Social Participation and Navigation (SPAN): Description and usability of app-based coaching intervention for adolescents with TBI Journal Articles uri icon

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  • BACKGROUND: Adolescents with brain injury (BI) often experience impairment in participation, which is an important predictor of outcomes. OBJECTIVE: Describe the Social Participation and Navigation (SPAN) program, and report participant feedback and preliminary outcomes. METHOD: Four adolescents and four coaches participated. SPAN included a mobile app, online didactic information, and peer coaching. Adolescents met weekly with coaches via video-conference, developed participation goals, and plans to achieve goals. Social and behavioral functioning before and after was assessed, and feedback about SPAN was collected. RESULTS: SPAN was well received. Participants used the app to define and achieve goals. Medium to large effect sizes were found on adolescent self-reported measures, with negligible effects on parent-report measures. Positive and critical feedback is described. CONCLUSIONS: Findings support the usability of SPAN, which has the potential to improve social participation of adolescents with a history of TBI through an innovative use of technology and peer coaching.


  • Narad, Megan E
  • Bedell, Gary
  • King, Jessica A
  • Johnson, Jeremy
  • Turkstra, Lyn
  • Haarbauer-Krupa, Julie
  • Wade, Shari L

publication date

  • October 3, 2018