What Do Individuals With a TBI Know About Physical Activity?

Friday, April 1, 2011
Exhibit Hall Poster Area 1 (Convention Center)
Megan C. Self1, Simon Driver1, Anne Marie Warren2 and Laurel Stevens2, (1)University of North Texas, Denton, TX, (2)Baylor Institute of Rehabilitation, Dallas, TX

Background/Purpose Traumatic brain injury (TBI) is a significant public health issue due to the incidence, complexity, and cost associated with treatment – emphasizing the need for effective rehabilitation programs. One mode of rehabilitation that has been demonstrated to improve health and reduce healthcare costs are health promotion programs (HPPs) that incorporate physical activity (PA). However, PA is not currently incorporated into the standard of care post-TBI. Focus groups among individuals with a TBI undergoing outpatient rehabilitation will be conducted to determine PA knowledge, attitudes, intentions, and barriers. Results will be used to develop a HPP that focuses on facilitating PA participation as part of the rehabilitation process.

Methods 20 participants completed a focus group (4-6 people/group) regarding their PA needs. A phenomenological approach was adopted and trustworthiness was established through triangulation of data (i.e., theoretical underpinning; multiple researchers and data-coders). A cross-case analysis was completed to identify themes and conceptual patterns.

Analysis/Results The main themes identified were that participants' demonstrated (1) an inability to differentiate between PA and physical therapy, (2) a limited knowledge of PA health benefits and the relationship to rehabilitation, and (3) an interest in participating in a PA HPP as part of their rehabilitation.

Conclusions HPPs for outpatients with a TBI should educate individuals about PA, the associated health benefits, and the role PA plays in the rehabilitation process. A well designed HPP will increase the likelihood that individuals adopt and maintain PA as part of the rehabilitation process, thus reducing the risk of morbidity and mortality.