Using Virtual Technologies to Prevent Injuries in Adolescents With Acquired Brain Injury

Study Overview
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Brief Summary
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The objective of this study is to identify home safety hazards for adolescents with acquired brain injury and to identify adaptations to the home healthcare virtual simulation training system (HH-VSTS) to improve the user experience for adolescents with ABI

Detailed Description
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This study will determine the home safety hazards that place adolescents with ABI at risk of injury. In addition, the study will determine ways to adapt our current home safety virtual simulation training system, a game based training and assessment that trains home healthcare workers to identify and respond to hazards they encounter in client homes. The study will include interviews with three stakeholders groups: adolescents with ABI, parents of adolescents with ABI, and healthcare providers working with adolescents with ABI to identify home safety hazards encountered by adolescents with ABI. We will demonstrate proof of concept for adolescents with ABI through assessment of safety concerns from multiple perspectives and evaluation of design considerations from our intended user-group. Further, we are applying the HH-VSTS in a novel way to solve an understudied problem in adolescents with ABI. In addition, we will apply a user-centered, participatory approach to assess the design consideration of virtual gaming technologies to health and safety training adolescents with ABI.

Official Title
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Using Virtual Technologies to Prevent Injuries in Adolescents With Acquired Brain Injury (ABI)

Conditions
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Acquired Brain Injury, Traumatic Brain Injury, Stroke

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adolescent with an acquired brain injury between the ages of 12 - 17 (TBI diagnosis per medical record or self-report for those recruited via word of mouth or community) OR parent/caregiver (18+ years of age) of an adolescent with an acquired brain injury OR a health professional involved in discharge planning and community re-integration of adolescents with an acquired brain injury. For online interview, must have access to a computer or smart tablet with reliable internet access, a microphone, a video camera, and speakers, headphones Speak and read English Able to answer interviewer questions

Ages Eligible for Study
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Minimum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Adolescents with Acquired Brain Injury<br>Adolescents with traumatic brain injury, stroke, and other acquired brain injury ages 12 - 17 will participate in interviews about home safety. They also will have the opportunity to look at and, if desired, try the virtual simulation training system and provide feedback about how to make it more appropriate for adolescents with brain injury, including gamifying it and ensuring appropriate hazards. | |
| Caregivers of Adolescents with Acquired Brain Injury<br>Caregivers of adolescents with traumatic brain injury, stroke, and other acquired brain injury will participate in interviews about home safety. They also will have the opportunity to look at the virtual simulation training system and provide feedback about how to make it more appropriate for adolescents with brain injury, including gamifying it and ensuring appropriate hazards. | |
| Healthcare Workers<br>This cohort includes health professionals involved in discharge planning and community re-integration of adolescents with ABI. Healthcare workers will participate in interviews about home safety. They also will have the opportunity to look at the virtual simulation training system and provide feedback about how to make it more appropriate for adolescents with brain injury, including gamifying it and ensuring appropriate hazards. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Interview Questions | Questions focus on hazard identification, injury risk, factors associated with injury risk. | Baseline | 
| Usefulness, Usability, and Desirability Assessment | Used to fully assess the usability and appeal of the HH-VSTS, and understand potential modifications | Baseline | 
| Hazard Rating Scale | Hazards are categorized by frequency of exposure and severity on a two-axis grid, based on participant perceptions. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Interview | Interview questions about safety concerns and perceptions of risk regarding home environment and activity performance | one time administration |