ENGAGE-TBI: adaptation of a community-based intervention to improve social participation after brain injury.

Background: Social isolation is prevalent after traumatic brain injury (TBI) and has negative implications for health and well-being. Interventions targeting social participation show promise for reducing social isolation. We adapted a social participation intervention, ENGAGE, to meet the needs of...

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Publicado en:Brain Injury Vol. 39; no. 6; pp. 518 - 526
Autores principales: Kersey, Jessica, Alimi, Elnaz, McArthur, Amy Roder, Marquez, Hannah, Baum, Carolyn, Skidmore, Elizabeth, Hammel, Joy
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2025
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02699052.2025.2449927
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        atl: ENGAGE-TBI: adaptation of a community-based intervention to improve social participation after brain injury.
      aug:
        au:
          Kersey, Jessica
          Alimi, Elnaz
          McArthur, Amy Roder
          Marquez, Hannah
          Baum, Carolyn
          Skidmore, Elizabeth
          Hammel, Joy
        affil: Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA
      sug:
        subj:
          Rehabilitation, Community-Based
          Social Participation
          Social Isolation Prevention and Control
          Brain Injuries Rehabilitation
          Funding Source
          Human
          Focus Groups
          Interviews
          Scales
          Questionnaires
          Mentorship
          Pretest-Posttest Design
          Field Notes
          Male
          Female
          Adult
          Middle Age
          Aged
          Descriptive Statistics
          Pilot Studies
          Stroke Patients
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Social isolation is prevalent after traumatic brain injury (TBI) and has negative implications for health and well-being. Interventions targeting social participation show promise for reducing social isolation. We adapted a social participation intervention, ENGAGE, to meet the needs of people with TBI. ENGAGE relies on social learning and guided problem-solving to achieve social participation goals. Methods: This study was conducted in two phases. First, we conducted focus groups with 12 participants with TBI to inform adaptations. We then tested the adapted protocol (n = 6). Post-intervention interviews informed additional refinements. We collected preliminary data on feasibility and effects on social participation (Activity Card Sort, PROMIS Ability to Participate in Social Roles, PROMIS Satisfaction with Participation in Social Roles) and social isolation (PROMIS Social Isolation). Results: Intervention adaptations included simplified processes for developing goals and plans, simplified workbook materials, greater time for reflection on lessons learned, and expanded peer mentorship. ENGAGE-TBI resulted in high satisfaction for 80% of participants and high engagement in intervention for 100% of participants. Attendance and retention benchmarks were achieved. Improvements in social participation exceeded the minimal clinically important difference on all measures. Conclusions: The promising preliminary data support further investigation into the feasibility and effects of ENGAGE-TBI.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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