Latest
These articles are the latest published in the journal. Brain Impairment has moved to a continuous publication model. More information is available on our Continuous Publication page.
IB23101Heads Together Online Peer Education (HOPE): co-design of a family-led, video-based resource for families affected by paediatric acquired brain injury
Heads Together Online Peer Education (HOPE) is an online video resource that provides information and early support to families following childhood acquired brain injury (ABI). This study explored parents’ and rehabilitation clinicians’ experiences of using HOPE, and whether they found HOPE enjoyable and user-friendly. These results will help guide how we provide HOPE to families following childhood ABI within rehabilitation.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23101 Abstract | IB23101 Full Text | IB23101PDF (1.6 MB) | IB23101Supplementary Material (555 KB) Open Access Article
IB23109Healing Right Way randomised control trial enhancing rehabilitation services for Aboriginal people with brain injury in Western Australia: translation principles and activities
This report provides the theory, method and practice of culturally secure translation and knowledge exchange in the Healing Right Way Clinical Trial (2017–2022), outlining activities to date.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23109 Abstract | IB23109 Full Text | IB23109PDF (592 KB) | IB23109Corrigendum (662 KB) Open Access Article
IB23060Co-designing positive behaviour support (PBS+PLUS) training resources: a qualitative study of people with ABI, close-others, and clinicians’ experiences
Behaviour change is common and distressing after acquired brain injury (ABI); however, clinicians report a lack of training to address this. An intervention guidebook and podcast series were co-designed as training resources in PBS+PLUS, a behaviour support intervention. Participants with ABI, family members, and clinicians reported on many benefits of being involved in this co-design process and on the high utility of co-designed PBS+PLUS resources. Findings highlight the importance of involving stakeholders when implementing research into clinical settings.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23060 Abstract | IB23060 Full Text | IB23060PDF (1.1 MB) | IB23060Supplementary Material (271 KB) Open Access Article
IB23103Understanding factors that influence goal setting in rehabilitation for paediatric acquired brain injury: a qualitative study using the Theoretical Domains Framework
While goal setting with children and their families is considered best practice during rehabilitation following acquired brain injury, its successful implementation in an interdisciplinary team is not straightforward. This paper describes the application of a theoretical framework to understand factors influencing goal setting with children and their families in a large interdisciplinary rehabilitation team.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23103 Abstract | IB23103 Full Text | IB23103PDF (856 KB) | IB23103Supplementary Material (641 KB) Open Access Article
IB23094Adapting TeachABI to the local needs of Australian educators – a critical step for successful implementation
This paper details the adaptation process forTeachABI-Australia, a nationwide digital resource for educators addressing acquired brain injury (ABI)-related learning needs. Australian educators found TeachABI acceptable but recommended modifications to improve cultural and environmental fit, highlighting the importance of tailoring professional development resources to local contexts.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23094 Abstract | IB23094 Full Text | IB23094PDF (942 KB) | IB23094Supplementary Material (762 KB) Open Access Article
IB23093Implementation of activities of daily living retraining for individuals in post-traumatic amnesia
Despite evidence supporting skills retraining during post-traumatic amnesia (PTA) following traumatic brain injury (TBI), utilisation of this intervention in clinical practice in Australia is unclear. Following training in the intervention, occupational therapists reported improved confidence and competencies, and 2 years later, a key facilitator of implementing the intervention into clinical practice was the benefit to the patients. Despite this, barriers such as time and resourcing require consideration to facilitate best-practice rehabilitation for individuals in PTA.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23093 Abstract | IB23093 Full Text | IB23093PDF (1.5 MB) | IB23093Supplementary Material (1.7 MB) Open Access Article
IB23061Increasing exercise with a mobile app in people with Parkinson’s disease: a pilot study
Regular exercise can greatly benefit those with Parkinson’s disease, and our pilot study shows that a tailored mobile app can help. By participating in a home exercise program using the app for 2 weeks, patients saw a notable increase in activity and an enhancement in their overall well-being. This approach could offer a supportive step toward improved health management for those with Parkinson’s disease.
