Improving outcomes for people with TBI
At the recent Traumatic Brain Injury Conference in New Zealand, Chandra explored the necessity for better digital outcomes by removing barriers in digital interfaces.

As digital interaction becomes increasingly embedded in our daily lives—from online banking to socialising digitally—it’s evident that creating user-friendly environments is vital for all, especially for those living with traumatic brain injury (TBI).
Better Outcomes = Better Quality of Life
Ensuring a higher quality of life following TBI means addressing fundamental aspects like meeting basic needs, engaging in everyday life, and fostering supportive relationships. These essential elements help individuals find meaning and purpose. As outlined in the research by Grewal et al., the priorities for enhancing quality of life after TBI centre around participation, acceptance, and connection.
Pervasive Digital Interaction
The shift from cheques to digital transactions and the rise of AI-driven online platforms have transformed how we interact with the world. While these advancements bring convenience, they also present challenges. Many individuals with TBI face significant hurdles when navigating digital interfaces. This can include issues with memory, decision-making, language processing, and a myriad of sensory sensitivities.
Identifying Barriers
Digital interfaces often do not accommodate the diverse needs of users with TBI. Barriers can prevent effective participation in daily activities, limit social interactions, and lead to potential digital misadventures. Symptoms such as short-term memory challenges, complex language processing, and overwhelming content can create a landscape where users feel frustrated and excluded.
The Need for Inclusive Design
To foster better outcomes, we must design more inclusive digital systems. Key aspects include:
Simplicity
- Systems need to be straightforward
- Apply basic visual design techniques such as grouping
- Proving intuitive language
Flexibility & Personalisation
- Using tailored user profiles, progress tracking, and adjustable difficulty levels.
- User profile creation to tailor settings based on individual needs
- Progress tracking and visual feedback on performance
- Ability to set difficulty levels for cognitive exercises
Visual Clarity
- High contrast colours for easy readability
- Simple layouts with clear visual hierarchy
- Large fonts and icons for better recognition
- Minimal distractions and clutter
Cognitive Support
- Step-by-step instructions for complex tasks
- Prompts and reminders for important actions
- Audio cues for attention and task completion
- Customizable task lists with priority levels
- Reminders, and audio cues
- Safe password personal details storage
Furthermore, essential accessibility features, such as text-to-speech functionality, voice commands, and adjustable font sizes, can empower individuals to interact with technology confidently and independently.
Potential Applications
From memory aids like digital calendars to brain training games that enhance cognitive skills, technology offers myriad applications beneficial for TBI patients. Communication support tools—such as speech-to-text features and visual communication aids—can facilitate seamless interactions, while online communities provide much-needed social connection.
Conclusion
As we continue to navigate a world where digital interaction is ubiquitous, it is paramount that we advocate for accessible designs that cater to the needs of all users—especially those with TBI. By removing barriers, we can improve participation and strengthen relationships, ultimately elevating the quality of life for individuals facing these challenges.
At our organisation, we commit to pushing for better digital outcomes and fostering a culture of collaboration. Together, let's ensure that technology serves as a bridge to greater independence and empowerment for everyone.
Let’s call out the barriers and work collectively towards accessibility—because better outcomes start with understanding and inclusivity.