Abstract
<h3>Research Objectives</h3> To investigate the impact of brain injury (TBI) on grocery shopping performance from the viewpoint of those who have suffered a moderate or severe TBI. <h3>Design</h3> Exploratory and descriptive qualitative approach. <h3>Setting</h3> Specialised acquired brain injury rehabilitation service (inpatient and community rehabilitation services). <h3>Participants</h3> Maximum variation purposive sampling was used to recruit 14 adults with moderate to severe TBI. A total of 8 people were recruited from the inpatient rehabilitation ward, while 6 were community dwelling. All participants had participated in rehabilitation which addressed grocery shopping. <h3>Interventions</h3> Not applicable. <h3>Main Outcome Measures</h3> Semi-structured interviews ranging from 20-60 minutes were conducted. Data were analysed using a thematic approach, with deductive coding to the American Occupational Therapy Practice Framework. Demographic data (age, time post injury, living situation, severity of injury) were gathered from the medical record and the Functional Independence Measure (FIM™) was completed on all participants. Double coding of >10% of interviews was completed to increase rigor. <h3>Results</h3> Five key themes emerged from the data; getting to the shops, generation and use of a list, searching and locating items, selecting items, budgeting and paying for items. Brain injury related impairments (cognitive and visual) and external factors (social environment, physical environment, and restrictions on driving and financial management) were identified as being the most common factors which impacted on grocery shopping from the perspectives of those living with TBI. The physical layout and familiarity with the grocery store environment was seen to directly impact on the associated cognitive demands and grocery shopping performance. <h3>Conclusions</h3> People with TBI perceive grocery shopping as a highly contextualised multi-step activity which is impacted by cognitive and visual impairments. Clinical rehabilitation should include consideration of the multiple demands and environmental context of grocery shopping to inform targeted rehabilitation interventions for this population. <h3>Author(s) Disclosures</h3> None
Published Version
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