IB23061 Abstract | IB23061 Full Text | IB23061PDF (1.4 MB) | IB23061Supplementary Material (369 KB) Open Access Article
IB23092Health professionals’ practices and perspectives of post-stroke coordinated discharge planning: a national survey
Going home after a stroke is a significant milestone in the stroke recovery journey; however, stroke survivors have unmet needs in relation to discharge planning processes. Our survey found that healthcare professionals working in stroke care experience challenges in coordinating care between services, resulting in inconsistent practice. Our study suggests that clearer guidance and support is needed to improve communication between hospital-based clinicians and primary and community care providers, which will benefit outcomes for stroke survivors.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23092 Abstract | IB23092 Full Text | IB23092PDF (895 KB) | IB23092Supplementary Material (511 KB) Open Access Article
IB23063Implementation of a strengths-based approach in a traumatic brain injury community service; perspectives of community workers
This descriptive qualitative study explores the perceived changes within a community-based organisation following the implementation of a strength-based approach for people living with the sequela of a traumatic brain injury. Positive changes resulting from the implementation process were revealed through semi-structured interviews with community support workers of the organisation.
IB23091Developing consensus-based clinical competencies to guide stroke clinicians in the implementation of psychological care in aphasia rehabilitation
People with aphasia after stroke can have difficulty with conversations, healthcare decisions, relationships and returning to work. Aphasia can have negative impacts on psychological and mental health, such as depression and anxiety. Stroke clinicians report a lack of knowledge and skills in how to best support communication and psychological care needs. Consumers with lived experience of aphasia and expert clinicians contributed to the identification of a preliminary list of clinical competencies to guide clinician skill development.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23091 Abstract | IB23091 Full Text | IB23091PDF (864 KB) | IB23091Supplementary Material (366 KB) Open Access Article
IB23064When stroke survivors’ self-ratings are inconsistent with the ratings of others: a cohort study examining biopsychosocial factors associated with impaired self-awareness of functional abilities
Stroke survivors often disagree with others (e.g. clinicians) regarding the nature and extent of their post-stroke impairments – a phenomenon termed ‘impaired self-awareness’ (ISA). Using 45 stroke survivors, this study examined biological, psychological and social factors associated with ISA at two time points during rehabilitation. ISA was associated with a number of biopsychosocial markers of poorer outcomes across the rehabilitation journey. Results highlighted the clinical importance of ISA and suggested there may be value in biopsychosocial-informed assessment and management approaches.
IB23064 Abstract | IB23064 Full Text | IB23064PDF (944 KB) Open Access Article
IB23062Capacity building for providers of cognitive rehabilitation in Queensland: a needs analysis survey
A needs analysis of 103 providers of cognitive rehabilitation services to people with brain injury in Queensland indicated a need for further training in this complex area of practice. Respondents perceived a need for further training on the management of complex impairments such as in executive function, self-awareness and functional cognition. There was a preference for flexible delivery of training with support from the workplace to overcome barriers associated with time constraints and affordability.
IB23062 Abstract | IB23062 Full Text | IB23062PDF (860 KB) | IB23062Supplementary Material (1 MB) Open Access Article
IB23100Understanding barriers and facilitators to long-term participation needs in children and young people following acquired brain injuries: a qualitative multi-stakeholder study
Children and young people with acquired brain injury (CYP-ABI) and their families experience long-term impact on their well-being and participation in activities at home, school and in their community. They have substantial unmet needs and face multiple barriers, with a lack of awareness and understanding, support for parents and cross-sector collaboration being key. The findings are informing intervention development and recommendations for improving service provision to ensure the needs of CYP-ABI and their families are met and they experience improved health and well-being.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23100 Abstract | IB23100 Full Text | IB23100PDF (1.4 MB) | IB23100Supplementary Material (256 KB) Open Access Article
IB23090_COCorrigendum to: Comparing cognitive fatigue after school and weekend days for children with TBI vs TD
IB23065Co-developing ‘The CyberABIlity Scale’ to assess vulnerability to cyberscams for people with acquired brain injury: Delphi and cognitive interviews with clinicians and people with acquired brain injury
Although people with acquired brain injury (ABI) may be vulnerable to online scams, there are no existing ways of assessing cyberscam risks or the effectiveness of interventions for people with ABI. A screening tool (‘The CyberABIlity Scale’) was developed and revised based on feedback from clinicians and people with ABI. The CyberABIlity Scale was found to be accessible and relevant, and has the potential to be an effective tool for identifying online vulnerability for people with ABI.
IB23065 Abstract | IB23065 Full Text | IB23065PDF (864 KB) | IB23065Supplementary Material (459 KB) Open Access Article
IB23068Co-designing for behavioural change: understanding barriers and enablers to addressing sexuality after traumatic brain injury and mapping intervention strategies in a multi-disciplinary rehabilitation unit
Helping patients navigate changes in sexual functioning and wellbeing after traumatic brain injury is an important aspect of recovery often overlooked in health care. This study tackles the hesitancy around discussing sexuality by identifying barriers and enablers and co-designing solutions with a healthcare team. This exploration revealed the importance of addressing institutional and environmental barriers to tackle the discomfort in addressing sexuality and to achieve sustainable behavioural change within healthcare teams.
This article belongs to the Collection Clinical Implementation to Optimise Outcomes.
IB23068 Abstract | IB23068 Full Text | IB23068PDF (1.6 MB) | IB23068Supplementary Material (948 KB) Open Access Article
IB23066What does cognitive screening reveal about early cognitive performance following endovascular clot retrieval and intravenous thrombolysis in acute ischaemic stroke?
Cognitive impairment is common after stroke and can have an ongoing negative impact on the everyday lives of stroke survivors. However, little is known about cognitive outcomes following different treatments for ischaemic stroke. We found that treatment with clot retrieval was associated with better performance on a measure of cognitive screening in the days following a stroke, indicating that clot retrieval may improve cognitive outcomes in addition to its established benefit in reducing the degree of disability in treated patients.
IB23066 Abstract | IB23066 Full Text | IB23066PDF (914 KB) Open Access Article
IB23072Quality of life and broader experiences of those with acoustic neuroma: a mixed methods approach
This study explored the experiences of people with an acoustic neuroma in New Zealand. We asked about changes to quality of life and the provision of information, support and services. We concluded that there are negative impacts of acoustic neuroma for New Zealanders and gaps in person‐centred care, such as provision of information, education, and access to formal and informal support. There is a need for practical information, education and support during diagnosis, treatment and post‐treatment.
IB23072 Abstract | IB23072 Full Text | IB23072PDF (1 MB) Open Access Article
IB23080Online screening assessment of lifetime exposure to traumatic brain injury: a pilot study of associations between exposure and health status
Traumatic brain injury (TBI) is associated with lifelong consequences. The potential for long-term negative consequences from multiple TBIs has inspired discussion about how to measure Lifetime TBI Exposure (LTE). This pilot study applied an online version of the Ohio State University Traumatic Brain Injury Identification Method (OSU TBI-ID) for LTE screening in the general adult population in Australia. Results indicated that the online OSU TBI-ID is a feasible and valid measure for assessing LTE. This method could assist in identifying TBIs that have previously gone unrecognised, unreported, or untreated.
IB23080 Abstract | IB23080 Full Text | IB23080PDF (888 KB) Open Access Article
IB23073Adaptation and feasibility of START online, a multicomponent intervention for Australian carers of people with dementia: a pilot randomised controlled trial
There are more than 400 000 Australians living with dementia and an estimated 200 000 family or friends providing care to them. While the carer’s experience can be a positive one, it can also be very stressful. This study shows that an online carer support program was received well and can be helpful in improving mood. Support should be offered to all carers of people living with dementia.
IB23073 Abstract | IB23073 Full Text | IB23073PDF (1.3 MB) Open Access Article
IB23070Experience of mTBI-like symptoms in a sample without brain injury in Aotearoa/New Zealand
Symptoms associated with concussion (e.g. headaches, tiredness) are experienced in the absence of concussion such that it’s important to understand how symptoms are experienced among people without concussion. We asked adults without a brain injury how they experience concussion-like symptoms and found that people with higher levels of worry about illness and negative feelings tended to experience greater symptom severity. These findings highlight the importance of interpreting symptom experience in concussion populations in the context of a broader clinical picture.
IB23070 Abstract | IB23070 Full Text | IB23070PDF (892 KB) | IB23070Supplementary Material (937 KB) Open Access Article
IB23075Barriers and facilitators to the assessment of cognitive-communication disorders in children and adolescents after traumatic brain injury: a survey of Australian clinical practice
Understanding how Australian speech-language pathologists (SLPs) assess cognitive-communication disorders in children and adolescents with traumatic brain injuries (TBIs) is crucial for improving paediatric care. In a survey of 111 SLPs, although professional optimism was high, results found diverse measurement practices and feelings of nervousness and difficulty among clinicians. These insights highlight the need for standardized practices and enhanced training to ensure accurate and consistent assessments to ultimately improve outcomes for children and adolescents recovering from TBIs.
IB23075 Abstract | IB23075 Full Text | IB23075PDF (1.3 MB) | IB23075Supplementary Material (286 KB) Open Access Article
IB23076The many faces of stigma after Acquired Brain Injury: a systematic review
Stigma surrounding Acquired Brain Injury (ABI) significantly impacts the recovery process of survivors, and it represents an area of immense importance that is gaining overdue attention. This review conceptualizes and offers evidence about the four main types of stigma after ABI: self-stigma, public stigma, stigma-by-association and implicit/explicit stigma. Understanding these nuances not only sheds light on the challenges faced by ABI survivors, but also provides a roadmap for developing interventions that support overall recovery and societal inclusion.
IB23087An exploration of families’ lived experiences of attention-related communication difficulties following traumatic brain injury
Communication difficulties following traumatic brain injury (TBI) can affect both the individual and the family following the injury. This paper reviews the specific nature of attention-related difficulties following TBI on the family through qualitative analysis of interviews. Families were found to adapt their social lives and implement specific strategies to improve the ability of their loved ones to interact and participate in conversations.
IB23087 Abstract | IB23087 Full Text | IB23087PDF (922 KB) Open Access Article
IB23081Can conference participation lead to changes in clinical and research practice in stroke care? A survey of stroke conference attendees
Scientific conferences are a common way for researchers to share their findings, but the impact of conference participation on clinical and research practice is not well understood. In our survey of clinicians, researchers and students who attended a stroke conference, participants reported that conferences are more influential in changing clinical practice than journal articles. This suggests that conference presentations can be a useful method for enhancing evidence‐based practice.
IB23081 Abstract | IB23081 Full Text | IB23081PDF (844 KB) | IB23081Supplementary Material (342 KB) Open Access Article
IB23077A formalised process for decannulation reduced number of days with tracheostomy for people with an acquired brain injury: a systematic review and meta-analysis
People with acquired brain injuries often require long-term tracheostomy tubes, yet there is a lack of standardised guidelines for decannulation that consider the complex motor, sensory, and cognitive presentations. This systematic review found evidence that a formalised process for decannulation reduced the duration of tracheostomy for individuals with acquired brain injuries. This finding holds significance for clinical practice and underscores the need for further, more rigorous research.
IB23071A scoping review of remote group-based psychological interventions for people after transient ischemic attack and stroke
Evidence suggests remotely delivered interventions can support psychological issues following stroke or transient ischemic attack (TIA). However, it is unclear whether this approach is effective and acceptable. This review aimed to identify current evidence for remote group-based psychological interventions post-TIA/stroke. Six studies involving stroke patients were reviewed. No studies included TIA patients. Improved mood and/or quality of life was reported in the four studies. More research is needed to explore the potential benefits of, and barriers to, remote group-based interventions in this population.
IB23074Addressing unmet needs following minor stroke (SUN study): a randomised controlled trial
Despite the name, people with minor stroke can experience debilitating long‐term consequences post‐stroke that impact on multiple areas of everyday life. Our study found that a new multicomponent treatment can improve wellbeing in people with a minor stroke but did not fully meet all their unmet needs. Further research is required; however, the new treatment has the potential to provide a service pathway for people with minor stroke that could be used by other health services.
IB23074 Abstract | IB23074 Full Text | IB23074PDF (1 MB) | IB23074Supplementary Material (682 KB) Open Access Article
IB23086Patient and therapist perspectives on motor imagery training in Parkinson’s Disease: a qualitative descriptive study
Motor imagery is a promising treatment tool for Parkinson’s Disease. One benefit of motor imagery is that it can be safely carried out in an individual’s home. However, little guidance exists for researchers and clinicians who are interested in implementing a motor imagery intervention for people with Parkinson’s Disease. This study examined patient and therapist perspectives on home-based motor imagery training programs. These perspectives are then integrated with the established literature to provide recommendations for the implementation of such programs.
IB23085Anxiety and depressive symptoms during hospitalisation are strong predictors of post-stroke anxiety: a prospective study
Ischemic stroke is a leading cause of mortality worldwide and anxiety symptoms after stroke are frequent. Symptoms of anxiety and depression during stroke hospitalisation are strongly associated with anxiety 90 days after stroke. Early identification of patients at greater risk of developing anxiety 90 days after stroke is relevant as it allows a timely diagnosis and appropriate treatment.
IB23082Using the ICF framework to explore a multidisciplinary approach to fatigue following traumatic brain injury
Fatigue is one of the biggest problems for everyday life following a brain injury. There are some treatment approaches that have positive effects but these do not adopt the team approach that is promoted for brain injury rehabilitation. The findings highlight that further research is needed to develop, evaluate, and implement a team approach to fatigue that can reduce the impacts on everyday life.
IB23082 Abstract | IB23082 Full Text | IB23082PDF (1.1 MB) | IB23082Supplementary Material (586 KB) Open Access Article
IB23069Processes for identifying and managing traumatic brain injury in the justice sector
There is a high occurrence of brain injuries in offenders within the justice sector. This study interviewed staff working in the justice sector about how brain injuries are currently identified and managed. It was found that a national standard for screening for brain injuries, addressing factors affecting reporting of new injuries, provision of clear healthcare pathways and improved communication would help to improve how people are supported following brain injury in the justice sector.
IB23069 Abstract | IB23069 Full Text | IB23069PDF (864 KB) Open Access Article
IB23078Analysis of an Everyday Cognitive Training Program on the cognitive functioning of older adults: a randomised controlled trial
Ageing involves changes in complex cognitive functions that result in a decline in autonomy and quality of life. Everyday cognition describes the capability to resolve complicated cognitive problems in one’s daily life. Our research has identified the advantages of an intervention based on everyday cognition, as it predicts improvements in daily performance. These expected enhancements relate to everyday performance and not only to specified cognitive functions, thus suggesting their potential application in the routine activities of older individuals.
IB23079Being a pioneer: a qualitative study of moving into individualised housing from the perspective of adults with neurological disability
Individualised housing has the potential to enable people with disability to realise their right to choose where and with whom they live. Understanding the experience of moving into individualised housing is critical to informing effective policy and the disability housing market. This study contributes new knowledge about the transition experience from the perspective of people with neurological disability and highlights the need for investment in transtion-specific policy and support models to better prepare and support people through the transition process.
IB23079 Abstract | IB23079 Full Text | IB23079PDF (832 KB) Open Access Article
IB23067Limited conversations about constrained futures: exploring clinicians’ conversations about life after stroke in inpatient settings
This qualitative study examines how healthcare practitioners talk about life after stroke with people in inpatient stroke services.
IB23067 Abstract | IB23067 Full Text | IB23067PDF (877 KB) Open Access Article
IB23088‘Well, what are you going to do when you’re out there?’: a scoping review of successful hospital discharge for people with acquired disability and complex needs aged 18–65 years
Young adults (aged 18–65) with acquired disability and complex needs are at risk of being stuck in hospital or discharged to nursing homes. This study focused on improving hospital discharge for young adults with acquired disability and complex needs. It found that effective discharge involves coordinated care, involving people and their families in planning, and collaboratively arranging community support and housing. Better communication and early arrangements for support are key to successful transitions from hospital to community.
IB23088 Abstract | IB23088 Full Text | IB23088PDF (1.7 MB) Open Access Article
IB23084Critical analysis of ‘Lockdown life - experiences of partners of individuals with an acquired brain injury during the COVID-19 pandemic: a qualitative study’
In this letter to the editor, additional commentary is provided to the article by Beal et al., titled ‘Lockdown life ‐ Experiences of partners of individuals with an acquired brain injury during the COVID‐19 pandemic: A qualitative study’. One limitation of this study that could have further refined the findings was the lack of detail on the severity of the patients’ ABIs. Regardless, the study excellently highlights the importance of providing support to patients’ partners.
IB23083Addressing the challenges faced by partners of acquired brain injury patients during the COVID-19 pandemic: a psychiatrist’s perspective
The COVID‐19 pandemic has reshaped the way we support those with mental health challenges, highlighting the silent struggles of caregivers. This Letter to the Editor expands upon a recent study, revealing the heightened emotional toll on partners of brain injury patients due to pandemic‐related restrictions. It underscores the urgent need for tailored support mechanisms, spotlighting the resilience of families amid healthcare crises.
IB23090Comparing cognitive fatigue after school and weekend days for children with TBI vs TD
Cognitive fatigue occurs frequently after brain injury and impacts functioning, but little is known about cognitive fatigue for children with brain injury. This paper found that children with brain injury had greater cognitive fatigue after school and weekend days than their peers without brain injury but that children with TBI had similar levels of fatigue after school compared to after a weekend. This study shows that children with brain injury might need supports to reduce fatigue in both school and leisure (weekend) settings.
Just Accepted
These articles have been peer reviewed and accepted for publication. They are still in production and have not been edited, so may differ from the final published form.
Implementation of Activities of Daily Living Retraining for Individuals in Posttraumatic Amnesia
Adapting TeachABI to the Local Needs of Australian Educators- a Critical Step for Successful Implementation
Increasing exercise with a mobile app in patients with Parkinson’s disease: A pilot study
Increasing exercise with a mobile app in patients with Parkinson’s disease: A pilot study
Capacity Building for Providers of Cognitive Rehabilitation in Queensland: A Needs Analysis Survey
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Increasing exercise with a mobile app in people with Parkinson’s disease: a pilot study
Brain Impairment 25 (2) -
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Quality of life and broader experiences of those with acoustic neuroma: a mixed methods approach
Brain Impairment 25 (1) -
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