Acquired brain injury (ABI) is the second most common cause of disability in America. Prior research highlights family functioning as an important predictor of psychosocial outcomes in the ABI population; however, there remains limited research aimed at understanding the role of family functioning in predicting rehabilitation progress and community participation. A quantitative, exploratory, descriptive research design was used for this study. A total sample of 49 individuals with mild-to-moderate ABI were recruited from a university medical center and outpatient rehabilitation center. Participants completed measures of demographics, community participation, family functioning, and perceived rehabilitation barriers. Data were analyzed using descriptive statistics and multiple regression (MR) analysis. Two MR models were examined, one with rehabilitation barriers as the dependent variable and one with community participation as the dependent variable. Financial support and perceived rehabilitation barriers contributed significantly to variance in community participation satisfaction, while financial support, family functioning, and community participation satisfaction each accounted for a significant portion of variance in perceived rehabilitation barriers. Overall, the full MR 1 model accounted for 33% of variance in community participation satisfaction, while the full MR 2 model accounted for 51% of variance in perceived rehabilitation barriers. Although more research with larger, more diverse samples is needed, this study provides rehabilitation and counseling professionals with important psychosocial concepts to consider in assessment and treatment and helps clarify the role of family in promoting positive rehabilitation and participation outcomes in the ABI community.

中文翻译：

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获得性脑损伤社区的家庭功能、社区参与和康复障碍：探索性分析

获得性脑损伤 (ABI) 是美国第二大常见的残疾原因。先前的研究强调家庭功能是 ABI 人群心理社会结果的重要预测因素；然而，旨在了解家庭功能在预测康复进展和社区参与方面的作用的研究仍然有限。本研究采用定量、探索性、描述性研究设计。从大学医疗中心和门诊康复中心招募了 49 名患有轻度至中度 ABI 的个体作为样本。参与者完成了人口统计、社区参与、家庭功能和感知康复障碍的测量。使用描述性统计和多元回归（MR）分析对数据进行分析。研究了两种 MR 模型，一种以康复障碍为因变量，另一种以社区参与为因变量。财政支持和感知的康复障碍对社区参与满意度的差异有显着影响，而财政支持、家庭功能和社区参与满意度各自在感知的康复障碍的差异中占很大一部分。总体而言，完整的 MR 1 模型解释了社区参与满意度的 33% 方差，而完整的 MR 2 模型解释了感知康复障碍的 51% 方差。尽管需要进行更多、更多样化的研究，但这项研究为康复和咨询专业人员提供了在评估和治疗中需要考虑的重要社会心理概念，并有助于阐明家庭在促进 ABI 社区积极康复和参与结果方面的作用。