Technology to encourage meaningful activities following brain injury

Jamieson, M., Jack, R., O'Neill, B., Cullen, B. , Lennon, M., Brewster, S. and Evans, J. (2020) Technology to encourage meaningful activities following brain injury. Disability and Rehabilitation: Assistive Technology, 15(4), pp. 453-466. (doi: 10.1080/17483107.2019.1594402) (PMID:30985193)

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Background: Cognitive and behavioural difficulties after acquired brain injury (ABI) may lead to reduced engagement in leisure and social activities. Increasing participation is a goal of neuropsychological rehabilitation and assistive and behaviour change technology can play an important role in this. Focus groups and interviews were conductive with brain injury rehabilitation stakeholders (n = 24): people with ABI (n = 9), family members (n = 3) and care providers (n = 12) in order to understand the barriers to engaging in meaningful activities and what helps to overcome these barriers. A collaborative thematic analysis was performed by a multi-disciplinary research team using an approach based on Grounded Theory. Results: Four central, interlinked, barriers were found: Access, Cognitive Difficulties, Anticipation (of Physical or Cognitive Difficulties) and Motivation. To overcome these barriers, participants cited themes such as External Motivation from both Other People and Technology, Maintaining Momentum and different aspects of Being Planful. Conclusions: The results point to future directions for the purposeful development of effective assistive technology for this user group. Technology that is social, persuasive, adapts to individual needs and supports people to plan activities are likely to be particularly useful within neuropsychological rehabilitation. Implications For Rehabilitation: Adults with ABI and their carers describe problems accessing activities, cognitive difficulties, anticipationof physical or cognitive difficulties and low motivation as the key barriers to undertaking meaningfulactivities. Current solutions are external prompting, maintaining momentum and being planful. This detailed qualitative analysis of a diverse group of carers and service users allows insight into theassistive technologies that could aid rehabilitation.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Jamieson, Dr Matthew and Evans, Professor Jonathan and Cullen, Dr Breda and Brewster, Professor Stephen and O'Neill, Dr Brian
Authors: Jamieson, M., Jack, R., O'Neill, B., Cullen, B., Lennon, M., Brewster, S., and Evans, J.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
College of Science and Engineering > School of Computing Science
Journal Name:Disability and Rehabilitation: Assistive Technology
Publisher:Taylor & Francis
ISSN (Online):1748-3115
Published Online:15 April 2019
Copyright Holders:Copyright © 2019 Informa UK Limited, trading as Taylor & Francis Group
First Published:First published in Disability and Rehabilitation: Assistive Technology 15(4): 453-466
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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