A Web-Based Service Delivery Model for Communication Training After Brain Injury: Protocol for a Mixed Methods, Prospective, Hybrid Type 2 Implementation-Effectiveness Study

Miao, Melissa; Power, Emma; Rietdijk, Rachael; Togher, Leanne; Brunner, Melissa; Debono, Deborah

doi:10.2196/31995

Cited by 6 publications

(10 citation statements)

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“…By making implementation theory directly accessible to multiple stakeholders and proactively facilitating a dialogue between stakeholder experience and implementation theory, we were able to coproduce new implementation knowledge to support the implementation of 3 real-world interventions, including targeted implementation strategies [ 45 ]. Author MW observes the following from a clinician perspective:…”

Section: Discussionmentioning

confidence: 99%

“…The project was jointly conceived and reviewed by stakeholders including people with ABI and their communication partners, community partners such as Brain Injury Australia, and funding partner icare NSW. This was a requirement for funding at project inception, and subsequent funding for this study and related studies [ 45 ]. These stakeholders have continued to participate in advisory and steering committees for the project, provided feedback on early prototypes, and will provide ongoing formative feedback on the interventions and their implementation [ 45 ].…”

Section: Methodsmentioning

confidence: 99%

“…This was a requirement for funding at project inception, and subsequent funding for this study and related studies [ 45 ]. These stakeholders have continued to participate in advisory and steering committees for the project, provided feedback on early prototypes, and will provide ongoing formative feedback on the interventions and their implementation [ 45 ]. Clinicians delivering convers-ABI-lity were included as associate investigators in the project.…”

Section: Methodsmentioning

confidence: 99%

“…An initial version of the survey was developed from a NASSS-based interview schedule [ 50 ], as applied to the Social Brain Toolkit [ 45 ]. This first version was piloted via a live audience poll during an in-person oral presentation of each NASSS domain to a range of funding and health care stakeholders.…”

Section: Methodsmentioning

confidence: 99%

“…Stakeholder priorities and implementation strategies are directly informing the implementation of the Social Brain Toolkit. The outcomes of the implementation strategies will be investigated in a hybrid type 2 implementation–effectiveness study [ 53 ] of all 3 interventions in the Social Brain Toolkit [ 45 ].…”

Section: Methodsmentioning

confidence: 99%

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Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study

Miao¹,

Power²,

Rietdijk³

et al. 2022

JMIR Res Protoc

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Background The Social Brain Toolkit, conceived and developed in partnership with stakeholders, is a novel suite of web-based communication interventions for people with brain injury and their communication partners. To support effective implementation, the developers of the Social Brain Toolkit have collaborated with people with brain injury, communication partners, clinicians, and individuals with digital health implementation experience to coproduce new implementation knowledge. In recognition of the equal value of experiential and academic knowledge, both types of knowledge are included in this study protocol, with input from stakeholder coauthors. Objective This study aims to collaborate with stakeholders to prioritize theoretically based implementation targets for the Social Brain Toolkit, understand the nature of these priorities, and develop targeted implementation strategies to address these priorities, in order to support the Social Brain Toolkit’s implementation. Methods Theoretically underpinned by the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework of digital health implementation, a maximum variation sample (N=35) of stakeholders coproduced knowledge of the implementation of the Social Brain Toolkit. People with brain injury (n=10), communication partners (n=11), and clinicians (n=5) participated in an initial web-based prioritization survey based on the NASSS framework. Survey completion was facilitated by plain English explanations and accessible captioned videos developed through 3 rounds of piloting. A speech-language pathologist also assisted stakeholders with brain injury to participate in the survey via video teleconference. Participants subsequently elaborated on their identified priorities via 7 web-based focus groups, in which researchers and stakeholders exchanged stakeholder perspectives and research evidence from a concurrent systematic review. Stakeholders were supported to engage in focus groups through the use of visual supports and plain English explanations. Additionally, individuals with experience in digital health implementation (n=9) responded to the prioritization survey questions via individual interview. The results will be deductively analyzed in relation to the NASSS framework in a coauthorship process with people with brain injury, communication partners, and clinicians. Results Ethical approval was received from the University of Technology Sydney Health and Medical Research Ethics Committee (ETH20-5466) on December 15, 2020. Data were collected from April 13 to November 18, 2021. Data analysis is currently underway, with results expected for publication in mid-2022. Conclusions In this study, researchers supported individuals with living experience of acquired brain injury, of communicating with or clinically supporting someone post injury, and of digital health implementation, to directly access and leverage the latest implementation research evidence and theory. With this support, stakeholders were able to prioritize implementation research targets, develop targeted implementation solutions, and coauthor and publish new implementation findings. The results will be used to optimize the implementation of 3 real-world, evidence-based interventions and thus improve the outcomes of people with brain injury and their communication partners. International Registered Report Identifier (IRRID) DERR1-10.2196/35080

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study

Miao¹,

Power²,

Rietdijk³

et al. 2022

JMIR Res Protoc

Self Cite

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Developing Social-ABI-lity: An Online Course to Support Safe Use of Social Media for Connection After Acquired Brain Injury

Brunner

Rietdijk

Avramović

et al. 2023

Am J Speech Lang Pathol

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Purpose: People who have an acquired brain injury (ABI) experience challenges using social media. Inversely, rehabilitation clinicians report feeling inadequately prepared to support them in its use. We aimed to develop a collaboratively designed, evidence-based online training resource to support people with an ABI to learn about using social media. Key recommendations for course design have previously been identified through a mixed methods approach, including (a) qualitative exploration of the experiences of people who use social media after ABI, (b) a scoping review to identify key features and effective teaching approaches from existing social media skills training programs. Method: Further design recommendations were obtained in this mixed methods study through (c) collaborative design of course content and features with 23 people, including people with living experience of ABI and other key stakeholders, and (d) a pilot trial of the course prototype with four participants who had an ABI (two men, two women; aged 28–69 years). Results: Training needs to be interactive, including practical components addressing online safety and wellbeing, and to explain how to use social media platforms to connect with others. The first social-ABI-lity prototype incorporated these findings. Pilot data indicated that the prototype was beneficial, with participants demonstrating small increases in social media confidence and knowledge. Areas for further refinement were also identified. Conclusion: The social-ABI-lity self-directed online course is the first of its kind to support people with an ABI in using social media and will be a valuable resource for rehabilitation clinicians internationally. This resource may drive sustainable changes in participation by helping people with ABI to build their social media mastery and to participate in supportive online networks.

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Creating space for theory when codesigning healthcare interventions

Harrison

Shé²,

Debono

et al. 2022

Evaluation Clinical Practice

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A Web-Based Service Delivery Model for Communication Training After Brain Injury: Protocol for a Mixed Methods, Prospective, Hybrid Type 2 Implementation-Effectiveness Study

Cited by 6 publications

References 50 publications

Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study

Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study

Developing Social-ABI-lity: An Online Course to Support Safe Use of Social Media for Connection After Acquired Brain Injury

Creating space for theory when codesigning healthcare interventions

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