TY - JOUR PY - 2022// TI - Brain-in-hand technology for adults with acquired brain injury: a convergence of mixed methods findings JO - Journal of rehabilitation and assistive technologies engineering A1 - Kettlewell, Jade A1 - Ward, Asha A1 - das Nair, Roshan A1 - Radford, Kate SP - e20556683221117759 EP - e20556683221117759 VL - 9 IS - N2 - 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

LA - en SN - 2055-6683 UR - http://dx.doi.org/10.1177/20556683221117759 ID - ref1 ER -