Activity, Participation, and Goal Awareness After Acquired Brain Injury: A Prospective Observational Study of Inpatient Rehabilitation

Objective To examine the frequency and timing of inpatient engagement in meaningful activities within rehabilitation (within and outside of structured therapy times) and determine the associations between activity type, goal awareness, and patient affect.Methods This prospective observational study performed behavioral mapping in a 42-bed inpatient brain injury rehabilitation unit by recording patient activity every 15 minutes (total 42 hours). The participants were randomly selected rehabilitation inpatients with acquired brain injury; all completed the study. The main outcome measures included patient demographics, observation of activity, participation, goal awareness, and affect.Results The inpatients spent 61% of the therapeutic day (8:30 to 16:30) in their single room and were alone 49% of the time. They were physically socially inactive for 76% and 74% of their awake time, respectively, with neutral affect observed for about half of this time. Goal-related activities were recorded for only 25% of the inpatients’ awake time. The odds of physical activity were 10.3-fold higher among in patients receiving support to address their goals within their rehabilitation program (odds ratio=10.3; 95% confidence interval, 5.02–21.16).Conclusion Inpatients in a mixed brain injury rehabilitation unit spent a large amount of their awake hours inactive and only participated in goal-related activities for a quarter of their awake time. Rehabilitation models that increase opportunities for physical, cognitive, and social activities outside of allied health sessions are recommended to increase overall activity levels during inpatient rehabilitation.

The role of perceived organizational support in work-leisure conflict

In this study, it is aimed to examine the effect of perceived organizational support of employees on the level of work-leisure conflict. The working group of the research consists of the personnel of the Ministry of Youth and Sports, who are working in Ankara. In addition to the personal information form, the “Work-Leisure Conflict Scale” and “Perceived Organizational Support Scale” were used in the data collection phase of the research. T-test for comparing the total scores obtained from the scales with the variables of regular activity participation, daily leisure time sufficient; Descriptive statistics were used to determine the scores obtained from the scales, Pearson Moment Correlation Test and Regression Analysis research were used to determine the relationship between the variables. For this study, the internal consistency coefficient for WLC was determined as .95, and the internal consistency coefficient for POS was determined as .90. The findings show that the participants showed an average WLC level, on the other hand, they had POS scores above the average. On the other hand, it was found that there were significant differences between the participants' daily leisure time, regular activity participation variables, and WLC and POS levels, there was a negative and low-level relationship between WLC and POS (r1=-.231, p<.01). It has been determined that POS affects WLC. The findings reveal important data to draw attention to the perceived organizational support of employees in reducing work-leisure conflict. ​Extended English summary is in the end of Full Text PDF (TURKISH) file. Özet Çalışmada işgörenlerin algılanan örgütsel desteğin iş-serbest zaman çatışma düzeyine etkisinin incelenmesi amaçlanmıştır. Araştırmanın çalışma grubunu, Ankara ilinde görevlerini sürdürmekte olan Gençlik ve Spor Bakanlığı personeli oluşturmaktadır. Araştırmada veri toplama aşamasında kişisel bilgi formunun yanı sıra “İş-Serbest Zaman Çatışma Ölçeği” ile “Algılanan Örgütsel Destek Ölçeği” kullanılmıştır. Ölçeklerden elde edilen toplam puanların düzenli etkinlik katılımı, günlük serbest zaman süresinin yeterli görülme değişkenleri ile karşılaştırılmasında T-testi; ölçeklerden elde edilen puanların belirlenmesinde betimsel istatistikler, değişkenler arasındaki ilişkinin belirlenebilmesi için Pearson Momentler Çarpımı Korelasyonu Testi ve Regresyon Analizi araştırma kullanılmıştır. Bu çalışma için İSZÇ için iç tutarlılık katsayısı .95, AÖD için iç tutarlılık katsayısı .90 olarak belirlenmiştir. Elde edilen bulgular katılımcıların ortalama İSZÇ düzeyi gösterdikleri, buna karşılık ortalamanın üzerinde AÖD puanları ortaya koyduklarını göstermektedir. Diğer yandan katılımcıların günlük serbest zaman süresi, düzenli etkinlik katılımı değişkenleriyle İSZÇ ve AÖD düzeyleri arasında anlamlı farklılıklar olduğu, İSZÇ ve AÖD arasında negatif yönlü ve düşük düzeyde bir ilişkinin olduğu ve (r1=-.231, p<.01). AÖD’nin İSZÇ’yi etkilediği belirlenmiştir. Bulgular işgörenlerin iş serbest zaman çatışmasını azaltmada algılanan örgütsel desteğe dikkat çekmek üzere önemli veriler ortaya koymaktadır.

COVID-19 Changed Human-Nature Interactions across Green Space Types: Evidence of Change in Multiple Types of Activities from the West Bank, Palestine

COVID-19 stay-at-home orders impacted the way humans interacted with built and natural environments. Previous research on the human use of green spaces during the pandemic, largely conducted in a Western context, has found increased use of home gardens and urban green spaces, and decreased visitation to conservation areas. We explored changes in residents’ outdoor nature-associated activities during the pandemic in the West Bank, Palestine. We used a web-based survey to ask residents about their passive, interactive, and extractive outdoor activities that take place in home gardens, urban parks, and natural areas. Overall, our 1278 respondents spent less time with family and friends and more time alone. We found differences in respondent’s participation in activities both between green space types and between activity types. Participation in passive appreciation of nature activities increased for home gardens but decreased in urban parks and natural areas. Interactive activities, including cultivation, increased for all areas, while extractive activities stayed the same or decreased. Only in natural areas did respondents’ demographics explain changes in activity participation rates after the pandemic. Residents’ increased time alone raises concerns about mental health. The differences we observed in activity participation across green space types highlights the importance of looking across different types of natural spaces and different activities in the same setting, as well as examining non-Western settings.