services may be replicated across cultures. To facilitate crosscultural replication, a training framework is shared. Australian rehabilitation counsellors may use this framework to replicate these services and contribute to the community reintegration of adults with brain injury.

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A multidisciplinary community based rehabilitation programme improved social functioning in severe traumatic brain injury

Evidence-Based Medicine ◽

10.1136/ebm.7.4.122 ◽

2002 ◽

Vol 7 (4) ◽

pp. 122-122

Author(s):

D. R Dawson

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Social Functioning ◽

Severe Traumatic Brain Injury ◽

Rehabilitation Programme ◽

Community Based ◽

Community Based Rehabilitation

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SWOT analysis of an outpatient rehabilitation physical activity intervention for individuals with mild traumatic brain injury

10.21203/rs.3.rs-1152870/v1 ◽

2021 ◽

Author(s):

Christophe Alarie ◽

Isabelle Gagnon ◽

Lily Trang Than Huynh ◽

Karine Doucet ◽

Adèle Pichette-Auray ◽

...

Keyword(s):

Physical Activity ◽

Traumatic Brain Injury ◽

Quality Improvement ◽

Brain Injury ◽

Mild Traumatic Brain Injury ◽

Swot Analysis ◽

Physical Activity Intervention ◽

Service Providers ◽

Outpatient Rehabilitation ◽

Physical Activity Interventions

Abstract Background Physical activity interventions have been shown to be an effective therapeutic approach to improve symptoms and reduce recovery time after a mild traumatic brain injury. Service providers from a specialized traumatic brain injury outpatient rehabilitation program recognized the need to ensure their physical activity intervention integrated evidence-based treatment components, while considering user needs and preferences. To inform quality improvement efforts, service providers felt it necessary to learn about the perceptions of key stakeholders, regarding the quality of the intervention. The study objective was to explore the perceptions of administrators, clinicians and users of the specialized program regarding the physical activity intervention’s strengths, weaknesses, opportunities and threats (SWOT). Methods Using a SWOT analysis framework, this qualitative study explored the perspectives of the purposive sample (n=14) composed of the managerial staff, six clinicians and five program users. Semi-structured interviews were performed, recorded, transcribed verbatim and analyzed using a qualitative content analysis approach. Results Fifty categories were generated resulting in 15 strengths, 17 weaknesses, 12 opportunities and 6 threats grouped into 8 overarching categories: physical activity intervention, health-related outcomes, clinical expertise, knowledge translation, communication, user engagement, resources, accessibility. Category descriptions, convergent and divergent perspectives, and salient quotes of participants are provided. Conclusions This study successfully identified perceived strengths, many weaknesses, several opportunities and a few threats. Participants were generally positive about the intervention but identified weaknesses including the need for service providers to better describe the physical activity intervention using theoretically driven approaches before engaging in quality improvement activities. Convergent and divergent perspectives of service providers and program users helped identify areas to maintain and others to improve upon when the program develops their new intervention. Study results may also inform the development of other physical activity interventions designed for adults with persisting symptoms of a mild traumatic brain injury.

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