COVID-19's impact on a community-based physical activity program for adults with moderate-to-severe TBI.

Abstract

Physical activity (PA) is proposed for long-term problems after traumatic brain injury (TBI) with mood, quality of life, and participation. However, COVID-19 mitigation strategies resulted in widespread closures of community-based fitness centres, including one housing a peer-assisted PA program (TBI-Health). The purpose of this study was to provide an in-depth exploration of COVID-19's impact on the TBI-Health program for adults with moderate-to-severe TBI and determine how their PA behaviours could be supported in the pandemic. Interpretative phenomenological analysis was employed to collect and analyze data from semi-structured Zoom-facilitated interviews with seven female and nine male adults with moderate-to-severe TBI (including program participants and mentors). Three major themes were identified. <i>Need for PA after TBI</i> included specific benefits of PA after TBI and desire for an adapted PA program. <i>Lasting Impacts of the TBI-Health Program</i> identified belonging to the TBI-Health community, benefits, and knowledge transfer from the program. <i>Resilience and Loss through the Pandemic</i> comprised the repercussions of COVID-19, loss of the PA program, adapting PA to the pandemic, and resilience after TBI. This study provides insights about impacts of participating in community-based peer-assisted PA programs after moderate-to-severe TBI and ways to support PA in unforeseen circumstances.