Storytelling in Female Veterans Survivors of Traumatic Brain Injury: A Phenomenological Analysis

Abstract

<h3>Research Objectives</h3> To improve understanding of the unique experience of female veterans' post-traumatic brain injury (TBI) utilizing the power of storytelling. <h3>Design</h3> Qualitative phenomenological design. <h3>Setting</h3> TBI/Polytrauma Rehabilitation System of Care of the Veterans Affairs Palo Alto Health Care System (VAPAHCS). <h3>Participants</h3> 10 female veterans participating in a storytelling workshop. <h3>Interventions</h3> No known interventions. <h3>Main Outcome Measures</h3> Retrospective chart review of each participant's demographic and injury information. Using storytelling an arts-based research method approach, participants' shared stories related to their injury, and their recovery experiences related to their TBI. Qualitative analysis for main themes and associated subthemes was completed using a constructivist grounded theory approach <h3>Results</h3> Ten powerful visual stories focused on life pre and post TBI; detailing how their injuries occurred, describing the challenges of their recovery, and sharing thoughts on their life and future. Three content themes emerged from the thematic analysis: (1) psychological and emotional impacts of TBI, (2) acceptance and healing process associated with recovery, and (3) distinct individual mindsets. Negative psychological and emotional impacts identified included suicidal ideation, grief, sadness, anxiety, relationships problems, memory loss, loss of independence, and headaches Notably, all the stories acknowledged a healing process, characterized by a sense of living meaningfully with TBI . Lastly, each story contained a distinct mindset which captured a strong sense of overcoming hardships while emphasizing determination, motivation, optimism for continued recovery, and coping with their new self. <h3>Conclusions</h3> A phenomenological examination adds powerfully to evidence-based research highlighting the distinct impact of TBI among female veterans. Each story uncovered nuanced and multifaceted issues that women uniquely experience in their TBI recovery. Our findings can guide future intervention on the care, support, and TBI recovery for the female population. <h3>Author(s) Disclosures</h3> No conflict of interest from the authors.