Participants’ perspectives of feasibility of a novel group treatment for people with cognitive communication difficulties following acquired brain injury

<b>Purpose:</b> To determine whether treatment was acceptable to participants and perceived as beneficial by exploring the experiences of people with cognitive communication difficulties following acquired brain injury who participated in a novel, group, communication, project-based treatment. The purpose of the treatment was to improve participants’ communication skills and quality of life, by focussing group activity towards the production of a project and by incorporating individualised communication goals into group sessions. <b>Methods:</b> Twenty-one people with acquired brain injury recruited from community settings participated in project-based treatment, which comprised one individual and nine group sessions (of 2–3 people) over six weeks. Structured interviews were conducted post-treatment as part of a broader assessment battery. Interviews were transcribed verbatim and analysed using content analysis to identify codes, categories, and themes. <b>Results:</b> Themes identified from the analysis centred around the treatment experience (general experience; group experience; project experience; working on goals) and benefit of treatment (communicative benefit; other benefits; emotional effects; meeting others; something to do). These themes were consistent with the treatment being perceived as acceptable and having initial efficacy for the participant group. <b>Conclusion:</b> The qualitative data presented here provide positive feasibility findings (acceptability and initial efficacy) of project-based treatment for people with acquired brain injury. The results highlight the value of incorporating participants’ views in assessing feasibility in developing novel interventions.Implications for rehabilitationInviting people (with cognitive communication difficulties following acquired brain injury) to feedback on their treatment experience provides valuable information that can confirm treatment choice and content or inform adjustments to future treatment.Group treatment with a meaningful and motivating focus, and individualised communication goals, seem to promote positive change in communication, emotional state, cognition, self-awareness, and social interaction.This study highlights the value of individuals’ perspectives in evaluating feasibility of a novel intervention. Inviting people (with cognitive communication difficulties following acquired brain injury) to feedback on their treatment experience provides valuable information that can confirm treatment choice and content or inform adjustments to future treatment. Group treatment with a meaningful and motivating focus, and individualised communication goals, seem to promote positive change in communication, emotional state, cognition, self-awareness, and social interaction. This study highlights the value of individuals’ perspectives in evaluating feasibility of a novel intervention.

**研究目的：** 本研究旨在探究参与新型基于项目的团体沟通治疗的获得性脑损伤（acquired brain injury）后认知沟通障碍患者的体验，以明确该治疗是否可被受试者接受且被认为有益。该治疗的目标为通过将团体活动聚焦于项目产出，并将个体化沟通目标融入团体疗程，改善受试者的沟通能力与生活质量。
**研究方法：** 本研究从社区招募21名获得性脑损伤患者参与基于项目的治疗，整个疗程为期六周，包含1次个体疗程与9次团体疗程（每组2-3人）。治疗结束后，研究者作为更全面评估组合的一部分开展结构化访谈。访谈内容逐字转录，并采用内容分析法进行编码、分类与主题提炼。
**研究结果：** 分析提炼的主题围绕治疗体验（总体体验、团体体验、项目体验、目标践行）与治疗获益（沟通获益、其他获益、情绪影响、结识他人、日常事务参与）两大维度展开。上述主题均表明，该治疗被受试者认为具有可接受性，且对受试群体具备初步疗效。
**研究结论：** 本研究呈现的质性数据证实，针对获得性脑损伤患者的基于项目的治疗具备良好的可行性（可接受性与初步疗效）。研究结果凸显了在开发新型干预手段时，纳入受试者视角以评估可行性的重要价值。

### 康复启示
邀请获得性脑损伤后认知沟通障碍患者反馈其治疗体验，可获得可用于确认治疗方案与内容、或指导未来治疗调整的宝贵信息。以富有意义且激励性的目标为核心，并融入个体化沟通目标的团体治疗，似乎可促进沟通、情绪状态、认知、自我意识与社交互动方面的积极改变。本研究强调了个体视角在评估新型干预可行性中的价值。
邀请获得性脑损伤后认知沟通障碍患者反馈其治疗体验，可获得可用于确认治疗方案与内容、或指导未来治疗调整的宝贵信息。以富有意义且激励性的目标为核心，并融入个体化沟通目标的团体治疗，似乎可促进沟通、情绪状态、认知、自我意识与社交互动方面的积极改变。本研究强调了个体视角在评估新型干预可行性中的价值。