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Internet and Social Media Use After Traumatic Brain Injury: A Traumatic Brain Injury Model Systems Study
Christina Baker-Sparr1, Tessa Hart, Thomas Bergquist
1Craig Hospital, Englewood, Colorado (Ms Baker-Sparr, Mr Mellick, and Dr Whiteneck); Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania (Dr Hart); Mayo Clinic College of Medicine, Rochester, Minnesota (Dr Bergquist); Department of Physical Medicine and Rehabilitation, Ohio State University, Columbus (Dr Bogner); Department of Physical Medicine and Rehabilitation, University of Alabama, Birmingham (Dr Dreer); Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Juengst); Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts (Dr O'Neil-Pirozzi); Department of Communication Sciences and Disorders, Northeastern University, Boston, Massachusetts (Dr O'Neil-Pirozzi); and TIRR Memorial Hermann, and Harris Health System, Baylor College of Medicine, Houston, Texas (Dr Sander).
Objectives:
To characterize Internet and social media use among adults with moderate to severe traumatic brain injury (TBI) and to compare demographic and socioeconomic factors associated with Internet use between those with and without TBI.
Setting:
Ten Traumatic Brain Injury Model Systems centers.
Participants:
Persons with moderate to severe TBI (N = 337) enrolled in the TBI Model Systems National Database and eligible for follow-up from April 1, 2014, to March 31, 2015.
Design:
Prospective cross-sectional observational cohort study.
Main Measures:
Internet usage survey.
Results:
The proportion of Internet users with TBI was high (74%) but significantly lower than those in the general population (84%). Smartphones were the most prevalent means of Internet access for persons with TBI. The majority of Internet users with TBI had a profile account on a social networking site (79%), with more than half of the sample reporting multiplatform use of 2 or more social networking sites.
Conclusion:
Despite the prevalence of Internet use among persons with TBI, technological disparities remain in comparison with the general population. The extent of social media use among persons with TBI demonstrates the potential of these platforms for social engagement and other purposes. However, further research examining the quality of online activities and identifying potential risk factors of problematic use is recommended.