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Community integration is defined as having something to do (meaningful activity), somewhere to live (independent living), and someone to love (social relationships), and is often identified as a key goal of traumatic brain injury (TBI) rehabilitation (Jacobs 1993; McColl et al. 1998). For people who sustain severe TBI, transition from the inpatient rehabilitation setting to community living marks the start of a lifelong journey to rebuild a meaningful life (Corrigan and Hammond 2013; Evans and Brewis 2008; Nalder et al. 2016; Sloan et al. 2004). Over time, some people with severe TBI are able to reengage in productive life roles and maintain a network of family and friends, whereas others experience social isolation and limited opportunities for meaningful activity and role participation, including paid work, leisure, and friendship roles (Callaway et al. 2005; Gerber et al. 2016; McCabe et al. 2007; Nalder et al. 2012; Ponsford 2012b; Ponsford et al. 2014; Sloan et al. 2012; Tate et al. 2014). In place of engagement in productive roles, time spent in passive leisure activities, such as watching television or playing video games, may expand to fill the gaps (Winkler et al. 2005).
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