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Jamieson M, McClelland H, Goudie N, McFarlane J, Cullen B, Lennon M, Brewster S, Stanley B, McConnachie A, Evans J. AppReminders - a pilot feasibility randomized controlled trial of a memory aid app for people with acquired brain injury. Neuropsychol Rehabil 2024; 34:535-571. [PMID: 37310032 PMCID: PMC11166046 DOI: 10.1080/09602011.2023.2220969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 05/26/2023] [Indexed: 06/14/2023]
Abstract
Mobile phone reminding apps can be used by people with acquired brain injury (ABI) to compensate for memory impairments. This pilot feasibility trial aimed to establish the feasibility of a randomized controlled trial comparing reminder apps in an ABI community treatment setting. Adults with ABI and memory difficulty who completed the three-week baseline were randomized (n = 29) and allocated to Google Calendar or ApplTree app. Those who attended an intervention session (n = 21) watched a 30-minute video tutorial of the app then completed reminder setting assignments to ensure they could use the app. Guidance was given if needed from a clinician or researcher. Those who passed the app assignments (n = 19) completed a three-week follow up. Recruitment was lower than target (n = 50), retention rate was 65.5%, adherence rate was 73.7%. Qualitative feedback highlighted issues that may impact usability of reminding apps introduced within community brain injury rehabilitation. Feasibility results indicate a full trial would require 72 participants to demonstrate the minimally clinically important efficacy difference between apps, should a difference exist. Most participants (19 of 21) given an app could learn to use it with the short tutorial. Design features implemented in ApplTree have potential to improve the uptake and utility of reminding apps.
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Affiliation(s)
- Matthew Jamieson
- School of Health and Wellbeing, University of Glasgow, Glasgow, UK
- Human Computer Interaction, Department of Computing Science, University of Glasgow, Glasgow, UK
| | | | - Nicola Goudie
- Community Treatment Centre for Brain Injury, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Jean McFarlane
- Acquired Brain Injury (ABI) Service, West Dunbartonshire HSPC, Dumbarton, UK
| | - Breda Cullen
- School of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Marilyn Lennon
- Computer and Information Science, University of Strathclyde, Glasgow, UK
| | - Stephen Brewster
- Human Computer Interaction, Department of Computing Science, University of Glasgow, Glasgow, UK
| | - Bethany Stanley
- Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK
| | - Alex McConnachie
- Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK
| | - Jonathan Evans
- School of Health and Wellbeing, University of Glasgow, Glasgow, UK
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Ownsworth T, Mitchell J, Griffin J, Bell R, Gibson E, Shirota C. Electronic Assistive Technology to Support Memory Function After Traumatic Brain Injury: A Systematic Review of Efficacy and User Perspectives. J Neurotrauma 2023; 40:1533-1556. [PMID: 36792919 DOI: 10.1089/neu.2022.0434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
Abstract Rapid technology advances have led to diverse assistive technology (AT) options for use in memory rehabilitation after traumatic brain injury (TBI). This systematic review aimed to evaluate the efficacy of electronic AT for supporting phases of memory in daily life after TBI. A secondary aim was to examine user perspectives on the utility of AT and factors influencing uptake or use. A systematic search of PsycINFO, MEDLINE, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Excerpta Medica database (Embase), Scopus, and Cochrane Library was conducted from database inception to June 13, 2022, to identify eligible studies. Methodological quality was assessed by two independent reviewers. Nineteen eligible articles involving a total of 311 participants included four randomized controlled trials (RCTs; Class I), five single-case experimental designs (Class II), and 10 pre-post group (n > 10) or single-case studies without experimental control (Class III). Three Class I studies, two Class II studies and eight Class III studies supported the efficacy of AT for supporting memory functioning. Treatment fidelity was not examined in any study. There was the most empirical support for the efficacy of AT for facilitating retrieval and execution phases of memory (i.e., supported by 6/9 studies) with external support to encode memory intentions or pre-programmed reminders. Further controlled studies are needed to determine whether outcomes vary according to individuals' level of independence with use (e.g., self-initiated vs. pre-programmed reminders) and to examine user characteristics and design features influencing uptake and effectiveness. Greater involvement of end-users with brain injury in the design and evaluation of AT features is also recommended to enhance usability and uptake in daily life.
