Communicative accessibility and prospective acceptability of a digital behavioural activation intervention for people with aphasia

Ray, S; Ryan, B; Baldwin, P; Thomas, S; Kneebone, I

Communicative accessibility and prospective acceptability of a digital behavioural activation intervention for people with aphasia

Ray, S Ryan, B Baldwin, P Thomas, S Kneebone, I

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Publisher:: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: Aphasiology, 2024, 38, (5), pp. 895-918
Issue Date:: 2024

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Field	Value	Language
dc.contributor.author	Ray, S
dc.contributor.author	Ryan, B
dc.contributor.author	Baldwin, P
dc.contributor.author	Thomas, S
dc.contributor.author	Kneebone, I https://orcid.org/0000-0003-3324-7264
dc.date.accessioned	2024-10-08T00:35:56Z
dc.date.available	2024-10-08T00:35:56Z
dc.date.issued	2024
dc.identifier.citation	Aphasiology, 2024, 38, (5), pp. 895-918
dc.identifier.issn	0268-7038
dc.identifier.issn	1464-5041
dc.identifier.uri	http://hdl.handle.net/10453/181224
dc.description.abstract	Background: Behavioural Activation (BA) is a mental health treatment that encourages a person to develop or re-engage in activities that are pleasurable and meaningful to them. It is important to consider the ways such interventions can be made accessible and acceptable to individuals with communication disabilities like aphasia after stroke. Digital technologies may provide a scalable approach to increasing dissemination of BA to this population. Aims: The aim of this study was to examine the communicative accessibility and prospective acceptability of a digital BA intervention developed for this population. Methods & Procedures: A qualitative research design was used, involving semi-structured interviews with 11 people with aphasia caused by stroke. Data were subject to qualitative content analysis. Outcomes & Results: The results suggest that participants found the developed intervention to be both overall accessible and acceptable. Participants suggested improvements that highlighted the importance of considering how an individual’s psychosocial and cognitive experience of stroke aphasia may influence their preferences for intervention layout and content. Conclusions: Results of our study reiterated the importance of a user-centred design process to ensure the accessibility and acceptability of digital interventions. This work provides the foundation for ongoing design of the intervention. The continued development may also provide a framework for future development of accessible and acceptable digital interventions not only for those living with aphasia after stroke but others living with acquired language or cognitive disabilities.
dc.language	English
dc.publisher	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
dc.relation.ispartof	Aphasiology
dc.relation.isbasedon	10.1080/02687038.2023.2244166
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights	“This is an Accepted Manuscript of an article published by Taylor & Francis in Aphasiology on 10 August 2023, available online: https://doi.org/10.1080/02687038.2023.2244166”
dc.subject	1103 Clinical Sciences, 1109 Neurosciences, 1702 Cognitive Sciences
dc.subject.classification	Speech-Language Pathology & Audiology
dc.subject.classification	3209 Neurosciences
dc.subject.classification	4201 Allied health and rehabilitation science
dc.subject.classification	5204 Cognitive and computational psychology
dc.title	Communicative accessibility and prospective acceptability of a digital behavioural activation intervention for people with aphasia
dc.type	Journal Article
utslib.citation.volume	38
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	in_progress	*
pubs.consider-herdc	false
dc.date.updated	2024-10-08T00:35:54Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	38
utslib.citation.issue	5

Abstract:

Background: Behavioural Activation (BA) is a mental health treatment that encourages a person to develop or re-engage in activities that are pleasurable and meaningful to them. It is important to consider the ways such interventions can be made accessible and acceptable to individuals with communication disabilities like aphasia after stroke. Digital technologies may provide a scalable approach to increasing dissemination of BA to this population. Aims: The aim of this study was to examine the communicative accessibility and prospective acceptability of a digital BA intervention developed for this population. Methods & Procedures: A qualitative research design was used, involving semi-structured interviews with 11 people with aphasia caused by stroke. Data were subject to qualitative content analysis. Outcomes & Results: The results suggest that participants found the developed intervention to be both overall accessible and acceptable. Participants suggested improvements that highlighted the importance of considering how an individual’s psychosocial and cognitive experience of stroke aphasia may influence their preferences for intervention layout and content. Conclusions: Results of our study reiterated the importance of a user-centred design process to ensure the accessibility and acceptability of digital interventions. This work provides the foundation for ongoing design of the intervention. The continued development may also provide a framework for future development of accessible and acceptable digital interventions not only for those living with aphasia after stroke but others living with acquired language or cognitive disabilities.

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http://hdl.handle.net/10453/181224