@article{ref1,
title="Brain-in-hand technology for adults with acquired brain injury: a convergence of mixed methods findings",
journal="Journal of rehabilitation and assistive technologies engineering",
year="2022",
author="Kettlewell, Jade and Ward, Asha and das Nair, Roshan and Radford, Kate",
volume="9",
number="",
pages="e20556683221117759-e20556683221117759",
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. <br><br>AIM: To evaluate the potential use and effectiveness of Brain-in-Hand for self-management in adults with acquired brain injury. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="2055-6683",
doi="10.1177/20556683221117759",
url="http://dx.doi.org/10.1177/20556683221117759"
}