TY - JOUR PY - 2020// TI - The association between community participation and social internet use among adults with traumatic brain injury JO - Journal of head trauma rehabilitation A1 - Ketchum, Jessica M. A1 - Sevigny, Mitch A1 - Hart, Tessa A1 - Oʼneil-Pirozzi, Therese M. A1 - Sander, Angelle M. A1 - Juengst, Shannon B. A1 - Bergquist, Thomas F. A1 - Dreer, Laura E. A1 - Whiteneck, Gale G. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To examine the association between social Internet use and real-world societal participation in survivors of moderate-severe traumatic brain injury.

DESIGN: Prospective cross-sectional observational study. SETTING: Ten Traumatic Brain Injury Model Systems Centers. PARTICIPANTS: A total of 331 participants in the Traumatic Brain Injury Model Systems, interviewed at any follow-up year between April 2014 and March 2015. MAIN MEASURES: Survey on Internet use, including social media and other online socialization; Participation Assessment with Recombined Tools-Objective with separate analyses of Productivity, Social Relations, Out and About subscales; covariates included demographics, injury variables, and functional and emotional status at follow-up.

RESULTS: Participants were classified as social Internet users (N = 232) or nonusers (N = 99). Users had significantly higher Participation Assessment with Recombined Tools-Objective Social Relations scores than nonusers. A similar finding pertained to Out and About scores, with the between-group difference significantly greater for those with greater depressive symptoms severity. Users and nonusers did not differ significantly on Productivity subscale.

CONCLUSIONS: The positive association between social Internet use and real-world social participation suggests that people with traumatic brain injury do not use social media as an alternative to real-world socialization. Rather, it is likely that similar barriers and facilitators affect both online and real-world social participation following traumatic brain injury. Emotional function should be considered as a moderating factor in further studies.

Language: en

LA - en SN - 0885-9701 UR - http://dx.doi.org/10.1097/HTR.0000000000000566 ID - ref1 ER -