Rehabilitation from an acquired brain injury in changing contexts

Abstract

Telehealth is an increasingly common way to deliver therapeutic interventions, to overcome access issues, and most recently during the Covid-19 pandemic, to limit infection risk. There is some evidence to support group interventions to be delivered in this way, however research into suitability for specific client groups has been recommended. People with acquired brain injuries (ABIs) often experience various difficulties that may make joining in-person groups more difficult, but also may affect engagement in online groups. A review was carried out to explore the feasibility, acceptability, and effectiveness of online psychosocial groups for ABI. A literature search of five databases identified eleven included studies. Their quality was reviewed using the Mixed Methods Appraisal Tool (MMAT). Overall, online psychosocial groups for ABI appeared to be feasible and acceptable to people with an ABI and facilitators. It is more difficult to draw conclusions about effectiveness due to small sample sizes and the absence of randomised controlled trials (RCTs). Specific strengths and challenges for delivering groups online for people with ABI are discussed. Clinical implications include providing training and suitable resources. Further research is recommended to include more detailed qualitative research and large scale RCTs.

Date of Award	2024
Original language	English