IMproving psYchosocial adjustment to Traumatic Brain Injury from acute to chronic injury through development and evaluation of the online psychoeducation platform: protocol for a mixed-methods study.

Journal: BMJ open

Volume: 14

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Brightwater Research Centre, Brightwater Care Group, Inglewood, Western Australia, Australia lakkhina.troeung@brightwatergroup.com. Brightwater Research Centre, Brightwater Care Group, Inglewood, Western Australia, Australia. Disability Services, Brightwater Care Group, Inglewood, Western Australia, Australia. School of Psychological Science, The University of Western Australia, Crawley, Western Australia, Australia.

Abstract summary 

This protocol describes the study which aims to: (1) develop an online psychoeducation platform for people with traumatic brain injury (TBI), their family members/caregivers, and healthcare staff to improve psychosocial adjustment to TBI across different phases of injury (acute, postacute, and chronic), and (2) undertake an evaluation of efficacy, acceptability, and feasibility.A three-stage mixed-methods research design will be used. The study will be undertaken across four postacute community-based neurorehabilitation and disability support services in Western Australia. Stage 1 (interviews and surveys) will use consumer-driven qualitative methodology to: (1) understand the recovery experiences and psychosocial challenges of people with TBI over key stages (acute, postacute, and chronic), and (2) identify required areas of psychosocial support to inform the psychoeducation platform development. Stage 2 (development) will use a Delphi expert consensus method to: (1) determine the final psychoeducation modules, and (2) perform acceptance testing of the platform. Finally, stage 3 (evaluation) will be a randomised stepped-wedge trial to evaluate efficacy, acceptability, and feasibility. Outcomes will be measured at baseline, postintervention, follow-up, and at final discharge from services. Change in outcomes will be analysed using multilevel mixed-effects modelling. Follow-up surveys will be conducted to evaluate acceptability and feasibility.Ethics approval was granted by North Metropolitan Health Service Mental Health Research Ethics and Governance Office (RGS0000005877). Study findings will be relevant to clinicians, researchers, and organisations who are seeking a cost-effective solution to deliver ongoing psychoeducation and support to individuals with TBI across the recovery journey.ACTRN12623000990628.

Authors & Co-authors:  Troeung Sarunga Raja Mann Wagland MacLeod Martini

Study Outcome 

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Statistics
Citations :  Rubiano AM, Carney N, Chesnut R, et al. . Global neurotrauma research challenges and opportunities. Nature 2015;527:S193–7. 10.1038/nature16035
Authors :  6
Identifiers
Doi : e080030
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
MENTAL HEALTH;Neurological injury;REHABILITATION MEDICINE;World Wide Web technology
Study Design
Study Approach
Qualitative,Mixed-Methods
Country of Study
Publication Country
England