Service user experiences of using Assistive Technology for cognition after brain injury: a qualitative evaluation

PURPOSE: Cognitive impairments, such as difficulties with memory, planning, organisation and information processing, are common after brain injury. Assistive Technology for Cognition (ATC) can provide support to improve independence in everyday tasks and reduce reliance on caregiver support. Recommendation and support needs to be tailored to individual factors and therefore understanding individual experiences and preferences is essential. The aim of this study was to understand the lived experience of people using ATC after brain injury. MATERIALS AND METHODS: Semi-structured interviews were conducted with seven people (six people with brain injury and one caregiver) who were involved with both a Community Acquired Brain Injury Service and an Assistive Technology Service. Interviews were recorded and transcribed and analysed using principles of Framework Analysis. FINDINGS: We identified five themes: 1) Motivations and decisions to use ATC, 2) The anticipated and unanticipated impact of ATC, 3) ATC becoming part of everyday life, 4) Support and education from professionals (although I don't know who from) and 5) Family and friends as back-up and trouble-shooters. CONCLUSION: We use the themes to illustrate factors which can help professionals to match technology to individuals and their situations and therefore potentially optimise acceptability and use for this population. Findings emphasise the importance of support from family and friends and a lack of clarity about longer-term support.