Summary of recommendations
cognitive ABI symptoms
RECRUITMENT
Based on quantitative and qualitative data, as well as steering committee perspectives, recommendations for changes in trial design, recruitment methods, data collection, intervention design, and study outcomes may be beneficial to consider in a main trial (Table Literature review on suitable measures of group cohesion in ABI and potential removal of outcomes measures showing little to no response in BA;Evaluating suitability of alternative randomisation methods for group BA to enhance group cohesion;Replication of MCID efficacy estimates in an independently recruited sample, especially through UK NHS ABI services;Further feasibility testing of the BA groups in ABI survivors with aphasia;Conducting PPI consultations on refining AP group session materials so as to reduce session content;Conduct economic analysis of costs associated with groups conducted in NHS and community settings.Recommendations for review prior to implementation and conducting an effectiveness trial based on pilot feasibility data• Retain Waitlist Control design• Include additional participant support check-ins for Waitlisted participants• Retain online delivery• Recruit between acute and community services and chronic samples• Enhance social media recruitment and self-referrals• Clearer advertisement of potential benefits of both BA groups• Identify methods to enhance sample representativeness• Include further measures to characterise cognitive ABI symptoms in baseline assessment• Include 3 month or longer follow up• Remove exit interview and include additional questions in PSQ• Qualitative data collected at all follow-up time points• Retain 8 sessions• Review suitability of AP group content• Adapt training manual for facilitator on ways to create therapeutic milieu online• Consider additional co-facilitator• Include measures of group cohesion• Include measures of positive and negative self-beliefs• Consider self-report executive function measures• Review choice of primary outcome measure (activity levels versus mood)