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Marginal predictors included education (higher levels predicting improvement) and year 1 marital status (single status predicting decline). Longitudinal change in social participation in the chronic phase of msTBI deserves further study, with attention to resource limitations and the impact of changes in functional status. Longitudinal change in social participation in the chronic phase of msTBI deserves further study, with attention to resource limitations and the impact of changes in functional status.The COVID-19 related confinement