title: Rural versus urban social support seeking as a moderating variable in traumatic brain injury outcome.
abstract: OBJECTIVE
  To investigate personal beliefs about seeking social support following traumatic brain injury (TBI) and the relationship of these appraisals to demographic and injury variables, social integration, and quality of life ratings.
  
  
  METHODS
  The central region of a Midwest state.
  
  
  METHODS
  Fifty-six adults with TBI who were more than 6 months postinjury and living in the community.
  
  
  METHODS
  The Hesitation Scale, a 20-item survey that assesses reasons that people might hesitate to reach out to others in the community, and portions of the Living Life After Traumatic Brain Injury Scale.
  
  
  RESULTS
  Negative attitudes and beliefs about seeking social support were significantly related to lower perceptions of social support, lower ratings of quality of life, longer time since injury, being divorced or separated, and living in an urban area. Predictors of higher quality of life ratings included more positive appraisals about seeking social support, living in a rural area, and the ability to engage in productive activity.
  
  
  CONCLUSIONS
  Positive outcomes after TBI appear to be moderated by living in a rural area, which is associated with more openness to seeking social supports and contributes to better quality of life.
authors.affiliation: School of Health Professions, Department of Health Psychology, The University of Missouri-Columbia, DC046.46, One Hospital Drive, Columbia, MO 65212, USA. farmerje@health.missouri.edu
authors.forename: Janet E
authors.initials: JE
authors.lastname: Farmer
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Clark
authors.forename: Ashley K
authors.initials: AK
authors.lastname: Sherman
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D001290:Attitude; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D017533:Marital Status; D011788:Quality of Life / Q000523:psychology*; D012044:Regression Analysis; D012424:Rural Population; D012944:Social Support; D011795:Surveys and Questionnaires; D013997:Time Factors; D014505:Urban Population