Design Innovation for Engaging and Accessible Digital Aphasia Therapies: Framework Analysis of the iReadMore App...

Area of Science:

• Neuroscience
• Digital Health
• Human-Computer Interaction

Background:

• iReadMore is a digital therapy for alexia caused by brain injury or neurodegeneration.
• A Phase II trial showed prototype efficacy for poststroke aphasia and alexia but highlighted challenges in home-based self-management.
• Subsequent design innovation was needed to translate research findings into real-world benefits.

Purpose of the Study:

• To present a methodology for inclusive co-design in redesigning a digital therapy prototype.
• To focus on enhancing accessibility and user engagement in digital therapies for aphasia.
• To explore themes from co-design communications and interactions using framework analysis.

Main Methods:

• A two-stage study involving in-person and remote co-design sessions with participants experiencing poststroke aphasia and their carers.
• Data collection via video recordings, participant notes, and drawings from co-design sessions.
• Qualitative framework analysis to identify themes relevant to digital aphasia therapy design.

Main Results:

• Seven key areas for digital aphasia therapy design were identified: agency, intuitive design, motivation, personal trajectory, relatable content, social/sharing aspects, and widening participation.
• The co-design process facilitated the deployment of the iReadMore app in an accessible and engaging format.
• Framework analysis provided insights into crucial design considerations for digital therapies targeting individuals with aphasia.

Conclusions:

• Co-design is vital for innovating digital therapies, leveraging technology for user-centered design.
• The co-designed iReadMore app is now available for rehabilitation of acquired reading impairments.
• This paper offers a methodology for inclusive co-design with people with aphasia and highlights key design insights.