The development and evaluation of a web-based programme to support problem-solving skills following brain injury.
Background and aim: 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 in...
| Published in: | Disability & Rehabilitation: Assistive Technology Vol. 14; no. 1; pp. 21 - 33 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | case study pictorial research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Jan2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135412674&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135412674 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Jan2019 vid: 14 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 135412674 135412674 135412674 10.1080/17483107.2017.1389999 135412674 ppf: 21 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The development and evaluation of a web-based programme to support problem-solving skills following brain injury. aug: au: Powell, Laurie Ehlhardt Wild, Michelle R. Glang, Ann Ibarra, Summer Gau, Jeff M. Perez, Amanda Albin, Richard W. O'Neil-Pirozzi, Therese M. Wade, Shari L. Keating, Tom Saraceno, Carolyn Slocumb, Jody affil: Center on Brain Injury Research and Training (CBIRT), University of Oregon, Eugene, OR, USA sug: subj: Brain Injuries Rehabilitation Problem Solving Methods Decision Support Techniques Program Development Internet Utilization Human Male Female Adult Middle Age Aged Mobile Applications Activities of Daily Living Funding Source Action Research Nonexperimental Studies Focus Groups Structured Interview Convenience Sample Community Colleges Students Rehabilitation, Cognitive Methods Faculty Role Scales Questionnaires Personal Satisfaction Evaluation Knowledge Evaluation Descriptive Statistics Pretest-Posttest Design Role Playing Methods Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and aim: 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. Method: 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: 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. Conclusions: 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. pubtype: Academic Journal doctype: case study pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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