Disability and rehabilitation · 2026
Evaluating the feasibility of a co-designed psychosocial recovery intervention for cyberscam survivors with acquired brain injury (ABI): a single-case experimental design.
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Chew Kimberly Ann, Cazanis Alyxandra, Hymus Sue, Grant Samantha, Ponsford Jennie Louise, Gould Kate Rachel
Аннотация
PURPOSE: This pilot aimed to (1) assess the feasibility of "Smooth Sailing After Scams (SSAS)", a novel 10-session cyberscam psychosocial group intervention, (2) explore the sensitivity of outcome measures in detecting intervention response in people with ABI.
MATERIALS AND METHODS: Of 23 screened adults with ABI, 10 were enrolled (Mage = 59.5, SD = 13.0). A concurrent multiple-baselines single-case design with randomised baseline lengths (2, 4 or 6 weeks) and 2-month follow-up was conducted. SSAS addressed cybersafety, finances, emotions, relationships and lifestyle. Groups were delivered online (n = 2) and in-person (n = 2). Feasibility outcomes included recruitment, retention, attendance, satisfaction, adverse events, fidelity. Scam-related distress and coping were assessed thrice weekly (baseline), and weekly (intervention/follow-up). Secondary outcomes included cyberscam adjustment/engagement, cybersafety, mood, financial strategies, relationships, goal achievement. Data were analysed visually and statistically.
RESULTS: Eight participants completed SSAS, with no cancellations or adverse events; two remained on waitlist. Recruitment was lower than expected, but other feasibility indicators were strong. All avoided further scams and demonstrated meaningful progress in cyberscam adjustment between baseline and 2-month follow-up. Moderate effects were observed for reduced distress (4/8) and improved coping (3/8), maintained at follow-up.
CONCLUSIONS: SSAS was largely feasible and promising for supporting cyberscam adjustment. Findings will inform a future randomised-controlled trial.
MATERIALS AND METHODS: Of 23 screened adults with ABI, 10 were enrolled (Mage = 59.5, SD = 13.0). A concurrent multiple-baselines single-case design with randomised baseline lengths (2, 4 or 6 weeks) and 2-month follow-up was conducted. SSAS addressed cybersafety, finances, emotions, relationships and lifestyle. Groups were delivered online (n = 2) and in-person (n = 2). Feasibility outcomes included recruitment, retention, attendance, satisfaction, adverse events, fidelity. Scam-related distress and coping were assessed thrice weekly (baseline), and weekly (intervention/follow-up). Secondary outcomes included cyberscam adjustment/engagement, cybersafety, mood, financial strategies, relationships, goal achievement. Data were analysed visually and statistically.
RESULTS: Eight participants completed SSAS, with no cancellations or adverse events; two remained on waitlist. Recruitment was lower than expected, but other feasibility indicators were strong. All avoided further scams and demonstrated meaningful progress in cyberscam adjustment between baseline and 2-month follow-up. Moderate effects were observed for reduced distress (4/8) and improved coping (3/8), maintained at follow-up.
CONCLUSIONS: SSAS was largely feasible and promising for supporting cyberscam adjustment. Findings will inform a future randomised-controlled trial.