2026-10-14T06:29:51Z https://api.figshare.com/v2/oai

oai:figshare.com:article/33716450 2026-09-13T19:40:06Z category_4 category_7 category_21 category_106 category_45 category_734 category_122 portal_87 item_type_3 month_year_09_2026

<i>R2Play-Rehab</i>: co-designing a multidomain integrative active rehabilitation tool for concussion Joshua Shore (24866063) Andrea Hickling (14114187) Jennifer L. Ryan (17471805) Stephanie McFarland (14213399) Christine Provvidenza (3527156) Andrew Lovell (18260047) Michael Hutchison (3511136) Sarah E. P. Munce (4762143) Kathryn J. Schneider (12591616) Elaine Biddiss (2936568) Shannon E. Scratch (11671099) Biochemistry Medicine Biotechnology Science Policy Sociology Biological Sciences not elsewhere classified Mental Health Concussion rehabilitation Co-design design methods end-user engagement mixed methods healthcare innovation <p>To adapt a multidomain concussion assessment tool (<i>R2Play</i>) for integrative active rehabilitation (<i>R2Play-Rehab</i>) through co-design by: (1) Understanding clinician perspectives on intervention opportunities; (2) Prioritising intervention opportunities on relevance, impact, and implementation; (3) Gathering design requirements; and (4) Prioritising design requirements.</p> <p>This mixed methods study followed the Generative Co-Design Framework for Healthcare Innovation. <i>Phase 1 (pre-design) –</i> co-design activities were planned with clinician partners and youth advisors. <i>Phase 2 (co-design)</i> – clinician participants were recruited to complete practice reflections and attend virtual design meetings. <i>Phase 3 (post-design)</i> – design meetings were analysed qualitatively and follow-up survey administered to verify and quantitatively prioritise analysed findings.</p> <p>Eleven clinicians (3–30 years’ experience; 7 women) from diverse clinical disciplines participated. Twenty-six field kit reflections were submitted, with each participant contributing between 1 and 5 submissions. Nine unique intervention opportunities were identified across three themes (in order of priority): (1) Enabling integrative rehabilitation; (2) Facilitating the return to play process; and (3) Promoting motivation and engagement in rehabilitation. Twenty-three design requirements were generated and organised into 10 grouped categories, with highest priority assigned to measuring and communicating progress, customising programs, scaling task demands, setting goals, and ensuring safety.</p> <p>Findings revealed important clinical challenges in concussion care and highlighted opportunities for novel integrative active rehabilitation approaches, which may inform future research, policy, and rehabilitation strategies. Our co-design approach enabled sustained clinician engagement and provided highly contextualised insights about real practice issues. This process may be useful for engaging end-users and integrating their perspectives in designing healthcare innovations.</p> <p></p><p>Findings indicate that clinicians face challenges in concussion rehabilitation related to: (1) reproducing and progressing multidomain integration tasks (e.g., cognitive demands during exercise); (2) guiding athletes through graded return-to-play activities performed outside the clinic; and (3) engaging non-athletes and fearful or overconfident clients in complex high intensity exercises.</p><p>Multidomain tools could help address these challenges through active rehabilitation strategies that support concussion recovery by enabling integrative therapy, facilitating the return to play process, and promoting motivation and engagement in rehabilitation.</p><p>Rehabilitation technologies designed for use in active rehabilitation of concussion should have features that satisfy high-priority clinician requirements in the areas of measuring and communicating progress, creating and reproducing customised programs, scaling multidomain task demands, setting goals, and ensuring safety.</p><p>Co-design methods including guided practice reflection, facilitated group discussion, and structured decision-making techniques can help engage clinicians as active collaborators in the creative process of designing healthcare innovations.</p><p></p> <p>Findings indicate that clinicians face challenges in concussion rehabilitation related to: (1) reproducing and progressing multidomain integration tasks (e.g., cognitive demands during exercise); (2) guiding athletes through graded return-to-play activities performed outside the clinic; and (3) engaging non-athletes and fearful or overconfident clients in complex high intensity exercises.</p> <p>Multidomain tools could help address these challenges through active rehabilitation strategies that support concussion recovery by enabling integrative therapy, facilitating the return to play process, and promoting motivation and engagement in rehabilitation.</p> <p>Rehabilitation technologies designed for use in active rehabilitation of concussion should have features that satisfy high-priority clinician requirements in the areas of measuring and communicating progress, creating and reproducing customised programs, scaling multidomain task demands, setting goals, and ensuring safety.</p> <p>Co-design methods including guided practice reflection, facilitated group discussion, and structured decision-making techniques can help engage clinicians as active collaborators in the creative process of designing healthcare innovations.</p> 2026-09-13T19:40:06Z Dataset Dataset 10.6084/m9.figshare.33716450.v1 https://figshare.com/articles/dataset/_i_R2Play-Rehab_i_co-designing_a_multidomain_integrative_active_rehabilitation_tool_for_concussion/33716450 CC BY 4.0