Liss is a Certified Practicing Speech Pathologist and PhD Candidate at the University of Technology Sydney (UTS) investigating the use of social media, specifically Twitter, by people with traumatic brain injury (TBI). She has over fifteen years of experience in the assessment and management of adults with swallowing and communication difficulties. Her clinical and research expertise is in eHealth and acquired neurologic disorders, particularly working with people who have experienced a TBI or a stroke. Her PhD research will yield important insights into how people with TBI might be supported to use Twitter (and other social media platforms) for communication, participation, and inclusion in online communities. The research is supervised by Professor Bronwyn Hemsley at UTS, Associate Professor Stuart Palmer at Deakin University, Dr Stephen Dann at the Australian National University, and Professor Leanne Togher at the University of Sydney. Liss’ research is supported in part by an Australian Government Research Training Program Scholarship through UTS.
AWARDS AND HONOURS
- University of Technology Sudyney 3 Minute Thesis Competition (2018), Finalist
- University of Technology Sydney Combined Faculties 3 Minute Thesis Competition, Winner Best Presentation Graduate School of Health (2018): $200
- University of Technology Sydney Graduate School of Health 3 Minute Thesis Competition, Winner Best Presentation (2018)
- University of Technology Sydney Graduate School of Health 3 Minute Thesis Competition, Winner People’s Choice (2018)
- University of Newcastle Faculty of Education and Arts HDR Achievement Award (2017): $500
- Australasian Society for the Study of Brain Impairment (ASSBI) Student Conference Travel Grant Award (2017): $1100 (Conference registration $300; $800 towards travel and accommodation)
- University of Newcastle Faculty of Education and Arts HDR Achievement Award (2016): $550
- University of Newcastle Faculty of Education and Arts HDR Publication Prize (2016): $1000. Brunner M, Hemsley B, Palmer S, Dann S, & Togher L (2015). Review of the Literature on the Use of Social Media by People with Traumatic Brain Injury (TBI). Disability and Rehabilitation. 37(17): 1511-1521 http://www.tandfonline.com/doi/abs/10.3109/09638288.2015.1045992#.VjhHq…
- University of Newcastle Global eHealth Research and Innovation Showcase PhD poster winner (2014): $50. Brunner M, Hemsley B, Togher L, Palmer S, Dann S (2014). TwitterMind: Twitter use by people with communication disabilities after Traumatic Brain Injury (TBI). Poster presentation: Global eHealth Research and Innovation Showcase 2014 (University of Newcastle), Newcastle.
- Australian Government Research Training Program Scholarship, The University of Newcastle and University of Technology Sydney (UTS), 2014-2020 ($76,176).
- St Vincent’s Clinic Foundation Multidisciplinary Clinical Research Grant 2010: ‘Multidisciplinary Acute Stroke Circuit Class’ ($25,000).
- Southern Health Research 2005-2006: ‘Outcomes of speech pathology intervention following stroke: Investigation of inpatient rehabilitation and rehabilitation in the home’. Funded through CPHI ‘Improving Outcomes for the Elderly’ ($4,646).
- Speech Pathology Australia member and Certified Practicing Speech Pathologist (CPSP)
- Australian Society for the Study of Brain Impairment (ASSBI) member
- Moving Ahead Centre of Research Excellence (CRE) in Brain Recovery Early Career Researcher
- speechBITE Committee Board member (2012-current)
- NSW Speech Pathology Evidence-Based Practice (EBP) Steering Committee member (2014-2016)
- Twitter - active #WeSpeechies community member (2014-current)
- Member NSW Speech Pathology Brain Injury Interest Groups (adult and paediatric, 2014-current)
- Social Media
- Speech Pathology
- Traumatic Brain Injury (TBI)
Bryant, L, Brunner, M & Hemsley, B 2020, 'A review of virtual reality technologies in the field of communication disability: implications for practice and research.', Disability and Rehabilitation Assistive Technology, pp. 1-8.View/Download from: Publisher's site
BACKGROUND:Technology devices and applications including virtual reality (VR) are increasingly used in healthcare research and practice as tools to promote health and wellbeing. However, there is limited research examining the potential for VR to enable improved communication for people with communication disability. AIMS:To review: (a) current research using VR in speech-language pathology; and (b) the ethical and safety considerations of VR research, to inform an agenda for future research applying VR in the field of speech-language pathology. MAIN CONTRIBUTION:This review reveals that there is an emergent body of literature applying VR to improve or develop physical, psychological and communication interventions. Use of non-immersive virtual environments to provide speech-language pathology assessment or intervention for people with communication disability has demonstrated positive outcomes, with emerging evidence of the transfer of functional communication skills from virtual to real-world environments. However, the use of VR technology and immersive virtual environments in communication disability practice and research introduces safety and ethical issues that must be carefully considered. CONCLUSIONS:Research employing VR is in its infancy in the field of speech-language pathology. Early evidence from other healthcare disciplines suggests that VR is an engaging means of delivering immersive and interactive training to build functional skills that can be generalized to the real world. While the introduction of new technology requires careful consideration of research ethics and patient safety, future VR communication research could proceed safely with adequate engagement of interdisciplinary teams and technology specialists. Implications for rehabilitation Immersive virtual reality may be used in rehabilitation to simulate natural environments to practice and develop communication skills. The sense of immersion that can be achieved using virtual reality may...
