Abstract
Objective
To investigate the effectiveness of a physical activity intervention for use within
a comprehensive outpatient rehabilitation program for individuals with brain injury.
Design
Quasi-experimental comparison group design with 3-month follow-up.
Setting
Comprehensive outpatient rehabilitation clinic that is a transitional setting between
acute inpatient rehabilitation and community dwelling.
Participants
Individuals (N=47) with a brain injury were enrolled into either the intervention
(n=22; 8 women, 14 men; mean age, 48.68y) or control group (n=25; 9 women, 16 men;
mean age, 46.23y).
Intervention
Consisted of an 8-week informational and social/behavioral program that focused on
enabling individuals to become independently active. The control group completed the
standard of care typically available to patients in comprehensive outpatient rehabilitation.
Main Outcome Measures
Behavioral Risk Factor Surveillance Survey self-report physical activity items, Exercise
Self-Efficacy Scale, and Mayo-Portland Adaptability Inventory-4.
Results
The intervention group reported significantly (P<.001) greater weekly activity, self-efficacy, and rehabilitation outcomes at the
completion of the program as well as at the 3-month follow-up when compared with the
control group. Significantly, individuals in the experimental group reported increasing
their weekly activity from 45 minutes preprogram to 72 minutes postprogram (d=2.12; 95% confidence interval, 1.78–2.52), and 67 minutes at 3-month follow-up.
Conclusions
Findings suggest that the intervention may be effective in increasing the physical
activity behaviors of individuals engaged in a comprehensive outpatient rehabilitation
program after brain injury.
Keywords
List of abbreviations:
CI (confidence interval), MPAI-4 (Mayo-Portland Adaptability Inventory-4), RR (relative risk), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 07, 2016
Footnotes
The project was supported by the Ginger Murchison Foundation Traumatic Brain Injury Research Fund. The contents of this manuscript were also developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) (grant no. 90DP0045-01-0). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
Publication of this article was supported by the American Congress of Rehabilitation Medicine.
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
