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Digital peer-supported and peer-led self-management of mental and sexual wellbeing for people with acquired brain injury (HOPE4ABI): a feasibility randomised controlled trial


National Institute for Health and Care Research (NIHR) Research for Patient Benefit (RfPB) scheme



Value to Coventy University



University Hospital Coventry and Warwickshire

Dr Giles Yeates, clinical neuropsychologist - Rippling Minds

Relate Coventry and Warwickshire

Mr Douglas Youngson – on behalf of the Stroke Association

Hope For The Community (H4C) CIC (a Coventry University spin-out social enterprise)

Torbay and South Devon NHS Foundation Trust

Nikki Holliday- Coventry University 

Project Team

PI: Dr Hayley Wright

Co-PI: Professor Andy Turner


Mrs Deborah Williams (public co-applicant)

Professor Avril Drummond (University of Nottingham) 

Professor Lisa Kidd (Glasgow Caledonian University)

Dr David McWilliams (CU/UHCW)

Dr Cain Clark (Coventry University)

Dr Peter Kimani (University of Warwick)


HOPE4ABI logofunded by nihr logoUHCW new trust logoHope for the Community logobrainstrust logoRelate logo

Project Overview

Acquired brain injury (ABI) is an ‘umbrella term’ for any brain injury sustained after birth. Common causes are traumatic brain injury (TBI), stroke, brain tumour, encephalitis, meningitis, and aneurysm.

ABI can cause a range of problems across multiple areas of health and wellbeing - including relationship and intimacy issues. Reducing the burden and impact of ABI for patients and families is imperative: 75% of people with ABI (~1.6million UK) experience sexual problems, and up to one half are depressed (~1.2million UK). There is a strong connection between psychological and sexual wellbeing, so supporting sex and intimacy may also be beneficial for mental health, and vice versa.

Alongside people with ABI, we are co-designing and testing a new digital self-management programme for mental and sexual wellbeing after brain injury.

To find out more about the project on the HOPE4ABI webpage.

Project Objectives

The project is broadly split into two phases of co-design and feasibility testing.

1. Co-design a new digital intervention:

We will work with our PPI group to co-design a new digital self-management programme to support mental and sexual wellbeing after ABI.

a. Our PPI group will co-design and user-test two new modules focussing on supporting issues that are common across many types of ABI, in relation to intimacy, relationships, and sexual wellbeing.

b. We will repurpose some of the psychological wellbeing support from our existing digital intervention. Our PPI group will also user-test these modules to assess accessibility, ease-of-use, relevance, and appropriateness for people with a variety of brain injuries.

2. Randomised controlled trial:

Once the intervention has been co-designed and user tested by a handful of PPI representatives, we will run a feasibility randomised control trial with up to 60 people. Participants will have a 50/50 chance of being in one of two versions of the intervention – i) with peer support, or ii) without peer support / self-directed. In the peer supported version, specially trained peer facilitators will help to deliver the online intervention, stimulate discussions between participants, and be on hand to answer any questions.

Some of the questions we want to answer include:

  1. Do people with ABI want to take part in our intervention?
  2. Are they happy to be randomised to peer supported vs. self-directed versions of the intervention?
  3. How much of the programme do they use?
  4. What do they like or dislike about it?
  5. Will they complete our study questionnaires and take part in interviews after the intervention period, to feedback on their experiences?

We will ask participants to complete questionnaires and interviews to help us understand what works, and what does not. We can then make any adjustments to the research design or improvements to the intervention. The next step would be to run a fully powered randomised controlled trial, to test whether the intervention has any measurable effects on mental and sexual wellbeing for people with ABI in the short, medium and longer term.

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