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Table 11 Recommendations for review prior to implementation and conducting an effectiveness trial based on pilot feasibility data

From: Mood, Activity Participation, and Leisure Engagement Satisfaction (MAPLES): results from a randomised controlled pilot feasibility trial for low mood in acquired brain injury

Protocol aspect

Recommendations

Type of review recommended

Trial design

• Retain Waitlist Control design

• Include additional participant support check-ins for Waitlisted participants

• Retain online delivery

Staffing costs review, Steering Committee review

Recruitment

• 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

PPI consultation, clinician consultation

Data collection

• 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

Staffing costs review, literature review

Interventions

• 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

PPI consultation, staffing costs review, Steering Committee consultation

Outcomes

• 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)

Literature review, Steering Committee consultation