Rietdijk, R, Power, E, Brunner, M & Togher, L 2020, 'Protocol for a clinical trial of telehealth-based social communication skills training for people with traumatic brain injury and their communication partners', Brain Impairment, vol. 21, no. 1, pp. 110-123.View/Download from: Publisher's site
© Australasian Society for the Study of Brain Impairment 2019. Background: A previous clinical trial of training communication partners of people with traumatic brain injury (TBI) demonstrated positive outcomes [Togher, Power, McDonald, Tate, & Rietdijk (2009). Brain Impairment, 10(2), 188-204]. Adapting communication partner training for delivery via telehealth could improve access to this intervention.Objectives: To compare outcomes across in-person communication partner training, telehealth communication partner training and a control groupMethod: Protocol for a partially randomised controlled trial. People with moderate-severe TBI will be allocated to either an in-person or telehealth-based training program. Comparison data will be drawn from the original trial control group, which was recruited using the same eligibility criteria as this protocol. Outcomes after training will be compared between the in-person training group, the telehealth training group and the historical control group.Discussion: This protocol uses specific design features with the aim of maximising the study's power, including a partially randomised allocation process and a historical control group. The results will inform about the feasibility and effectiveness of delivering TBI rehabilitation via telehealth.Trial registration: Australian and New Zealand Clinical Trials Registry: ACTRN12615001024538.
Rietdijk, R, Power, E, Brunner, M & Togher, L 2020, 'The reliability of evaluating conversations between people with traumatic brain injury and their communication partners via videoconferencing.', Neuropsychological Rehabilitation, pp. 1-18.View/Download from: Publisher's site
There is growing interest in using telehealth to work with people with traumatic brain injury (TBI). This study investigated whether established rating scales for evaluating conversations of people with TBI are reliable for use over videoconferencing. Nineteen participants with TBI and their communication partners completed two conversation samples during both in-person (IP) and videoconferencing-based (VC) assessment, with randomised order of assessment. Independent clinicians evaluated the conversations using the Adapted Measure of Participation in Conversation (MPC), the Adapted Measure of Support in Conversation (MSC) and the Global Impression scales. Comparisons between IP and VC ratings identified no significant differences on the MPC, MSC, and four out of five of the Global Impression scales. There was a significant difference between IP and VC recordings for "Task Completion" (p = .047), with participants performing significantly better in VC ratings. Inter-rater reliability was fair to excellent for the MPC and Global Impression scales for both IP and VC recordings. For the MSC scale, inter-rater reliability was poor to excellent. This study confirms the potential for using videoconferencing for evaluating conversations of people with TBI. Further development of training and rating procedures for these scales could facilitate more frequent and reliable use of these measures.
