Digital Health Implementation Strategies Coproduced With Adults With Acquired Brain Injury, Their Close Others, and...

Area of Science:

• Neuroscience and Rehabilitation
• Digital Health Implementation
• Communication Sciences

Background:

• Acquired brain injuries (ABIs) frequently lead to cognitive-communication disorders, impacting individuals and their social circles.
• International best practices recommend speech-language pathologists support communication for both ABI survivors and their communication partners.
• There's a growing need to support digital communication, like social media, post-ABI, necessitating scalable service delivery models.

Purpose of the Study:

• To co-produce implementation knowledge for the "Social Brain Toolkit," a digital communication rehabilitation intervention for adults with ABI.
• To involve individuals with ABI, their close others, clinicians, and digital health leaders in the implementation process.

Main Methods:

• An explanatory sequential mixed methods design with a maximum variation sample (N=35) including stakeholders.
• Quantitative prioritization of the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework domains.
• Qualitative interviews and focus groups analyzed deductively against the NASSS framework, with collaborative autoethnography and network analysis.

Main Results:

• 48 digital health implementation considerations and 52 tailored strategies were generated across prioritized NASSS domains (condition, technology, value proposition, adopters).
• User and persona testing and responsive design were identified as potentially the most impactful implementation strategies.
• A network analysis revealed 172 unique relationships between considerations and strategies.

Conclusions:

• Co-production yielded valuable implementation knowledge and tailored strategies for digital communication rehabilitation in ABI.
• Complexity-informed network analysis provided a data-driven method to identify high-impact strategies.
• The study highlights the benefits of coproduction for developing actionable digital health implementation guidance for ABI.