ABSTRACT

Smartphones are useful compensatory memory aids, yet training on how to use them is seldom offered as part of rehabilitation for acquired brain injuries (ABIs). We aimed to explore the experience and acceptability of a smartphone training intervention in 26 people with ABI who participated in a pilot randomized controlled trial comparing three skills training approaches. Participants completed questionnaire ratings and a semi-structured interview, six weeks post-training. Most participants rated the training as enjoyable (80.8%) and reasonable in duration (88.5%). Others reported that more than one training session was needed to learn the app (34.6%). Five themes were identified from qualitative data through thematic analysis: (1) Attitudes and pre-existing factors, (2) Experiencing the intervention, (3) Tailoring the intervention to the individual, (4) Facilitators and barriers to implementation and (5) Enhancing smartphone use in everyday life. These themes were juxtaposed with a theoretical framework of acceptability, which indicated that some elements (e.g., having a structured session and a supportive trainer) contributed to the acceptability of the intervention by minimizing training burden and increasing self-efficacy. Tailoring the training to the individual’s technological skills and lifestyle, providing post-training resources and involving family members were identified as factors that could improve intervention acceptability.

摘要

智能手机是有用的代偿性记忆辅助工具，但很少提供有关如何使用它们的培训作为获得性脑损伤 (ABI) 康复的一部分。我们的目的是在 26 名 ABI 患者中探索智能手机培训干预的经验和可接受性，他们参加了一项比较三种技能培训方法的试点随机对照试验。参与者在培训后六周内完成了问卷评分和半结构化访谈。大多数参与者认为培训愉快（80.8%）且持续时间合理（88.5%）。其他人报告说，学习该应用程序需要不止一次的培训课程（34.6%）。通过主题分析从定性数据中确定了五个主题：（1）态度和预先存在的因素，（2）体验干预， (3)为个人量身定制干预，(4)实施的促进者和障碍，以及 (5)加强智能手机在日常生活中的使用。这些主题与可接受性的理论框架并列，这表明某些要素（例如，有结构化的课程和支持性培训师）通过最小化培训负担和提高自我效能来促进干预的可接受性。根据个人的技术技能和生活方式定制培训、提供培训后资源和让家庭成员参与被确定为可以提高干预可接受性的因素。