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Journal of the Australasian Society for the Study of Brain Impairment
RESEARCH ARTICLE (Open Access)

‘I think I’d get a lot out of something where my views count and I could help other people’ – co-designing a family project-based intervention with people with lived experience of traumatic brain injury

Lynn Grayson https://orcid.org/0000-0002-5677-5732 A B , Marian C. Brady https://orcid.org/0000-0002-4589-7021 A , Leanne Togher C * and Myzoon Ali A D
+ Author Affiliations
- Author Affiliations

A Research Centre for Health, Govan Mbeki Buidling, Glasgow Caledonian University, Glasgow, UK.

B Community Brain Injury Team, National Health Service Lanarkshire, Hamilton, UK.

C Faculty of Medicine and Health, Susan Wakil Health Building, The University of Sydney, Sydney, NSW, Australia.

D School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.

* Correspondence to: leanne.togher@sydney.edu.au

Handling Editor: Melissa Brunner

Brain Impairment 26, IB24128 https://doi.org/10.1071/IB24128
Submitted: 1 December 2024  Accepted: 3 July 2025  Published: 1 August 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background

Meaningful engagement with families who have lived experience of traumatic brain injury (TBI) is essential if interventions are to more closely align with their needs. The aim of this study was to co-design a family project-based intervention including people with lived experience of TBI and explore participant experience.

Methods

People with cognitive-communication disorders following severe TBI, and their family members, were recruited from three Scottish brain injury services. The co-design teams participated in Microsoft Teams focus groups (October 2022 to January 2023). A range of adapted communication tools were developed to facilitate the co-design process, and e-surveys about the co-design experience were completed. Qualitative data arising from the focus groups were analysed thematically, and survey data were analysed descriptively.

Results

Thirteen participants (6 people following TBI and 7 family members) attended the co-design groups. The concept of a family project-based intervention was positively received and adaptions to content identified: inclusion of real-life examples, family support resources and a toolkit of strategies. A range of perceived personal benefits of being involved in the co-design groups was also reported; peer support, feeling heard and helping others.

Conclusion

People with cognitive–communication disorders following severe TBI, and their families, can make a valuable contribution to co-design research and benefit from the process. Following development of the adapted content, progression to the next design stage will involve feasibility testing of the co-designed family project-based intervention.

Keywords: acquired communication disorders, co-design, cognitive-communication disorders, family intervention, lived experience expertise, project-based intervention, rehabilitation of speech and language disorders, traumatic brain injury.

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