title: Participation in communication activities following traumatic brain injury: A time use diary study.
abstract: BACKGROUND
  Communication impairments following traumatic brain injury (TBI) can represent a significant barrier to successful community reintegration. Previous research has typically focused on linguistic competence to identify communication difficulties experienced by people with TBI living in the community, rather than participation in everyday communication activities.
  
  
  OBJECTIVE
  To describe communication activities and communication partners of people with traumatic brain injury (TBI) over a 24-hour period compared to matched controls.
  
  
  METHODS
  A cross-sectional study using a customized, mixed-methods survey with time-use data collected from people with TBI and a demographically matched control group.
  
  
  METHODS
  Twenty people with TBI living within the community and 20 matched non-injured controls were interviewed about their involvement in communication activities over the previous 24 hours using a time-use diary.Activities were compared between the groups using Mann-Whitney U-tests and Chi-squared tests.
  
  
  RESULTS
  The TBI group spent significantly less time engaged in communication activities and less time engaged in conversation and reported significantly fewer numbers of communication partners compared to the control group.
  
  
  CONCLUSIONS
  The results highlight discrepancies in participation in communication activities between people with TBI and people without TBI, suggesting the need for intervention studies to enhance communication participation in daily life following TBI.
authors.affiliation: a School of Health and Rehabilitation Sciences , The University of Queensland , St Lucia , QLD , Australia.|b Speech Pathology Department , Princess Alexandra Hospital , Woolloongabba , QLD , Australia.|c Centre for Functioning and Health Research, Metro South Hospital and Health Service , Queensland Health , Eight Mile Plains , QLD , Australia.
authors.forename: Emma
authors.initials: E
authors.lastname: Finch
authors.affiliation: a School of Health and Rehabilitation Sciences , The University of Queensland , St Lucia , QLD , Australia.
authors.forename: Anna
authors.initials: A
authors.lastname: French
authors.affiliation: a School of Health and Rehabilitation Sciences , The University of Queensland , St Lucia , QLD , Australia.
authors.forename: Rachel J
authors.initials: RJ
authors.lastname: Ou
authors.affiliation: a School of Health and Rehabilitation Sciences , The University of Queensland , St Lucia , QLD , Australia.|c Centre for Functioning and Health Research, Metro South Hospital and Health Service , Queensland Health , Eight Mile Plains , QLD , Australia.|d Occupational Therapy Department , Princess Alexandra Hospital , Woolloongabba , QLD , Australia.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fleming
mesh_terms: D000328:Adult; D000070642:Brain Injuries, Traumatic / Q000523:psychology*; D003142:Communication; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D058992:Social Participation; D055815:Young Adult
keywords: Traumatic brain injury; communication activities; participation; time-use diary