title: Loss of Financial Management Independence After Brain Injury: Survivors' Experiences.
abstract: OBJECTIVE
  This pilot study explored the experiences of brain injury survivors after a change in financial management (FM) independence.
  
  
  METHODS
  Using a qualitative descriptive design, 6 participants with acquired brain injury were recruited from a community brain injury organization and participated in semistructured interviews. Data were analyzed using thematic analysis.
  
  
  RESULTS
  Three themes emerged from the interviews: (1) trajectory of FM change, involving family members as key change agents; (2) current FM situation, involving FM strategies such as automatic deposits and restricted budgets; and (3) the struggle for control, in which survivors desired control while also accepting supports for FM.
  
  
  CONCLUSIONS
  This study identifies some of the challenges brain injury survivors face in managing their finances and the adjustment associated with a loss of FM independence. Occupational therapists should be aware of clients' experiences when supporting them through a change in independence.
authors.affiliation: Kathryn Koller, MScOT, is Occupational Therapist, St. John's Rehabilitation Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Koller
authors.affiliation: Lindsay Woods, MScOT, is Occupational Therapist, West Park Healthcare Centre, Toronto, Ontario, Canada.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Woods
authors.affiliation: Lisa Engel, MScOT, is PhD candidate, Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada, and Rotman Research Institute, Baycrest, Toronto, Ontario, Canada.
authors.forename: Lisa
authors.initials: L
authors.lastname: Engel
authors.affiliation: Carolina Bottari, PhD, is Assistant Professor, Université de Montréal, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Quebec, Canada.
authors.forename: Carolina
authors.initials: C
authors.lastname: Bottari
authors.affiliation: Deirdre R. Dawson, PhD, OT Reg (Ont), is Associate Professor, Rehabilitation Sciences Institute and Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada, and Senior Scientist, Rotman Resarch Institute, Baycrest, Toronto, Ontario, Canada; ddawson@research.baycrest.org.
authors.forename: Deirdre R
authors.initials: DR
authors.lastname: Dawson
authors.affiliation: Emily Nalder, PhD, is March of Dimes Paul J. J. Martin Early Career Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada, and Rotman Research Institute, Baycrest, Toronto, Ontario, Canada.
authors.forename: Emily
authors.initials: E
authors.lastname: Nalder
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000150:complications / Q000191:economics / Q000534:rehabilitation; D005190:Family; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008016:Life Change Events; D008297:Male; D009788:Occupational Therapy / Q000379:methods / Q000523:psychology; D036301:Qualitative Research; D012944:Social Support; D017741:Survivors / Q000523:psychology