The Children's Trust, Tadworth, UK.
Phys Occup Ther Pediatr. 2023;43(4):389-402. doi: 10.1080/01942638.2022.2151394. Epub 2022 Nov 30.
To understand the experiences of young people returning to physical leisure activities following a severe acquired brain injury (ABI).
Seven young people (5 male; 14-19 years) participated. Semi-structured interviews were conducted with young people who sustained a severe ABI 1-3 years prior to the study. Data thematically analyzed using Braun and Clarke's six-phase approach.
Three main themes were created: My changing sense of identity around physical activity after my brain injury (how important physical activity was to them, how participation changed following their ABI); Why I take part in physical leisure activities (fun, friendships, help with recovery and physical and emotional health); and I can't do it alone (need for trusted adults to practically and emotionally support them to try and activities and continue to participate).
Returning to physical leisure activities after ABI was important to young people, especially if they were active prior to their injury. However, participating with changed abilities was practically and emotionally challenging. Services need a multidisciplinary approach to ensure young people are supported with psychological processes of loss, adjustment, identity and resilience in addition to the practical help necessary to enable meaningful participation in activities they consider fun.
了解年轻人在遭受严重后天性脑损伤 (ABI) 后重新参与身体休闲活动的体验。
7 名年轻人(5 名男性;14-19 岁)参与了研究。对在研究前 1-3 年内遭受严重 ABI 的年轻人进行了半结构化访谈。使用 Braun 和 Clarke 的六阶段方法对数据进行主题分析。
创建了三个主要主题:脑损伤后我对身体活动的认同感发生了变化(身体活动对他们有多重要,参与活动在他们 ABI 后发生了怎样的变化);我为什么参与身体休闲活动(乐趣、友谊、帮助康复以及身体和心理健康);我无法独自完成(需要可信赖的成年人在实践和情感上支持他们尝试和继续参与活动)。
年轻人在 ABI 后重新参与身体休闲活动很重要,尤其是在他们受伤前就很活跃的情况下。然而,以改变后的能力参与是具有实践和情感挑战性的。服务需要采取多学科的方法,以确保年轻人在心理过程(包括失落、调整、认同和适应力)方面得到支持,除了为他们提供必要的实践帮助以使其能够参与他们认为有趣的活动之外。