How are adolescents with acquired brain injury using computer-mediated communication?: a systematic review of the literature

To systematically review the literature on the use of computer-mediated communication (CMC) for social participation by adolescents with acquired brain injury (ABI), characterize patterns of use, perceived benefits and challenges, and existing supports for this population. Following PRISMA guidelines, we searched seven databases (CINAHL, Ovid Medline, APA PsycINFO, Allied and Complementary Medicine Database (AMED), Embase, SpeechBITE and the Cochrane Database for Systematic Reviews) and grey literature from inception to January 2024, and hand-searched references. The PCC framework guided the inclusion of English-language articles on adolescents aged 13–18 with ABI, focusing on CMC use in community or outpatient settings. Quality of the included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklists. Results were synthesized using thematic analysis. Nine studies met inclusion criteria. Thematic analysis identified five major themes: navigating adolescent ABI, the digital landscape, technology as a facilitator, leveraging CMC and parental involvement to support autonomy, and synergies for CMC within rehabilitation settings. CMC can support social participation for adolescents with ABI; however, significant knowledge gaps exist regarding access barriers and effective supports. Further research is needed to develop specialized training for rehabilitation professionals to support adolescents with ABI in accessing CMC safely. The findings highlight the need to consider incorporating computer-mediated communication (CMC) into rehabilitation strategies and goals for adolescents with acquired brain injury (ABI).The findings can serve as a foundation for working with stakeholders to develop customized CMC interventions and strategies, to enhance the social participation and overall well-being of youth with ABI.Rehabilitation professionals are encouraged to expand their knowledge of CMC and its application to rehabilitation of youth with ABI.Rehabilitation professionals should consider integrating CMC tools into their practices, and creating personally meaningful CMC strategies for adolescents with acquired brain injury (ABI). The findings highlight the need to consider incorporating computer-mediated communication (CMC) into rehabilitation strategies and goals for adolescents with acquired brain injury (ABI). The findings can serve as a foundation for working with stakeholders to develop customized CMC interventions and strategies, to enhance the social participation and overall well-being of youth with ABI. Rehabilitation professionals are encouraged to expand their knowledge of CMC and its application to rehabilitation of youth with ABI. Rehabilitation professionals should consider integrating CMC tools into their practices, and creating personally meaningful CMC strategies for adolescents with acquired brain injury (ABI).