Iterative Development of the Caregiver Wellness After Traumatic Brain Injury Program (CG-Well).
Natalie Kreitzer, Opeolu Adeoye, Shari L Wade and 4 others
PMID 36951450WHAT IT FOUND
Caregivers of adults with severe traumatic brain injury rated a new web-based support program as highly acceptable and feasible.
Feedback focused on health literacy and delivery preferences. The program is ready for efficacy testing but does not yet prove clinical benefit.
Key findings
01Experts and caregivers rated the intervention modules as highly relevant, clear, accurate, and useful, with mean scores at or above 4.56 on a 5-point scale.
02The most common weakness identified was related to health literacy, leading developers to simplify language and improve readability to a fifth-grade level.
03Participants had varied preferences for how they wanted to receive information, with no single delivery method clearly preferred, leading to a combined web and phone platform.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The sample size at each development stage was small. Participants lacked diversity; the sample was predominantly white with no Hispanic participants, limiting generalizability to minoritized populations. Recruitment and interviews were conducted virtually or by phone due to the pandemic, which may have affected rapport and participation rates. The study tested implementation outcomes like acceptability and feasibility, not clinical efficacy or patient outcomes. Experts were selected purposefully, which may introduce bias in content validation. The study was conducted in the United States, so findings may not apply internationally.
Declared interests
The authors declared no conflicts of interest. The work was supported by the National Institutes of Health.
The easy way to misread this
Do not interpret the high acceptability and feasibility ratings as evidence that CG-Well improves caregiver or patient outcomes. This paper describes the development and initial testing of the program's usability. Clinical efficacy has not been established and is the subject of an ongoing randomized controlled trial.