Research Department, Craig Hospital, Englewood, Colorado (Drs Ketchum and Whiteneck and Mr Sevigny); Traumatic Brain Injury Model Systems National Data and Statistical Center, Englewood, Colorado (Drs Ketchum and Whiteneck and Mr Sevigny); Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania (Dr Hart); Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts (O'Neil-Pirozzi); Department of Communication Sciences and Disorders, Northeastern University, Boston, Massachusetts (O'Neil-Pirozzi); H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine and Harris Health System, Houston, Texas (Dr Sander); Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (Dr Sander); Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas (Dr Juengst); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (Dr Bergquist); and Departments of Ophthalmology & Visual Sciences and Physical Medicine & Rehabilitation, The University of Alabama at Birmingham (Dr Dreer).
J Head Trauma Rehabil. 2020 Jul/Aug;35(4):254-261. doi: 10.1097/HTR.0000000000000566.
To examine the association between social Internet use and real-world societal participation in survivors of moderate-severe traumatic brain injury.
Prospective cross-sectional observational study.
Ten Traumatic Brain Injury Model Systems Centers.
A total of 331 participants in the Traumatic Brain Injury Model Systems, interviewed at any follow-up year between April 2014 and March 2015.
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.
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.
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.
研究社会互联网使用与中重度创伤性脑损伤幸存者现实社会参与之间的关联。
前瞻性横断面观察性研究。
十个创伤性脑损伤模型系统中心。
共 331 名创伤性脑损伤模型系统参与者，于 2014 年 4 月至 2015 年 3 月间在随访的任何一年进行访谈。
互联网使用情况调查，包括社交媒体和其他在线社交；使用重组工具进行参与评估-分别对生产力、社会关系、外出和外出活动子量表进行分析；协变量包括人口统计学、损伤变量以及随访时的功能和情绪状态。
参与者分为社会互联网使用者（N=232）和非使用者（N=99）。使用者的参与评估与重组工具-客观社会关系得分显著高于非使用者。同样的发现适用于外出活动得分，且具有更严重抑郁症状严重程度的组间差异更大。在生产力子量表上，使用者和非使用者之间没有显著差异。
社会互联网使用与现实社会参与之间的正相关表明，创伤性脑损伤患者并未将社交媒体作为现实社交的替代方式。相反，在创伤性脑损伤后，相似的障碍和促进因素可能同时影响在线和现实世界的社会参与。在进一步的研究中，应考虑情绪功能作为调节因素。
