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Research Objectives
To understand health areas for potential change among community-dwelling survivors
of a moderate/severe traumatic brain injury (TBI).
Design
Cross-sectional, descriptive.
Setting
Community-based.
Participants
As part of an ongoing study, N = 28 community dwelling survivors of a moderate/severe
TBI who were enrolled in the UAB TBI Model System longitudinal study and at least
one year up to 5-years post-injury (M age = 40.59; SD=18.61) served as participants
to date.
Interventions
Telehealth-based, health and wellness intervention.
Main Outcome Measures
A checklist of comprehensive health areas developed for the study. Prior to the beginning
of the intervention, participants are asked to rate their preferences among twelve
health areas that they might be interested in improving and to rank-order their health
goal preferences they wanted to work on for the intervention in order of importance
(1st, 2nd, etc.).
Results
All health areas were endorsed as goals of interest for changing. The top five health
goals included: physical activity and exercise (92.9%), mental activity (85.7%), nutrition
and dietary intake (78.6%), health knowledge and information (78.6%), and stress management
(71.4%) which tied with mental health (71.4%). To a somewhat lesser extent, social
relationships (64.3%), spirituality/purpose and meaning (50.0%), sleep (35.7%), leisure
(28.6%), alcohol use (17.9%), and tobacco use (17.9%) were also of interest. Every
health goal received at least one ranking of being a number one goal to address as
part of a health intervention.
Conclusions
The findings demonstrate a range of health goals of interest to community dwelling
survivors of a moderate/severe TBI 1-year or greater post-injury. While traditional
rehabilitation programs typically focus more on mental health, physical, functioning,
and cognitive issues, the current findings warrant the need for expanding services
to address additional areas (e.g., spirituality/purpose and meaning, leisure, social
relationships). Given the range of health goals that individuals ranked as first choice
preferences, the findings highlight the need for health and wellness programs that
can be individually tailored. Consistent with Healthy People 2030, a more expansive
conceptualization of health may help modify preventable secondary health conditions
and continue to optimizing recovery.
Author(s) Disclosures
None.
Keywords
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Copyright
© 2022 Published by Elsevier Inc.
