The impact of the COVID-19 pandemic on engagement in activities of daily living in persons with acquired brain injury

Exploring the Multidimensional Participation of Adults Living in the Community in the Chronic Phase following Acquired Brain Injury

“…Similar to the results of the present study, previous studies investigating the participation of adults in the chronic phase following ABI have consistently found a negative effect on objective and subjective participation in a variety of domains [ 7 , 9 , 10 , 11 , 20 , 24 , 27 , 29 , 30 , 32 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 52 ]. Moreover, we found that despite focusing only on the prioritized occupational issues, it was still possible to link them to all nine participation domains of the ICF.…”

“…In light of the outbreak of COVID-19, which disrupted individuals’ daily activities and routines [ 22 , 23 ], it appears that this issue has been exacerbated. A recent study found that people with ABI reported a reduction in activity participation during the pandemic compared with their pre-pandemic engagement and compared with healthy adults [ 24 ]. Several studies have found that participation is a powerful predictor of quality of life and life satisfaction following ABI [ 20 , 24 , 25 , 26 , 27 ].…”

“…A recent study found that people with ABI reported a reduction in activity participation during the pandemic compared with their pre-pandemic engagement and compared with healthy adults [ 24 ]. Several studies have found that participation is a powerful predictor of quality of life and life satisfaction following ABI [ 20 , 24 , 25 , 26 , 27 ]. Given the importance of participation as a rehabilitation outcome, and in accordance with the spirit of the ICF, there is an increasing interest in understanding the participation of people with ABI.…”

“…The typical participation profile that emerges from these studies indicates long-standing participation restrictions compared with pre-injury participation and compared with participation among healthy adults. Low performance frequency and high limitation levels are described in various domains including self-care activities (less reported after mild ABI) and mainly in the areas of domestic life, employment, mobility, leisure, and social activities [ 7 , 9 , 10 , 11 , 20 , 24 , 27 , 29 , 30 , 32 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ]. The current literature that used the ICF terminology to describe participation focused mostly on the objective aspects [ 6 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ], while the subjective aspects are notably absent.…”

Stroke Recovery During the COVID-19 Pandemic: A Position Paper on Recommendations for Rehabilitation

“…These necessary supports in the home and community include postacute care, paid and family caregivers, alternative options for transportation, social support groups, and other accessible community areas integrated into daily routines. The COVID-19 pandemic affected various levels of participation in daily routines and access in both home and community environments for those surviving strokes 37 ; closing nonessential businesses, social distancing, and reducing face-to-face contact were among chief contributors to disadvantaged access and participation.…”