PRIMARY OBJECTIVE: To investigate the participation of adults living with traumatic brain injury in regional and rural NSW as measured by the Participation Objective Participation Subjective (POPS) measure. RESEARCH DESIGN: A quantitative survey of a single cohort as the first of a two phase mixed methods study. METHODS AND PROCEDURES: One hundred and thirty-one adults with a TBI were recruited through eight rural brain injury rehabilitation programmes in NSW. These adults completed a range of survey instruments, including the POPS. MAIN OUTCOMES AND RESULTS: The POPS measure supported findings from other research that identified varying impacts of TBI. However, in contrast to other studies, there was no correlation between participation scores and age, gender, time since injury and severity of injury. CONCLUSIONS: The findings from this study suggest that the issue of participation of adults with TBI living in non-metropolitan areas needs to be further researched.