title: Participation in leisure activities during brain injury rehabilitation.
abstract: OBJECTIVE
  To describe and compare pre- and post-injury leisure activities of individuals receiving brain injury rehabilitation and explore levels of leisure participation and satisfaction.
  
  
  METHODS
  Cross-sectional descriptive study incorporating a survey of current and past leisure activities.
  
  
  METHODS
  Questionnaires were completed by 40 individuals with an acquired brain injury receiving inpatient or outpatient rehabilitation.
  
  
  METHODS
  Shortened Version of the Nottingham Leisure Questionnaire and Changes in Leisure Questionnaire (developed for this study).
  
  
  RESULTS
  Leisure participation declined following injury, particularly in social leisure activities. Pre-injury activities with high rates of discontinued or decreased participation were driving, going to pubs and parties, do-it-yourself activities and attending sports events. Inpatient participants generally attributed decreased participation to the hospital environment, whereas outpatient participants reported this predominantly as a result of disability. Post-injury levels of perceived leisure satisfaction were significantly lower for the inpatient group compared to pre-injury, but not for the outpatient group. Uptake of some new leisure activities was reported post-injury, however not at the rate to which participation declined.
  
  
  CONCLUSIONS
  Leisure participation decreases during brain injury rehabilitation compared to pre-injury levels. Re-engagement in relevant, age-appropriate leisure activities needs to be addressed during rehabilitation to improve participation in this domain.
authors.affiliation: The University of Queensland, School of Health and Rehabilitation Sciences, St Lucia, Brisbane, Queensland, Australia. j.fleming@uq.edu.au
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fleming
authors.forename: Helen
authors.initials: H
authors.lastname: Braithwaite
authors.forename: Louise
authors.initials: L
authors.lastname: Gustafsson
authors.forename: Janelle
authors.initials: J
authors.lastname: Griffin
authors.forename: Ann Maree
authors.initials: AM
authors.lastname: Collier
authors.forename: Stephanie
authors.initials: S
authors.lastname: Fletcher
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001315:Australia / Q000453:epidemiology; D001930:Brain Injuries / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007899:Leisure Activities / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult