Babbage, DDrown, JulietVan Solkema, MaeganArmstrong, JonathanLevack, WilliamKayes, NM2024-07-112024-07-112023-01-12Disability and Rehabilitation Assistive Technology, ISSN: 1748-3107 (Print); 1748-3115 (Online), Taylor and Francis Group, 19(4), 1287-1297. doi: 10.1080/17483107.2023.21670091748-31071748-3115http://hdl.handle.net/10292/17779PURPOSE: We examine the use of a custom iPad application, the Rehab Portal, to provide clients in an inpatient brain injury rehabilitation service with access to short videos where clinicians-or the clients themselves-discuss their current rehabilitation goals. MATERIALS AND METHODS: We developed an initial version of the Rehab Portal app based on our previous co-design with service users, their families, and clinicians. This was examined in a field trial with a series of six clients over the course of their stays in inpatient rehabilitation, collecting quantitative data on clinician and client engagement with the Rehab Portal, alongside a thematic analysis of qualitative interviews with clients and clinicians at the point of discharge. RESULTS: Engagement with the platform was high for two clients while it was limited with four more. In our thematic analysis we discuss how introduction of the Rehab Portal disrupted practice, changing how things are done, causing deviation from usual routines, adding burden, and threatening professional integrity. At the same time, where it worked well it led to a repositioning of goal planning away from being clinician directed and towards an ongoing, dynamic collaboration between clinicians, clients and their families. Finally, in some cases we identified a reverting to the status quo, with client demotivation having an unexpected impact on clinician behaviour leading to the process being abandoned. CONCLUSIONS: The current findings do not provide wholesale support for this approach, yet we continue to feel that approaches that support clinician-client communication using asynchronous video may offer considerable future value and are worthy of further investigation.© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.http://creativecommons.org/licenses/by-nc-nd/4.0/co-designcognitive prostheticengagementmobile technologyrehabilitationrehabilitation goalstablettechnologyTraumatic brain injuryTraumatic brain injuryco-designcognitive prostheticengagementmobile technologyrehabilitationrehabilitation goalstablettechnology4201 Allied Health and Rehabilitation Science4203 Health Services and Systems42 Health SciencesBehavioral and Social ScienceNeurosciencesRehabilitationBrain DisordersPhysical Rehabilitation3 Good Health and Well Being1103 Clinical Sciences1117 Public Health and Health ServicesRehabilitation4007 Control engineering, mechatronics and robotics4201 Allied health and rehabilitation science4203 Health services and systemsHumansBrain InjuriesMobile ApplicationsComputers, HandheldMaleFemaleAdultInpatientsMiddle AgedCommunicationGoalsHumansBrain InjuriesCommunicationGoalsComputers, HandheldAdultMiddle AgedInpatientsFemaleMaleMobile ApplicationsHumansBrain InjuriesMobile ApplicationsComputers, HandheldMaleFemaleAdultInpatientsMiddle AgedCommunicationGoalsJournal ArticleOpenAccess10.1080/17483107.2023.2167009