Brunner, M, Palmer, S, Togher, L & Hemsley, B 2019, ''I kind of figured it out': the views and experiences of people with traumatic brain injury (TBI) in using social media-self-determination for participation and inclusion online.', International Journal of Language and Communication Disorders, vol. 54, no. 2, pp. 221-233.View/Download from: Publisher's site
Social media can support people with communication disability to access information, social participation and support. However, little is known about the experiences of people with traumatic brain injury (TBI) who use social media to determine their needs in relation to social media use.To determine the views and experiences of adults with TBI and cognitive-communication disability on using social media, specifically: (1) the nature of their social media experience; (2) barriers and facilitators to successful use; and (3) strategies that enabled their use of social media.Thirteen adults (seven men, six women) with TBI and cognitive-communication disability were interviewed about their social media experiences, and a content thematic analysis was conducted.Participants used several social media platforms including Facebook, Twitter, Instagram and virtual gaming worlds. All but one participant used social media several times each day and all used social media for social connection. Five major themes emerged from the data: (1) getting started in social media for participation and inclusion; (2) drivers to continued use of social media; (3) manner of using social media; (4) navigating social media; and (5) an evolving sense of social media mastery. In using platforms in a variety of ways, some participants developed an evolving sense of social media mastery. Participants applied caution in using social media, tended to learn through a process of trial and error, and lacked structured supports from family, friends or health professionals. They also reported several challenges that influenced their ability to use social media, but found support from peers in using the social media platforms. This information could be used to inform interventions supporting the use of social media for people with TBI and directions for future research.Social media offers adults with TBI several opportunities to communicate and for some to develop and strengthen social relationships. How...
Brunner, M, Palmer, S, Togher, L, Dann, S & Hemsley, B 2019, '"If i knew what i was doing on Twitter then i would use it more": Twitter experiences and networks of people with traumatic brain injury (TBI)', Brain Impairment, vol. 21, no. 1.View/Download from: Publisher's site
© Australasian Society for the Study of Brain Impairment 2019. Aim:of this study was to examine the Twitter experiences and networks of six adults with cognitive-communication disability after a traumatic brain injury (TBI).Method:Using mixed methods, the study integrated: (a) quantitative analysis of Twitter networks using computational and manual coding of tweets; and (b) narrative analysis of in-depth interviews.Results:Diverse experiences were evident, with two experienced and four novice users of the platform. However, all reported feeling connected and included, and identified both positive and negative experiences in their use of Twitter. Developing a supportive network facilitated higher frequency of tweets and increased feelings of enjoyment and connectedness. All expressed a desire to continue using or learning to use Twitter but novices lacked support from rehabilitation professionals or experienced Twitter users, and relied instead on a "trial and error" approach.Conclusion:Proactive integration of Twitter use during rehabilitation after TBI is warranted to support safe, enjoyable, and meaningful use.
Brunner, M, Palmer, S, Togher, L, Dann, S & Hemsley, B 2019, 'Content Analysis of Tweets by People with Traumatic Brain Injury (TBI): Implications for Rehabilitation and Social Media Goals', Proceedings of the 52nd Hawaii International Conference on System Sciences 2019 (HICSS-52), vol. 52, no. Social Media and Healthcare Technology, pp. 4329-4338.
In this Twitter research, 6874 tweets of six adults with traumatic brain injury (TBI) were analyzed qualitatively and quantitatively using content classification , inductive coding of content themes, socio-linguistic analysis, and computational analysis in KH Coder. The results reflected that participants used Twitter for: (i) supporting others, including people with TBI; (ii) discussing society and culture, popular issues, news, and personal interests; (iii) connecting with others; (iv) sharing their experiences of life after TBI; (v) knowledge via exchanging information; and (vii) advocacy. 'Emotional expression', and 'connection' were common threads running across themes. Attending to the expressions of people with TBI on Twitter provides important insights into their lived experiences and could inform the development of user-centered cognitive-communication and social participation goals for people with TBI.
Rietdijk, R, Power, E, Brunner, M & Togher, L 2019, 'A single case experimental design study on improving social communication skills after traumatic brain injury using communication partner telehealth training.', Brain Injury, vol. 33, no. 1, pp. 94-109.View/Download from: Publisher's site
PRIMARY OBJECTIVE:To investigate use of telehealth to deliver social communication skills training (TBIconneCT) to people with severe traumatic brain injury (TBI) and their communication partners (CPs). RESEARCH DESIGN:Feasibility study involving single case experimental design with two participants. METHODS AND PROCEDURES:TBI Express is an established program for improving social interactions between people with TBI and their CPs. To improve access to the program, we developed a modified version called TBIconneCT that can be delivered via videoconferencing. Two participants with TBI and their CPs completed TBIconneCT training. Outcome measures included exchange structure analysis of conversation samples, blinded ratings of conversation samples and self-report measures. MAIN OUTCOMES AND RESULTS:The study indicated positive change on blinded ratings of conversation and self-reported measures for both participants. Exchange structure analysis conducted on session-by-session data did not demonstrate treatment effects due to variability during baseline. CONCLUSION:This study indicated potential for using telehealth to provide social communication skills training to people with TBI and their families. The study findings provide a foundation for a phase one clinical trial which will compare in-person with videoconferencing delivery of TBIconneCT.