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Affiliation(s)
- Tamara Ownsworth
- School of Applied Psychology, Griffith University, Mt. Gravatt, Queensland, Australia
- The Hopkins Centre, Menzies Health Institute of Queensland, Griffith University, Nathan, Queensland, Australia
| | - Jessie Mitchell
- The Hopkins Centre, Menzies Health Institute of Queensland, Griffith University, Nathan, Queensland, Australia
| | - Janelle Griffin
- Brain Injury Rehabilitation Unit, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
| | - Ryan Bell
- Brain Injury Rehabilitation Unit, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
| | - Emily Gibson
- Brain Injury Rehabilitation Unit, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
| | - Camila Shirota
- The Hopkins Centre, Menzies Health Institute of Queensland, Griffith University, Nathan, Queensland, Australia
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Dsouza SA, Ramachandran M, Nishiura Y, Venkatesh BT, Dahlberg L. Assessment of time-related deficits in older adults: a scoping review protocol. BMJ Open 2021; 11:e050521. [PMID: 34561261 PMCID: PMC8475136 DOI: 10.1136/bmjopen-2021-050521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 08/31/2021] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION People with cognitive impairments often have difficulties in managing their time for daily activities. In older adults with cognitive impairments such as dementia and stroke, these may present as disorientation, poor time awareness, time perception, daily time management and so on. Time-related deficits and associated behaviours impede independent living and add considerably to caregiver strain. Several interventions are being investigated to help people with cognitive impairments orient and navigate time and do their daily activities. The provision of interventions requires the use of sound assessment tools. However, it is not clear how time-related concepts are specifically evaluated in practice, what are the available assessments and how these assessments should be selected. METHOD AND ANALYSIS This protocol follows the Joanna Briggs Institute Reviewer's Manual (2020) for scoping reviews and is registered with the Open Science Framework (https://osf.io/4ptgy/). We will include the following databases: PubMed, CINAHL, Scopus, Web of Science and PsycINFO. Two reviewers will independently screen eligible studies for inclusion against the selection criteria and then review the full-text of the selected studies. We will extract the bibliographic data, study design and setting, and details of assessments used in the studies to evaluate time-related concepts including format, mode and duration of administration, psychometric properties and so on. The identified assessments will be mapped with regard to time-related concepts being evaluated and described using narrative synthesis. ETHICS AND DISSEMINATION As secondary data analysis, ethics approval is not required for this scoping review. We plan to disseminate the results through peer-reviewed journals and conferences targeting health professionals working with older adults.
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Affiliation(s)
- Sebestina Anita Dsouza
- Department of Occupational Therapy, Centre for Studies on Healthy Aging, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Meena Ramachandran
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Yuko Nishiura
- Department of Assistive Technology, National Rehabilitation Center for Persons with Disabilities Research Institute, Tokorozawa, Saitama, Japan
| | - Bhumika Tumkur Venkatesh
- Public Health Evidence South Asia, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Lena Dahlberg
- School of Health and Welfare, Dalarna University, Falun, Dalarna, Sweden
- Aging Research Center, Karolinska Institutet and Stockholm University, Solna, Sweden
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Gagnon-Roy M, Bier N, Couture M, Giroux S, Pigot H, Zarshenas S, Bottari C. Facilitators and obstacles to the use of a cognitive orthosis for meal preparation within the homes of adults with a moderate to severe traumatic brain injury: Informal caregivers and health-care professionals’ perspectives. Assist Technol 2021; 34:281-288. [DOI: 10.1080/10400435.2020.1809552] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- M. Gagnon-Roy
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada
| | - N. Bier
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre de recherche de l’Institut universitaire de gériatrie de Montréal, Montreal, Canada
| | - M. Couture
- Centre for Research and Expertise in Social Gerontology, Côte Saint-Luc, Canada
| | - S. Giroux
- DOMUS Laboratory, Université de Sherbrooke, Sherbrooke, Montreal, Canada
| | - H. Pigot
- DOMUS Laboratory, Université de Sherbrooke, Sherbrooke, Montreal, Canada
| | - S. Zarshenas
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada
| | - C. Bottari
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada
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Gagnon-Roy M, Bier N, Couture M, Giroux S, Pigot H, Zarshenas S, Bottari C. Facilitators and obstacles to the use of a cognitive orthosis for meal preparation within the homes of adults with a moderate to severe traumatic brain injury: Informal caregivers and health-care professionals’ perspectives. Assist Technol 2021. [DOI: 10.1080/10400435.2020.1809552 p1-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022] Open
Affiliation(s)
- M. Gagnon-Roy
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada
| | - N. Bier
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre de recherche de l’Institut universitaire de gériatrie de Montréal, Montreal, Canada
| | - M. Couture
- Centre for Research and Expertise in Social Gerontology, Côte Saint-Luc, Canada
| | - S. Giroux
- DOMUS Laboratory, Université de Sherbrooke, Sherbrooke, Montreal, Canada
| | - H. Pigot
- DOMUS Laboratory, Université de Sherbrooke, Sherbrooke, Montreal, Canada
| | - S. Zarshenas
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada
| | - C. Bottari
- School of Rehabilitation, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada
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