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dc.contributor.authorTheadom, Aliceen_NZ
dc.contributor.authorRowland, Vickieen_NZ
dc.contributor.authorLevack, Williamen_NZ
dc.contributor.authorStarkey, Nicola J.en_NZ
dc.contributor.authorWilkinson-Meyers, Lauraen_NZ
dc.contributor.authorMcPherson, Kathrynen_NZ
dc.date.accessioned2016-07-17T21:33:01Z
dc.date.available2016-01-01en_NZ
dc.date.available2016-07-17T21:33:01Z
dc.date.issued2016-01-01en_NZ
dc.identifier.citationTheadom, A., Rowland, V., Levack, W., Starkey, N. J., Wilkinson-Meyers, L., & McPherson, K. (2016). Exploring the experience of sleep and fatigue in male and female adults over the 2 years following traumatic brain injury: a qualitative descriptive study. BMJ OPEN, 6(4). http://doi.org/10.1136/bmjopen-2015-010453en
dc.identifier.issn2044-6055en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/10540
dc.description.abstract𝐎𝐛𝐣𝐞𝐜𝐭𝐢𝐯𝐞𝐬 To explore the experience of fatigue and sleep difficulties over the first 2โ€…years after traumatic brain injury (TBI). 𝐃𝐞𝐬𝐢𝐠𝐧 Longitudinal qualitative descriptive analysis of interviews completed as part of a larger longitudinal study of recovery following TBI. Data relating to the experience of fatigue and/or sleep were extracted and coded by two independent researchers. 𝐒𝐞𝐭𝐭𝐢𝐧𝐠 Community-based study in the Hamilton and Auckland regions of New Zealand. 𝐏𝐚𝐫𝐭𝐢𝐜𝐢𝐩𝐚𝐧𝐭𝐬 30 adult participants who had experienced mild, moderate or severe brain injury within the past 6โ€…months (>16โ€…years of age). 15 participants also nominated significant others to take part. Interviews were completed at 6, 12 and 24โ€…months postinjury. 𝐑𝐞𝐬𝐮𝐥𝐭𝐬 Participants described feeling unprepared for the intensity, impact and persistent nature of fatigue and sleep difficulties after injury. They struggled to learn how to manage their difficulties by themselves and to adapt strategies in response to changing circumstances over time. Four themes were identified: (1) Making sense of fatigue and sleep after TBI; (2) accepting the need for rest; (3) learning how to rest and; (4) need for rest impacts on ability to engage in life. 𝐂𝐨𝐧𝐜𝐥𝐮𝐬𝐢𝐨𝐧𝐬 Targeted support to understand, accept and manage the sleep and fatigue difficulties experienced may be crucial to improve recovery and facilitate engagement in everyday life. Advice needs to be timely and revised for relevance over the course of recovery.
dc.format.mimetypeapplication/pdf
dc.language.isoenen_NZ
dc.publisherBMJ PUBLISHING GROUPen_NZ
dc.rightsThis is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
dc.subjectScience & Technologyen_NZ
dc.subjectLife Sciences & Biomedicineen_NZ
dc.subjectMedicine, General & Internalen_NZ
dc.subjectGeneral & Internal Medicineen_NZ
dc.subjectNew Zealanden_NZ
dc.subjectINSOMNIAen_NZ
dc.subjectScaleen_NZ
dc.titleExploring the experience of sleep and fatigue in male and female adults over the 2 years following traumatic brain injury: a qualitative descriptive studyen_NZ
dc.typeJournal Article
dc.identifier.doi10.1136/bmjopen-2015-010453en_NZ
dc.relation.isPartOfBMJ OPENen_NZ
pubs.begin-pagee010453en_NZ
pubs.elements-id139301
pubs.end-pagee010453en_NZ
pubs.issue4en_NZ
pubs.publication-statusPublisheden_NZ
pubs.volume6en_NZ
uow.identifier.article-noARTN e010453
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