Brunner, M, Hemsley, B, Dann, S, Togher, L & Palmer, S 2018, 'Hashtag #TBI: A content and network data analysis of tweets about Traumatic Brain Injury.', Brain injury, vol. 32, no. 1, pp. 49-63.View/Download from: Publisher's site
The aims of this study were to: (a) determine how Twitter is used by people with traumatic brain injury (TBI) and TBI organisations, (b) analyse the Twitter networks and content of tweets tagged with TBI-related hashtags, and (c) identify any challenges people with TBI encounter in using Twitter.Mixed methods in a Twitter hashtag study.Mixed methods in a Twitter hashtag study. Tweets tagged with TBI-related hashtags were harvested from the Twitter website over a one-month period in 2016 and analysed qualitatively and quantitatively.The sample of 29,199 tweets included tweets sent by 893 @users, 219 of whom had a brain injury. Twitter was used to: (a) discuss health issues, (b) raise awareness of TBI, (c) talk about life after TBI, (d) talk about sport and concussion, and (e) communicate inspirational messages.Twitter is an important platform for research and knowledge translation on TBI, and for hearing the voices of people with TBI as they express their personal views and stories of living with TBI and become more visible and influential in Twitter communities. TBI clinicians could use these narratives of people with TBI in Twitter to develop more effective and personally meaningful rehabilitation goals.
Brunner, M, McGregor, D, Keep, M, Janssen, A, Spallek, H, Quinn, D, Jones, A, Tseris, E, Yeung, W, Togher, L, Solman, A & Shaw, T 2018, 'An eHealth Capabilities Framework for Graduates and Health Professionals: Mixed-Methods Study.', Journal of Medical Internet Research, vol. 20, no. 5.View/Download from: Publisher's site
The demand for an eHealth-ready and adaptable workforce is placing increasing pressure on universities to deliver eHealth education. At present, eHealth education is largely focused on components of eHealth rather than considering a curriculum-wide approach.This study aimed to develop a framework that could be used to guide health curriculum design based on current evidence, and stakeholder perceptions of eHealth capabilities expected of tertiary health graduates.A 3-phase, mixed-methods approach incorporated the results of a literature review, focus groups, and a Delphi process to develop a framework of eHealth capability statements.Participants (N=39) with expertise or experience in eHealth education, practice, or policy provided feedback on the proposed framework, and following the fourth iteration of this process, consensus was achieved. The final framework consisted of 4 higher-level capability statements that describe the learning outcomes expected of university graduates across the domains of (1) digital health technologies, systems, and policies; (2) clinical practice; (3) data analysis and knowledge creation; and (4) technology implementation and codesign. Across the capability statements are 40 performance cues that provide examples of how these capabilities might be demonstrated.The results of this study inform a cross-faculty eHealth curriculum that aligns with workforce expectations. There is a need for educational curriculum to reinforce existing eHealth capabilities, adapt existing capabilities to make them transferable to novel eHealth contexts, and introduce new learning opportunities for interactions with technologies within education and practice encounters. As such, the capability framework developed may assist in the application of eHealth by emerging and existing health care professionals. Future research needs to explore the potential for integration of findings into workforce development programs.
Janssen, A, Robinson, T, Brunner, M, Harnett, P, Museth, KE & Shaw, T 2018, 'Multidisciplinary teams and ICT: A qualitative study exploring the use of technology and its impact on multidisciplinary team meetings', BMC Health Services Research, vol. 18, no. 1.View/Download from: Publisher's site
© 2018 The Author(s). Background: Multidisciplinary teams (MDTs) are an integral component in the delivery of health care. This is particularly evident in the delivery of cancer care, where multidisciplinary teams are internationally recognized as the preferred method for service delivery. The use of health information systems and technology are key enabling factors for building the capacity of MDTs to engage in improvement and implementation projects but there is scant research on how MDTs make use of technology and information systems or the kinds of systems needed for them to undertake improvement and implementation research. This paper reports findings on how seven MDTs in cancer care utilized technological and information systems and the barriers and enabling factors that impacted on their uptake. Methods: Seven multidisciplinary teams from two large metropolitan hospitals participated in the study. Qualitative methods including structured observations and semi structured interviews that explored how teams engaged in research and improvement activities were utilized. Participants were also observed and interviewed in relation to their use of data and health information systems. Findings were subject to content analysis and key themes were identified. Interviews were transcribed and de-identified and key themes were subsequently discussed with participants to allow for member checking and further clarification of findings. Results: A total of 43 MDT meetings across seven tumor streams were observed. Of these, observation notes from 13 meetings contained direct references to emerging technologies and health information systems. Findings from 15 semi-structured interviews were also analyzed in relation to how MDTs used technology in weekly meetings, and the perceived impact of technology. Three broad themes emerged: (1) methods for data collection and use by MDTs, (2) the impact of technology on the MDT meeting environment, and (3) the impact of technology and ...
