title: Efficacy of leisure intervention groups in rehabilitation of people with an acquired brain injury.
abstract: OBJECTIVE
  To determine whether participation in a week-long residential leisure intervention program targeting individuals with an acquired brain injury (ABI) improved the leisure satisfaction, self-esteem and quality of life (QOL) of participants. The program included leisure awareness, leisure resources, social interaction skills and leisure activity skills.
  
  
  METHODS
  Using a pre- and post-intervention design leisure satisfaction, self-esteem and QOL were assessed prior to, immediately following and at three months post program. Data were analyzed using Wilcoxon signed-rank tests.
  
  
  RESULTS
  Participants were eight men and four women aged between 19 and 49 years who were recent clients of a rural Brain Injury Rehabilitation Service. The majority (7/12) had acquired their ABI more than two years previously, and for most (10/12) the cause was trauma. Program participants showed clinically important and statistically significant improvements in leisure satisfaction (p = 0.002), self-esteem (p = 0.03) and QOL (p = 0.02 to 0.008 for four domains of the World Health Organisation Quality of Life - Bref scale) three months post program.
  
  
  CONCLUSIONS
  Adults with an ABI participating in leisure education programs can experience improvements in leisure satisfaction, self-esteem and QOL following the program. The findings suggest that active leisure intervention programs should be included in the ongoing rehabilitative care of adults with an ABI. Implications for Rehabilitation Leisure participation, leisure satisfaction and social integration can be seriously compromised following an acquired brain injury (ABI). Engagement in leisure activities has positive effects on physical and mental health and is increasingly recognised as an important determinant of quality of life (QOL) for people with ABI. Participation in a short-term intensive leisure intervention program can improve leisure satisfaction, self-esteem and QOL. Active leisure intervention programs should be included in the ongoing rehabilitation and reintegration of adults with ABI.
authors.affiliation: South West Brain Injury Rehabilitation Service, Murrumbidgee Local Health Network , Sydney, NSW , Australia .
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Mitchell
authors.forename: Craig
authors.initials: C
authors.lastname: Veitch
authors.forename: Megan
authors.initials: M
authors.lastname: Passey
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011788:Quality of Life; D012649:Self Concept; D016896:Treatment Outcome; D055815:Young Adult
keywords: Brain injury; community rehabilitation; leisure education; leisure participation; leisure satisfaction; quality of life