Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Acquired Brain Injury Team, West Dunbartonshire, Scotland.
Disabil Rehabil Assist Technol. 2020 May;15(4):453-466. doi: 10.1080/17483107.2019.1594402. Epub 2019 Apr 15.
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 ( = 24): people with ABI ( = 9), family members ( = 3) and care providers ( = 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. 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. 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 RehabilitationAdults 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.
后天性脑损伤（ABI）后的认知和行为困难可能导致参与休闲和社交活动的减少。增加参与度是神经心理康复的目标，辅助和行为改变技术可以在这方面发挥重要作用。通过焦点小组和访谈的方式，与脑损伤康复利益相关者（= 24）进行了交流：包括 9 名 ABI 患者、3 名家庭成员和 12 名护理人员，以了解参与有意义活动的障碍以及克服这些障碍的方法。一个多学科研究团队使用基于扎根理论的方法进行了协作主题分析。发现了四个相互关联的核心障碍：参与、认知困难、预期（身体或认知困难）和动机。为了克服这些障碍，参与者提到了来自他人和技术的外部动机、保持动力以及有计划的不同方面等主题。研究结果为有针对性地为这一用户群体开发有效的辅助技术指明了未来的方向。具有社交性、说服力、适应个人需求并支持人们规划活动的技术，在神经心理康复中可能特别有用。康复意义成年人 ABI 及其护理人员描述了在进行有意义的活动时面临的障碍，包括难以参与活动、认知困难、对身体或认知困难的预期以及低动机。目前的解决方案是外部提示、保持动力和有计划。这项对不同护理人员和服务使用者的详细定性分析，可以深入了解有助于康复的辅助技术。