Brunner, M, Hemsley, B, Togher, L & Palmer, S 2017, 'Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI).', Brain Injury, vol. 31, no. 8, pp. 1028-1043.View/Download from: Publisher's site
To review the literature on communication technologies in rehabilitation for people with a traumatic brain injury (TBI), and: (a) determine its application to cognitive-communicative rehabilitation, and b) develop a model to guide communication technology use with people after TBI.This integrative literature review of communication technology in TBI rehabilitation and cognitive-communication involved searching nine scientific databases and included 95 studies.Three major types of communication technologies (assistive technology, augmentative and alternative communication technology, and information communication technology) and multiple factors relating to use of technology by or with people after TBI were categorized according to: (i) individual needs, motivations and goals; (ii) individual impairments, activities, participation and environmental factors; and (iii) technologies. While there is substantial research relating to communication technologies and cognitive rehabilitation after TBI, little relates specifically to cognitive-communication rehabilitation.Further investigation is needed into the experiences and views of people with TBI who use communication technologies, to provide the 'user' perspective and influence user-centred design. Research is necessary to investigate the training interventions that address factors fundamental for success, and any impact on communication. The proposed model provides an evidence-based framework for incorporating technology into speech pathology clinical practice and research.
Hines, M, Brunner, M, Poon, S, Lam, M, Tran, V, Yu, D, Togher, L, Shaw, T & Power, E 2017, 'Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)', BMC Health Services Research, vol. 17, pp. 1-13.View/Download from: Publisher's site
Background eHealth has potential for supporting interdisciplinary care in contemporary traumatic brain injury (TBI) rehabilitation practice, yet little is known about whether this potential is being realised, or what needs to be done to further support its implementation. The purpose of this study was to explore health professionals' experiences of, and attitudes towards eHealth technologies to support interdisciplinary practice within rehabilitation for people after TBI. Methods A qualitative study using narrative analysis was conducted. One individual interview and three focus groups were conducted with health professionals (n = 17) working in TBI rehabilitation in public and private healthcare settings across regional and metropolitan New South Wales, Australia. Results Narrative analysis revealed that participants held largely favourable views about eHealth and its potential to support interdisciplinary practice in TBI rehabilitation. However, participants encountered various issues related to (a) the design of, and access to electronic medical records, (b) technology, (c) eHealth implementation, and (d) information and communication technology processes that disconnected them from the work they needed to accomplish. In response, health professionals attempted to make the most of unsatisfactory eHealth systems and processes, but were still mostly unsuccessful in optimising the quality, efficiency, and client-centredness of their work. Conclusions Attention to sources of disconnection experienced by health professionals, specifically design of, and access to electronic health records, eHealth resourcing, and policies and procedures related to eHealth and interdisciplinary practice are required if the potential of eHealth for supporting interdisciplinary practice is to be realised.
Janssen, A, Brunner, M, Keep, M, Hines, M, Nagarajan, SV, Kielly-Carroll, C, Dennis, S, McKeough, Z & Shaw, T 2017, 'Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature.', International Journal of Environmental Research and Public Health, vol. 14, no. 11, pp. 1-14.View/Download from: Publisher's site
This review aimed to identify research that described how eHealth facilitates interdisciplinary cancer care and to understand the ways in which eHealth innovations are being used in this setting. An integrative review of eHealth interventions used for interdisciplinary care for people with cancer was conducted by systematically searching research databases in March 2015, and repeated in September 2016. Searches resulted in 8531 citations, of which 140 were retrieved and scanned in full, with twenty-six studies included in the review. Analysis of data extracted from the included articles revealed five broad themes: (i) data collection and accessibility; (ii) virtual multidisciplinary teams; (iii) communication between individuals involved in the delivery of health services; (iv) communication pathways between patients and cancer care teams; and (v) health professional-led change. Use of eHealth interventions in cancer care was widespread, particularly to support interdisciplinary care. However, research has focused on development and implementation of interventions, rather than on long-term impact. Further research is warranted to explore design, evaluation, and long-term sustainability of eHealth systems and interventions in interdisciplinary cancer care. Technology evolves quickly and researchers need to provide health professionals with timely guidance on how best to respond to new technologies in the health sector.
