Citation

Kettlewell J, Ward A, das Nair R, Radford K. J. Rehabil. Assist. Technol. Eng. 2022; 9: e20556683221117759.

Copyright

(Copyright © 2022, SAGE Publishing)

DOI

10.1177/20556683221117759

PMID

36105910

PMCID

PMC9465594

Abstract

INTRODUCTION: Individuals with acquired brain injury may find it difficult to self-manage and live independently. Brain-in-Hand is a smartphone app designed to support psychological problems and encourage behaviour change, comprised of a structured diary, reminders, agreed solutions, and traffic light monitoring system.

AIM: To evaluate the potential use and effectiveness of Brain-in-Hand for self-management in adults with acquired brain injury.

METHODS: A-B mixed-methods case-study design. Individuals with acquired brain injury (n = 10) received Brain-in-Hand for up to 12 months. Measures of mood, independence, quality of life, cognition, fatigue, goal attainment, participation administered at baseline, 6 and 12 months. Semi-structured interviews conducted with acquired brain injury participants (n = 9) and healthcare workers (n = 3) at 6 months.

RESULTS: Significant increase in goal attainment after 6 months use (t(7) = 4.20, p =.004). No significant improvement in other outcomes. Qualitative data suggested improvement in anxiety management. Contextual (personal/environmental) factors were key in influencing the use and effectiveness of Brain-in-Hand. Having sufficient insight, appropriate support and motivation facilitated use.

CONCLUSIONS: Brain-in-Hand shows potential to support acquired brain injury, but further work is required to determine its effectiveness. Context played a pivotal role in the effectiveness and sustained use of Brain-in-Hand, and needs to be explored to support implementation.

Language: en

Keywords

rehabilitation; brain injury; assistive technology; independent living; self-management; smart technology; smartphone app