data. Setting: Inpatient rehabilitation. Participants: 36 patients with either traumatic brain injury or hemorrhagic stroke admitted to an inpatient brain injury unit between January and June 2007. Interven- tions: Not applicable. Main Outcome Measures: Delirium Rating Scale–Revised–98 (DRS-R98) and the Anticholinergic Drug Scale (ADS). To create an anticholinergic index (AI) the ADS score was multiplied with number of doses in each 24-hour period. Results: In a cross section of the first assessment of all 36 patients, a statistically significant correlation was found between AI and DRS-R98 (r=.413, P=.006), with correlations also statistically significant in both the delirious and nondelirious groups (r=.46, P=.024; r=.41, P=.05, respectively). A regression analysis using FIM motor scores and days since injury to control for injury severity, found that FIM scores, days since injury, and AI accounted for 41% of the variance in delirium severity (F 3,31 =7.44, P=.001), with AI scores independently contrib- uting 12% of the variance (F 1,32 change=6.61, P=.015). Conclu- sions: Anticholinergic drugs can negatively affect delirium severity in patients with post-brain injury delirium, even in patients who are not presenting with the full spectrum of delirium symptoms. Key Words: Brain injuries; Delirium; Rehabilitation; Stroke. Poster 10 Exploring the Impact of a Knowledge Transfer and Exchange Tools With Clinicians Working With Teenagers Who Sustain Mild Traumatic Brain Injuries. Isabelle Gagnon (McGill University, Montreal, QC), Bonnie Swaine. Disclosure: None declared. Objectives: To describe innovative knowledge transfer and ex- change (KTE) tools recently used to disseminate the results of a study examining the service needs of teens (and of their parents) with a mild traumatic brain injury (TBI), and to explore their impact and useful- ness among clinicians working with this patient group. Design: Mixed methods, including a quantitative posttest assessment of knowledge as well as a qualitative survey investigating clinicians’ opinions of the KTE tools. Setting: Trauma and rehabilitation centers. Interventions: The KTE tools sent to clinicians consisted of a newsletter presenting an overview of the results, accompanied by writing pads in which the main findings of the study were converted into 17 short messages that were each printed on 3 of 51 pages of a bilingual to-do list. The brightly colored pads provided a recording tool for clinicians and daily exposure to the study findings, as well as an opportunity to stress the importance of involving teenagers in the design and evaluation of services targeting them. Main Outcome Measures: A month after receiving the material, clinicians were sent questionnaires asking them to provide their opinions about the usefulness of the tools and whether they felt that having access to the information influences their clinical practice. Results: In general, clinicians appreciated such tools. Conclusions: Results will be presented in the context of how to best acknowledge to improve uptake skills among rehabilita- tion professionals and KTE skills among researchers and how to best evaluate the impact of KTE activities. Key Words: Brain injuries; Rehabilitation. Poster 11 The Impact of Traumatic Brain Injury on Leisure Participation. Elisabeth Wise (University of Washington, Seattle, WA), Christine Matthews-Dalton, Janet Powell, Nancy Temkin, Kathleen Bell, Sureyya Dikman. Disclosure: None declared. Objective: To determine how participation in leisure activities by people with traumatic brain injury (TBI) changes from before to 1 year after injury. Design: Inception cohort with prospective evaluation of leisure participation at 1 year after TBI. Setting: Level I trauma center. Participants: 160 rehabilitation inpatients (mean age, 35.3y; 77% male, 77% white) with moderate-to-severe TBI. Interventions: Not applicable. Main Outcome Measure: Functional status examination. Results: 81% of participants had more difficulty performing leisure activities, required more assistance with activities, performed activities less frequently, or dropped some or almost all leisure activities 1 year after injury. Of the small fraction that returned to preinjury leisure activities, 74% did so within 4 months of the injury. 58% of those who had not returned to previous levels were moderately to severely bothered. Subjects reported participation in a mean of 4.1 leisure activities before injury and 2.8 activities 1 year after injury. The activities most frequently discontinued included drinking, contact sports, riding motorcycles, partying, and doing drugs. The activities most often reported by subjects as a leisure activity started after injury were watching television and exercising. Conclusions: At 1 year after injury, many people with TBI experience difficulty with their leisure activities. Many engage in fewer, more sedentary, and less social leisure activities, with a substantial fraction dissatisfied with these changes. While the discontinued activities may be viewed as a positive change, there are few, if any, new ones to replace them. Leisure activities are an important area of concern for TBI survivors and may have the potential to assist with recovery in other areas. However, it is difficult to address leisure participation following TBI adequately with current systems of care. Key Words: Head injuries, closed; Leisure activities; Rehabilitation. Poster 12 The Landscape of Work Engagement Rehabilitation in Brain Injury Rehabilitation. Georgia Georgiou (Hamilton Health Sci- ences, Hamilton, ON). Disclosure: None declared. Objectives: To examine work engagement among brain injury rehabilitation professionals with specific attention to how they engage with their work (the extent to which they experience vigor, dedication, and absorption while working) and how they engage with people (the degree to which they are welcoming toward others and demonstrate integrity, responsibility, transparency); and to test a theoretical model of work engagement that predicted a relationship between engagement and personal, interpersonal, and organizational capacity. Design: A quantitative self-report survey was used to measure participants’ levels of capacity and engagement and a qualitative question was included to identify initiatives that could be introduced to enhance job perfor- mance. Setting: 81 staff members employed in a hospital-based brain injury program participated in the study. Interventions: Not applica- ble. Main Outcome Measures: Staff members’ ratings of personal capacity, interpersonal capacity, organizational capacity, work engage- ment, and ethical engagement. Results: As predicted by the model, there were statistically significant positive correlations among all 3 capacity variables and engagement with work and statistically signif- icant positive correlations between ethical engagement and personal and interpersonal capacity. The results of the qualitative data analysis revealed 3 broad categories of recommendations for improving job performance (more learning opportunities, more resources to support professional development, the need to build greater team cohesion). Conclusions: These findings provide initial support for a theoretical model that emphasizes the link between capacity and engagement, which could be used to guide theory-driven interventions aimed at improving the work environment. Key Words: Rehabilitation; Staff development. E31 CONGRESS ANNUAL CONFERENCE ABSTRACTS Arch Phys Med Rehabil Vol 89, October 2008