McGregor, D, Keep, M, Brunner, M, Janssen, A, Quinn, D, Avery, J, Togher, L & Shaw, T 2017, 'Preparing E-Health Ready Graduates: A Qualitative Focus Group Study.', Studies in health technology and informatics, vol. 239, pp. 91-96.
Well documented demand for an e-health ready workforce is placing increasing pressure on universities to deliver essential e-health education.We aimed to explore stakeholders' perceptions of e-health knowledge and skills anticipated of workforce-ready tertiary graduates from clinical health degree programs.A qualitative research study of a purposively selected sample of 23 key informants with expertise and/or experience in e-health education, practice and/or policy was conducted. Data collection involved focus group interviews that were recorded, transcribed verbatim and underwent thematic analysis.Three primary themes about e-health education and preparation of health graduates emerged from the analyses: 1) Reinforce fundamental competencies, 2) Acknowledge and adapt existing competencies, and 3) Introduce and provide opportunities for new learning.This study will inform the articulation of a consensus driven set of core competencies for a cross-faculty e-health curriculum that aligns with workforce expectations. There is also potential for vertical integration of findings into workforce development programs.
Phillips, J, Poon, SK, Yu, D, Lam, M, Hines, M, Brunner, M, Power, E, Keep, M, Shaw, T & Togher, L 2017, 'A Conceptual Measurement Model for eHealth Readiness: a Team Based Perspective', AMIA ... Annual Symposium proceedings. AMIA Symposium, vol. 2017, pp. 1382-1391.
Despite the shift towards collaborative healthcare and the increase in the use of eHealth technologies, there does not currently exist a model for the measurement of eHealth readiness in interdisciplinary healthcare teams. This research aims to address this gap in the literature through the development of a three phase methodology incorporating qualitative and quantitative methods. We propose a conceptual measurement model consisting of operationalized themes affecting readiness across four factors: (i) Organizational Capabilities, (ii) Team Capabilities, (iii) Patient Capabilities, and (iv) Technology Capabilities. The creation of this model will allow for the measurement of the readiness of interdisciplinary healthcare teams to use eHealth technologies to improve patient outcomes.
Phillips, J, Yu, D, Poon, SK, Lam, M, Hines, M, Brunner, M, Keep, M, Power, E, Shaw, T & Togher, L 2017, 'E-Health Readiness for Teams: A Comprehensive Conceptual Model.', Studies in health technology and informatics, vol. 239, pp. 119-125.
The use of information technology in the delivery of healthcare services is pervasive but faces many barriers. We propose a four-factor comprehensive conceptual model to provide a measure of interdisciplinary healthcare readiness to provide healthcare services using e-health. We incorporate factors from a series of focus group studies and the wider literature and construct a conceptual model. We utilise the Delphi method to establish content validity and use a series of Q sorts for initial construct validity. This model will improve patient outcomes through healthcare teams identifying barriers to using e-health effectively and efficiently.
Rietdijk, R, Power, E, Brunner, M & Togher, L 2017, 'Reliability of Videoconferencing Administration of a Communication Questionnaire to People With Traumatic Brain Injury and Their Close Others.', Journal of Head Trauma Rehabilitation, vol. 32, no. 6, pp. E38-E44.View/Download from: Publisher's site
To compare in-person with videoconferencing administration of a communication questionnaire for people with traumatic brain injury (TBI) and their close others.Repeated-measures design with randomized order of administration.Twenty adults with severe TBI and their close others.Both participants with TBI and their close others completed the La Trobe Communication Questionnaire (LCQ) via interview with a clinician, once via Skype and once during a home visit.Total LCQ score and time taken for completion.There were no significant differences between videoconferencing and in-person conditions in the total scores or time taken to complete the questionnaire.Videoconferencing-based administration of the LCQ is as reliable and efficient as in-person administration.
