Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study

BackgroundThe Social Brain Toolkit, conceived and developed in partnership with stakeholders, is a novel suite of web-based communication interventions for people with brain injury and their communication partners. To support effective implementation, the developers of the So...

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Main Authors: Melissa Miao, Emma Power, Rachael Rietdijk, Deborah Debono, Melissa Brunner, Alexander Salomon, Ben Mcculloch, Meg Rebecca Wright, Monica Welsh, Bastian Tremblay, Caleb Rixon, Liz Williams, Rosemary Morrow, Jean-Christophe Evain, Leanne Togher
Format: Article
Language:English
Published: JMIR Publications 2022-01-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2022/1/e35080
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author Melissa Miao
Emma Power
Rachael Rietdijk
Deborah Debono
Melissa Brunner
Alexander Salomon
Ben Mcculloch
Meg Rebecca Wright
Monica Welsh
Bastian Tremblay
Caleb Rixon
Liz Williams
Rosemary Morrow
Jean-Christophe Evain
Leanne Togher
author_facet Melissa Miao
Emma Power
Rachael Rietdijk
Deborah Debono
Melissa Brunner
Alexander Salomon
Ben Mcculloch
Meg Rebecca Wright
Monica Welsh
Bastian Tremblay
Caleb Rixon
Liz Williams
Rosemary Morrow
Jean-Christophe Evain
Leanne Togher
author_sort Melissa Miao
collection DOAJ
description BackgroundThe Social Brain Toolkit, conceived and developed in partnership with stakeholders, is a novel suite of web-based communication interventions for people with brain injury and their communication partners. To support effective implementation, the developers of the Social Brain Toolkit have collaborated with people with brain injury, communication partners, clinicians, and individuals with digital health implementation experience to coproduce new implementation knowledge. In recognition of the equal value of experiential and academic knowledge, both types of knowledge are included in this study protocol, with input from stakeholder coauthors. ObjectiveThis study aims to collaborate with stakeholders to prioritize theoretically based implementation targets for the Social Brain Toolkit, understand the nature of these priorities, and develop targeted implementation strategies to address these priorities, in order to support the Social Brain Toolkit’s implementation. MethodsTheoretically underpinned by the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework of digital health implementation, a maximum variation sample (N=35) of stakeholders coproduced knowledge of the implementation of the Social Brain Toolkit. People with brain injury (n=10), communication partners (n=11), and clinicians (n=5) participated in an initial web-based prioritization survey based on the NASSS framework. Survey completion was facilitated by plain English explanations and accessible captioned videos developed through 3 rounds of piloting. A speech-language pathologist also assisted stakeholders with brain injury to participate in the survey via video teleconference. Participants subsequently elaborated on their identified priorities via 7 web-based focus groups, in which researchers and stakeholders exchanged stakeholder perspectives and research evidence from a concurrent systematic review. Stakeholders were supported to engage in focus groups through the use of visual supports and plain English explanations. Additionally, individuals with experience in digital health implementation (n=9) responded to the prioritization survey questions via individual interview. The results will be deductively analyzed in relation to the NASSS framework in a coauthorship process with people with brain injury, communication partners, and clinicians. ResultsEthical approval was received from the University of Technology Sydney Health and Medical Research Ethics Committee (ETH20-5466) on December 15, 2020. Data were collected from April 13 to November 18, 2021. Data analysis is currently underway, with results expected for publication in mid-2022. ConclusionsIn this study, researchers supported individuals with living experience of acquired brain injury, of communicating with or clinically supporting someone post injury, and of digital health implementation, to directly access and leverage the latest implementation research evidence and theory. With this support, stakeholders were able to prioritize implementation research targets, develop targeted implementation solutions, and coauthor and publish new implementation findings. The results will be used to optimize the implementation of 3 real-world, evidence-based interventions and thus improve the outcomes of people with brain injury and their communication partners. International Registered Report Identifier (IRRID)DERR1-10.2196/35080
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spelling doaj.art-0f248c383fee47d6a420f62ea97af2eb2023-08-28T20:19:36ZengJMIR PublicationsJMIR Research Protocols1929-07482022-01-01111e3508010.2196/35080Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods StudyMelissa Miaohttps://orcid.org/0000-0002-4113-0149Emma Powerhttps://orcid.org/0000-0002-2638-0406Rachael Rietdijkhttps://orcid.org/0000-0003-4343-4039Deborah Debonohttps://orcid.org/0000-0003-2095-156XMelissa Brunnerhttps://orcid.org/0000-0001-6823-5189Alexander Salomonhttps://orcid.org/0000-0002-5110-725XBen Mccullochhttps://orcid.org/0000-0003-1626-7538Meg Rebecca Wrighthttps://orcid.org/0000-0002-4581-7087Monica Welshhttps://orcid.org/0000-0003-2097-3638Bastian Tremblayhttps://orcid.org/0000-0003-4404-6118Caleb Rixonhttps://orcid.org/0000-0003-0265-211XLiz Williamshttps://orcid.org/0000-0003-2540-0898Rosemary Morrowhttps://orcid.org/0000-0002-8622-9230Jean-Christophe Evainhttps://orcid.org/0000-0002-0196-8203Leanne Togherhttps://orcid.org/0000-0002-4518-6748 BackgroundThe Social Brain Toolkit, conceived and developed in partnership with stakeholders, is a novel suite of web-based communication interventions for people with brain injury and their communication partners. To support effective implementation, the developers of the Social Brain Toolkit have collaborated with people with brain injury, communication partners, clinicians, and individuals with digital health implementation experience to coproduce new implementation knowledge. In recognition of the equal value of experiential and academic knowledge, both types of knowledge are included in this study protocol, with input from stakeholder coauthors. ObjectiveThis study aims to collaborate with stakeholders to prioritize theoretically based implementation targets for the Social Brain Toolkit, understand the nature of these priorities, and develop targeted implementation strategies to address these priorities, in order to support the Social Brain Toolkit’s implementation. MethodsTheoretically underpinned by the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework of digital health implementation, a maximum variation sample (N=35) of stakeholders coproduced knowledge of the implementation of the Social Brain Toolkit. People with brain injury (n=10), communication partners (n=11), and clinicians (n=5) participated in an initial web-based prioritization survey based on the NASSS framework. Survey completion was facilitated by plain English explanations and accessible captioned videos developed through 3 rounds of piloting. A speech-language pathologist also assisted stakeholders with brain injury to participate in the survey via video teleconference. Participants subsequently elaborated on their identified priorities via 7 web-based focus groups, in which researchers and stakeholders exchanged stakeholder perspectives and research evidence from a concurrent systematic review. Stakeholders were supported to engage in focus groups through the use of visual supports and plain English explanations. Additionally, individuals with experience in digital health implementation (n=9) responded to the prioritization survey questions via individual interview. The results will be deductively analyzed in relation to the NASSS framework in a coauthorship process with people with brain injury, communication partners, and clinicians. ResultsEthical approval was received from the University of Technology Sydney Health and Medical Research Ethics Committee (ETH20-5466) on December 15, 2020. Data were collected from April 13 to November 18, 2021. Data analysis is currently underway, with results expected for publication in mid-2022. ConclusionsIn this study, researchers supported individuals with living experience of acquired brain injury, of communicating with or clinically supporting someone post injury, and of digital health implementation, to directly access and leverage the latest implementation research evidence and theory. With this support, stakeholders were able to prioritize implementation research targets, develop targeted implementation solutions, and coauthor and publish new implementation findings. The results will be used to optimize the implementation of 3 real-world, evidence-based interventions and thus improve the outcomes of people with brain injury and their communication partners. International Registered Report Identifier (IRRID)DERR1-10.2196/35080https://www.researchprotocols.org/2022/1/e35080
spellingShingle Melissa Miao
Emma Power
Rachael Rietdijk
Deborah Debono
Melissa Brunner
Alexander Salomon
Ben Mcculloch
Meg Rebecca Wright
Monica Welsh
Bastian Tremblay
Caleb Rixon
Liz Williams
Rosemary Morrow
Jean-Christophe Evain
Leanne Togher
Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study
JMIR Research Protocols
title Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study
title_full Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study
title_fullStr Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study
title_full_unstemmed Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study
title_short Coproducing Knowledge of the Implementation of Complex Digital Health Interventions for Adults with Acquired Brain Injury and their Communication Partners: Protocol for a Mixed Methods Study
title_sort coproducing knowledge of the implementation of complex digital health interventions for adults with acquired brain injury and their communication partners protocol for a mixed methods study
url https://www.researchprotocols.org/2022/1/e35080
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