Feasibility of Web-based Therapy Sessions (Cognishine)

Eksperimentel: Web-based patient-led therapy sessions

All patients will receive standard of care rehabilitation. In addition, patients recruited into the study will use the Cognishine platform for cognitive and/or language rehabilitation

Adfærdsmæssigt: a Web-Based Platform for delivering treatment for cognitive and language impairment amongst adults with acquired neurological disorders

The Cognishine platform is a digital (web-based) general health and wellness monitoring platform. It is designed to support health care professionals specialised in rehabilitation of patients with neurological disorders, through a wide range of multi-media based generalised activities across speech, language, social-emotional, and cognition.

To assess the feasibility of using the Cognishine web-based platform in a large NHS Trust in acute care setting.

Total number of completed sessions per patient on the cognishine platform

To assess staff and patient experience of using the Cognishine platform during therapy sessions.

Patients & therapists will be asked to complete the Mobile Health App Usability Questionnaire (MAUQ)for Interactive Mobile Health Apps used by patients.

The questionnaire is designed and validated to evaluate the usability of interactive health apps from the users perspective.

The MAUQ questionnaire comprises of 21 questions which cover 3 main usability domains.

1. Ease of use-Navigation, learnability and clarity.
2. Interface and satisfaction-Visual appeal, confidence and overall satisfaction.
3. Usefulness-Perceived value and effectiveness in helping users achieve their health goals.

Scoring is via a 7 point Likert scale (1 - strongly disagree, 2 - disagree, 3 - somewhat disagree, 4 - neither agree nor disagree, 5 - somewhat agree, 6 -agree, 7 - strongly agree.),with higher scores indicating greater usability and satisfaction.

To generate qualitative data about how to improve the end user experience for therapist to target barriers to implementation

Focus groups composed of therapists who have used the platform will be asked to provide end user information about using the system. This qualitative data will be used to improve the platform.

To generate preliminary data on the rehabilitation progress associated with the use of the Cognishine platform.

The Montreal Cognitive Assessment (MoCA) is a standard clinical measurement tool.

The tool comprises assessment of visuospatial/executive functions ,naming, memory, attention, language ,abstraction and orientation.

The scoring range is 0-30,with higher scores indicating better cognition, scores of <26 indicating possible cognitive impairment.

Scores will be collected from clinical notes at initial assessment and at discharge from rehabilitation therapy.

To generate preliminary data on the rehabilitation progress associated with the use of the Cognishine platform.

The Oxford Cognitive Screen(OCS) is specifically for stroke patients and reduces visual or language bias. It assesses attention, executive function, memory, language, number processing and praxis.

Each domain is scored with results interpreted as impaired or not impaired. Scores from clinical notes will be collected at initial assessment and at discharge from rehabilitation therapy.

To generate preliminary data on the rehabilitation progress associated with the use of the Cognishine platform.

The Orientation log(O-Log) score measures orientation, time place and situation.

10 items are measured , with each item scoring 0-3.The scoring range is 0-30,with higher scores reflecting better function. Scores <25 indicate disorientation.

Scores will be collected at initial assessment and at discharge from rehabilitation therapy