The development and evaluation of a web-based programme to support problem-solving skills following brain injury
Autor: | Carolyn Saraceno, Laurie Ehlhardt Powell, Amanda Perez, Therese M. O'Neil-Pirozzi, Richard W. Albin, Shari L. Wade, Summer Ibarra, Jeff M. Gau, Ann Glang, Tom Keating, Michelle Ranae Wild, Jody Slocumb |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male 030506 rehabilitation Applied psychology Biomedical Engineering Poison control Physical Therapy Sports Therapy and Rehabilitation Pilot Projects Suicide prevention Occupational safety and health 03 medical and health sciences Speech and Hearing 0302 clinical medicine Assistive technology Injury prevention Web application Humans Orthopedics and Sports Medicine Simulation Problem Solving Aged Internet business.industry Rehabilitation food and beverages Human factors and ergonomics Cognition Focus Groups Middle Aged Mobile Applications Treatment Outcome Brain Injuries Female Health Services Research 0305 other medical science business Psychology 030217 neurology & neurosurgery |
Zdroj: | Disability and rehabilitation. Assistive technology. 14(1) |
ISSN: | 1748-3115 |
Popis: | Cognitive impairments following brain injury, including difficulty with problem solving, can pose significant barriers to successful community reintegration. Problem-solving strategy training is well-supported in the cognitive rehabilitation literature. However, limitations in insurance reimbursement have resulted in fewer services to train such skills to mastery and to support generalization of those skills into everyday environments. The purpose of this project was to develop and evaluate an integrated, web-based programme, ProSolv, which uses a small number of coaching sessions to support problem solving in everyday life following brain injury.We used participatory action research to guide the iterative development, usability testing, and within-subject pilot testing of the ProSolv programme. The finalized programme was then evaluated in a between-subjects group study and a non-experimental single case study.Results were mixed across studies. Participants demonstrated that it was feasible to learn and use the ProSolv programme for support in problem solving. They highly recommended the programme to others and singled out the importance of the coach. Limitations in app design were cited as a major reason for infrequent use of the app outside of coaching sessions.Results provide mixed evidence regarding the utility of web-based mobile apps, such as ProSolv to support problem solving following brain injury. Implications for Rehabilitation People with cognitive impairments following brain injury often struggle with problem solving in everyday contexts. Research supports problem solving skills training following brain injury. Assistive technology for cognition (smartphones, selected apps) offers a means of supporting problem solving for this population. This project demonstrated the feasibility of a web-based programme to address this need. |
Databáze: | OpenAIRE |
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