title: Factors affecting leisure participation after a traumatic brain injury: an exploratory study.
abstract: OBJECTIVE
  To explore leisure participation by people with traumatic brain injury (TBI) and reasons underlying changes after the trauma.
  
  
  METHODS
  Twenty-six individuals with mild to severe TBI.
  
  
  METHODS
  Leisure Profile, a semi-structured questionnaire measuring involvement in leisure activities before and after TBI (frequency of activities, degree of interest, and desire to modify one's leisure activities), attitudes toward leisure, and difficulties that might influence leisure activities (impairments and environmental obstacles).
  
  
  RESULTS
  Leisure participation was greatly disrupted after TBI, with 92% of the participants reporting a reduction posttrauma. Less severe injuries, more time since the injury, and the presence of social obstacles in the environment were positively correlated with leisure participation. Motor impairments had a negative impact on leisure participation.
  
  
  CONCLUSIONS
  TBI has a significant negative effect on leisure participation. Leisure activities should be evaluated and included in a therapy program designed to promote reintegration into society and work.
authors.affiliation: Department of Occupational Therapy, School of Rehabilitation, Université de Sherbrooke, Quebec, Canada. Nathalie.Bier@USherbrooke.ca
authors.forename: Nathalie
authors.initials: N
authors.lastname: Bier
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Dutil
authors.forename: Mélanie
authors.initials: M
authors.lastname: Couture
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D015331:Cohort Studies; D005260:Female; D020233:Gait Disorders, Neurologic / Q000209:etiology; D006801:Humans; D007407:Interviews as Topic; D007899:Leisure Activities / Q000523:psychology*; D008297:Male; D012917:Social Adjustment; D055815:Young Adult