Abstract
Many children experience agitation and altered consciousness during early acquired brain injury (ABI) recovery, requiring multidisciplinary collaboration across the care pathway. However, limited research evidence and variability in management approaches compromise the provision of standardised, best practice care. This study aimed to co-design and pilot a targeted, evidence-informed implementation intervention to improve inpatient care for children with ABI experiencing altered consciousness and agitation. An Advisory Group was established, comprising 10 clinicians and one parent with lived experience of paediatric ABI (pABI). An evidence-informed, experience-based co-design (E2CD) process was followed and involved ‘understanding’ current evidence, clinical practice and lived experience perspectives using a scoping review, clinician survey, audit and qualitative interviews (Phase 1); ‘refining’ this understanding in the local context (Phase 2); ‘prioritising’ evidence-practice gaps (Phase 3); ‘co-designing’ resources (Phase 4); and ‘implementing and evaluating’ the resources through pilot testing (Phase 5). The ‘In This Together’ micro-learning videos were developed, comprising five ‘bite-sized’ videos that provide trauma-informed information and tips on managing agitation, uncertainty and transitions in care. The videos aim to support a shared understanding of these topics among clinicians and families and seek to provide families with knowledge and strategies to empower them during their child’s care. Pilot testing with clinicians in the local setting indicated that the videos are acceptable, appropriate and feasible. This study highlights the value of partnership with key stakeholders throughout the research process and resulted in the development of micro-learning videos that meaningfully address their needs and have a greater chance of clinical implementation and sustainability.


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This post is Copyright: | June 23, 2026
Neuro-General