Factors Associated with Device, Internet and Videoconferencing Use Amongst Individuals with Moderate-to-Severe Traumatic Brain Injury

Author:

Chuah Sarah L.1ORCID,Whiting Diane L.12,Gates Thomas M.13ORCID,Simpson Grahame K.134ORCID

Affiliation:

1. Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Sydney, NSW 2170, Australia

2. School of Psychology, University of Wollongong, Wollongong, NSW 2500, Australia

3. School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia

4. John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW 2065, Australia

Abstract

Videoconferencing (VC) has the potential to improve access to quality healthcare for individuals with traumatic brain injury (TBI) who require intensive and ongoing rehabilitation post-injury. Gaps in information and communication technology (ICT) use, access, and skills, however, may undermine equitable participation in remotely delivered healthcare and rehabilitation. This cross-sectional study sought to identify which demographic, injury-related, and psychological factors are associated with gaps in digital inclusion amongst individuals with a TBI. Between March 2020 and December 2023, 186 adults with a moderate-to-severe TBI who were aged 18–65 years and were within five years post-injury completed a range of self-report measures. The results demonstrated that most individuals with a moderate-to-severe TBI reported high levels of technology skills and access and used the internet from multiple devices daily. While injury severity was unrelated to technology use, this finding may reflect an overestimation of technology use amongst individuals with the most severe injuries, who were excluded from the study. Several demographic and psychological factors were found to predict VC readiness and are presented within a model to guide clinicians considering client suitability for VC rehabilitation. The current findings indicate that the use of VC in clinical settings following a moderate-to-severe TBI is feasible and suggest that individuals with a TBI may benefit from the greater provision of remotely delivered healthcare than is currently offered.

Funder

icare NSW Lifetime Care and Support Scheme

Publisher

MDPI AG

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