Department of Physical Medicine and Rehabilitation.
Department of Occupational Therapy.
Rehabil Psychol. 2022 Aug;67(3):344-355. doi: 10.1037/rep0000421. Epub 2022 Jul 14.
In rehabilitation research and practice, participation is defined as involvement in life situations and most often measured as frequency of engaging in these life situations. This narrow measurement approach overlooks that individuals perceive importance of and satisfaction with participation in activities in various life areas differently. The purpose of this study was to determine differences in meaningful participation (perceived importance and satisfaction) after moderate to severe traumatic brain injury (TBI) across age groups and to identify predictors of participation satisfaction.
Secondary data analysis of a TBI Model Systems substudy, including the Participation Assessment with Recombined Tools-Subjective (PART-S) that rates participation importance and satisfaction in 11 life areas that we grouped into three domains (i.e., productivity, social relations, out-and-about). We identified differences across age groups (i.e., 16 to 24 years, 25 to 44 years, 45 to 64 years, and 65 + years) and predictors of participation satisfaction.
Participation satisfaction in and importance of the 11 life areas varied across age groups. In all age groups, participants rated relationships as being of medium or high importance more often than other life areas. Older adults reported the highest participation satisfaction across life areas, despite having the lowest participation frequency. Consistent predictors of participation satisfaction were cognitive functioning and frequency of participation in the domain examined.
Participation importance, satisfaction, and frequency are related, yet distinct, dimensions of participation that should all be measured to adequately evaluate meaningful participation. Future research should explore interventions across the lifespan that target modifiable predictors, like functional cognition and access to frequent participation in important life activities. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
在康复研究和实践中，参与被定义为参与生活情境，并且通常以参与这些生活情境的频率来衡量。这种狭隘的测量方法忽略了个体对不同生活领域的活动的参与意义和满意度的感知存在差异。本研究的目的是确定中度至重度创伤性脑损伤（TBI）后不同年龄组的有意义参与（感知重要性和满意度）的差异，并确定参与满意度的预测因素。
对 TBI 模型系统子研究的二次数据分析，包括参与评估与重组工具-主观（PART-S），该工具对 11 个生活领域的参与重要性和满意度进行评分，我们将这些领域分为三个领域（即生产力、社会关系、外出活动）。我们确定了不同年龄组之间的差异（即 16 至 24 岁、25 至 44 岁、45 至 64 岁和 65 岁及以上）和参与满意度的预测因素。
不同年龄组的参与重要性和满意度在 11 个生活领域中存在差异。在所有年龄组中，参与者都将人际关系评为比其他生活领域更重要或非常重要。尽管老年人参与生活领域的频率最低，但他们报告的参与满意度最高。参与满意度的一致预测因素是认知功能和在所研究领域的参与频率。
参与重要性、满意度和频率是相关但又不同的参与维度，都应该进行测量，以充分评估有意义的参与。未来的研究应该探索针对可改变的预测因素（如功能性认知和获得重要生活活动的频繁参与）的跨生命周期干预措施。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
