Brain-In-Hand technology for adults with acquired brain injury: A convergence of mixed methods findings.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2022-09-08 eCollection Date: 2022-01-01 DOI:10.1177/20556683221117759
Jade Kettlewell, Asha Ward, Roshan das Nair, Kate Radford
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引用次数: 1

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.

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脑-手技术用于成人获得性脑损伤:混合方法发现的收敛。
获得性脑损伤患者可能难以自我管理和独立生活。Brain-in-Hand是一款智能手机应用程序,旨在支持心理问题并鼓励行为改变,包括结构化日记、提醒、商定的解决方案和红绿灯监控系统。目的:探讨脑手控技术在成人后发性脑损伤患者自我管理中的应用价值。方法:A-B混合方法案例研究设计。获得性脑损伤患者(n = 10)接受了长达12个月的brain -in- hand治疗。情绪、独立性、生活质量、认知、疲劳、目标实现、参与的测量在基线、6个月和12个月进行。在6个月时对获得性脑损伤参与者(n = 9)和卫生保健工作者(n = 3)进行了半结构化访谈。结果:使用6个月后目标达成率显著提高(t(7) = 4.20, p = 0.004)。其他结果无明显改善。定性数据表明焦虑管理有所改善。情境(个人/环境)因素是影响手脑使用和有效性的关键因素。有足够的洞察力,适当的支持和动机促进使用。结论:brain -in- hand显示出支持获得性脑损伤的潜力,但需要进一步的工作来确定其有效性。背景在“手脑”的有效性和持续使用方面发挥了关键作用,需要对其进行探索,以支持实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
期刊介绍: ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.
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