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The NIHR Brain Injury MedTech Co-operative is a partnership between the Cambridge University Hospitals NHS Foundation Trust and the University of Cambridge
Neuropsychological Rehabilitation MIC Theme 11
Dr Andrew Bateman
Brain Injury MedTech Co-operative
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NIHR Brain Injury MedTech Co-operativeNIHR Brain Injury MedTech Co-operative
Between 1.0 – 1.4 million people attend hospital in
the UK annually with a head injury and of these
approximately 135,000 are admitted to hospital
Rehabilitation involves a collaboration between
survivors and professionals – working together to
overcome disadvantage caused by brain injury to
optimise participation in daily life.
Assessment – Formulation-Intervention-
Evaluation Cycle at heart of all the work
A “litany of possible problems
Background Neuropsychological Rehabilitation
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NIHR Brain Injury MedTech Co-operative
TEAM - In addition to the OZC team - & clinicians around Cambs and Bedfordshire
• Luning Sun – Psychometrics• Tom Manly & Polly Peers –MRC-
CBU• Fergus Gracey – UEA• Nancy Devlin – OHE• Helen Dawes Oxford Brookes• Nele Deyemere Oxford• International links –Brazil,
Germany,Iran,Japan,Spain
SMEs & Charities• Health
Bridge• SilverCloud• L2S2• Animorph• BrainCurve• UKABIF
Neuropsychological Rehabilitation
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NIHR Brain Injury MedTech Co-operative
Assessment developments with L2S2
Patient screen showing partially completed questionnaire,
Aiming to work on EBIQ & DEX-R
** connection with Systm1, automated scoring, reporting
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NIHR Brain Injury MedTech Co-operative
Interventions - pipeline
BrainCurve
5
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NIHR Brain Injury MedTech Co-operative
Online CBT next stage trial needed
Example of online self-management of mood after brain injury using cCBT
Trigger“after achieving my goalsI make a mistake”
Thoughts“what an idiot...”
Feelings“angry, frustrated”
Physical Reactions“heavy arms, poor concentration”
Behaviours“hiding under bed covers”
“I realised I was in a cycle but I did not realise the solution to escape it. Writing down the cycle helped. .
...It helped me to notice my feelings and confirm that I was going round in circles...to break out of the cycle”.
Reflective Diary
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NIHR Brain Injury MedTech Co-operativeNIHR Brain Injury MedTech Co-operative
Strategy Neuropsychological Rehabilitation
Rolling out OCS-Bridge Ipad based cognitive assessment in NHS Bedfordshire & Cambs stroke services – road testing Developing the online portal for data capture using EBIQ and DEX-R and other contender PROMS – L2S2Exploring funding processes
Sustainable business models and social enterprise development work?Prototype work with animorph?
Nationally & Internationally available assessment and intervention packages and data sets
Year 1
Short-term
Year 2-3
Medium -term
Year 4-5
Long-term
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NIHR Brain Injury MedTech Co-operativeNIHR Brain Injury MedTech Co-operative
Sub-themes Neuropsychological Rehabilitation
1. Neuropsychological assessment
2. Intervention innovations
Fatigue management
VLE
OCS-BRIDGE