A program evaluation of a healthy lifestyle intervention adapted for individuals with brain injury

Current recommendations are to modify existing evidence-based health interventions rather than building new interventions. Therefore, our team adapted an evidence-based healthy lifestyle intervention to meet the unique needs of individuals with traumatic brain injury (TBI) and stroke. Previously published outcomes supported clinical trial efficacy of these programs, but it is also important to evaluate programs from a participant perspective. Responses from 58 participants who completed their respective intervention and the program exit survey were analyzed. Quantitative items using a Likert-type scale were summarized using descriptive statistics and responses to open-ended questions were analyzed using a thematic approach. Most program components were rated as "very helpful" and open-ended responses suggested that the program was perceived to be effective, that participants would recommend it, and most got what they wanted out of the experience. Although the program was perceived as helpful, a preference for in-person, rather than video conferencing delivery, was evident in responses. Six themes (Challenges, Change in Lifestyle following the Program, Program Feedback, Telehealth Experience, Social Support, and External Tools) and 38 unique subthemes emerged and will help inform future iterations of similar programs for individuals with TBI and stroke to support healthy lifestyle change.