Shaw, T, McGregor, D, Brunner, M, Keep, M, Janssen, A & Barnet, S 2017, 'What is eHealth (6)? Development of a Conceptual Model for eHealth: Qualitative Study with Key Informants.', Journal of Medical Internet Research, vol. 19, no. 10, pp. 1-12.View/Download from: Publisher's site
Despite rapid growth in eHealth research, there remains a lack of consistency in defining and using terms related to eHealth. More widely cited definitions provide broad understanding of eHealth but lack sufficient conceptual clarity to operationalize eHealth and enable its implementation in health care practice, research, education, and policy. Definitions that are more detailed are often context or discipline specific, limiting ease of translation of these definitions across the breadth of eHealth perspectives and situations. A conceptual model of eHealth that adequately captures its complexity and potential overlaps is required. This model must also be sufficiently detailed to enable eHealth operationalization and hypothesis testing.This study aimed to develop a conceptual practice-based model of eHealth to support health professionals in applying eHealth to their particular professional or discipline contexts.We conducted semistructured interviews with key informants (N=25) from organizations involved in health care delivery, research, education, practice, governance, and policy to explore their perspectives on and experiences with eHealth. We used purposeful sampling for maximum diversity. Interviews were coded and thematically analyzed for emergent domains.Thematic analyses revealed 3 prominent but overlapping domains of eHealth: (1) health in our hands (using eHealth technologies to monitor, track, and inform health), (2) interacting for health (using digital technologies to enable health communication among practitioners and between health professionals and clients or patients), and (3) data enabling health (collecting, managing, and using health data). These domains formed a model of eHealth that addresses the need for clear definitions and a taxonomy of eHealth while acknowledging the fluidity of this area and the strengths of initiatives that span multiple eHealth domains.This model extends current understanding of eHealth by providing clearly defined ...
Yu, D, Poon, SK, Tran, V, Lam, MK, Hines, M, Brunner, M, Power, E, Shaw, T & Togher, L 2017, 'Enabler for Interdisciplinary eHealthcare: A Qualitative Study.', Studies in Health Technology and Informatics, vol. 239, pp. 160-166.View/Download from: Publisher's site
The complex relations between Health Technologies and clinical practices have been the focus of intensive research in recent years. This research represents a shift towards a holistic view where evaluation of health technologies is linked to organisational practices. In this paper, we address the gaps in existing literature regarding the holistic evaluation of e-health in clinical practice. We report the results from a qualitative study conducted to gain insight into e-health in practice within an interdisciplinary healthcare domain. Findings from this qualitative study, provides the foundation for the creation of a generic measurement model that allows for the comparative analysis of health technologies and assist in the decision-making of its stakeholders.
Tran, V, Lam, MK, Amon, KL, Brunner, M, Hines, M, Penman, M, Lowe, R & Togher, L 2017, 'Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review.', Brain injury, vol. 31, no. 13-14, pp. 1701-1710.View/Download from: Publisher's site
To identify literature which discusses the barriers and enablers of eHealth technology and which evaluates its role in facilitating interdisciplinary team work for the care of people with a traumatic brain injury (TBI).Systematic review.Studies were identified by searching CINAHL, Embase, Medline, PsycINFO, Scopus, and Web of Science.Studies included in the review were required to feature an eHealth intervention which assisted interdisciplinary care for people with TBI.Descriptive data for each study described the eHealth intervention, interdisciplinary team, outcomes, and barriers and facilitators in implementing eHealth interventions.The search resulted in 1389 publications, of which 35 were retrieved and scanned in full. Six studies met all the inclusion criteria for the review. Four different eHealth interventions were identified: (i) an electronic goals systems, (ii) telerehabilitation, (iii) videoconferencing, and (iv) a point-of-care team-based information system. Various barriers and facilitators were identified in the use of eHealth.eHealth interventions have been reported to support interdisciplinary teams for the care of TBI. However, there is a substantial gap in existing literature regarding the barriers and enablers which characterize a successful interdisciplinary eHealth model for people with TBI.
Brunner, M, Hemsley, B, Palmer, S, Dann, S & Togher, L 2015, 'Review of the literature on the use of social media by people with traumatic brain injury (TBI)', DISABILITY AND REHABILITATION, vol. 37, no. 16-17, pp. 1511-1521.View/Download from: Publisher's site