title: Which factors influence the activity levels of individuals with traumatic brain injury when they are first discharged home from hospital?
abstract: OBJECTIVE
  To determine the predictors of physical activity levels (PALs) of people with traumatic brain injury (TBI) during the transition from hospital to home.
  
  
  METHODS
  A prospective cohort study.
  
  
  METHODS
  Twenty-three individuals with TBI, consecutively admitted to TBI inpatient rehabilitation, who had independent community mobility potential on inpatient discharge.
  
  
  METHODS
  PALs (steps per day) were monitored at three time points: (T1) final week of inpatient rehabilitation, (T2) first week at home and (T3) 6 weeks following discharge. Measures across the physical, emotional and cognitive domains were performed at T1 and compared with PALs at T3.
  
  
  RESULTS
  PALs decreased significantly on hospital discharge (T2), compared to T1, and remained below recommended guidelines for maintenance of health and wellbeing at 6 weeks post discharge (T3). Motivation to exercise was the primary predictor of PALs at T3 (p < 0.01), with fatigue (p < 0.05) and anxiety (p < 0.05) also being significantly associated. Measures of physical ability were not correlated with PALs at T3.
  
  
  CONCLUSIONS
  PALs decreased significantly on discharge from hospital and remained below inpatient levels despite physical capacity for higher PALs. Motivation, fatigue and anxiety were important influencers of PALs during the transition home period.
authors.affiliation: a Physiotherapy Department, Epworth Rehabilitation, Epworth Healthcare , Melbourne , Australia .|b School of Physiotherapy, University of Melbourne , Melbourne , Australia .
authors.forename: Megan
authors.initials: M
authors.lastname: Hamilton
authors.affiliation: a Physiotherapy Department, Epworth Rehabilitation, Epworth Healthcare , Melbourne , Australia .|b School of Physiotherapy, University of Melbourne , Melbourne , Australia .
authors.forename: Gavin
authors.initials: G
authors.lastname: Williams
authors.affiliation: b School of Physiotherapy, University of Melbourne , Melbourne , Australia .
authors.forename: Adam
authors.initials: A
authors.lastname: Bryant
authors.affiliation: b School of Physiotherapy, University of Melbourne , Melbourne , Australia .
authors.forename: Ross
authors.initials: R
authors.lastname: Clark
authors.affiliation: c Centre of Population Health, Burnet Institute , Melbourne , Australia , and.|d School of Public Health and Preventive Medicine, Monash University , Melbourne , Australia.
authors.forename: Tim
authors.initials: T
authors.lastname: Spelman
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001315:Australia; D001930:Brain Injuries / Q000503:physiopathology* / Q000523:psychology* / Q000534:rehabilitation; D015331:Cohort Studies; D005260:Female; D005544:Forecasting; D006801:Humans; D007297:Inpatients / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010351:Patient Discharge; D011446:Prospective Studies; D020127:Recovery of Function / Q000502:physiology; D012047:Rehabilitation Centers
keywords: Head injury; physical activity; rehabilitation