Traumatic brain injury (TBI) can result in chronic sensorimotor, cognitive, psychosocial, and communication challenges that can limit social participation. Social media can be a useful outlet for social participation for individuals with TBI, but there are barriers to access. While research has drawn attention to the nature of access barriers, few studies have investigated technological solutions to address these barriers, particularly considering the perspectives of individuals with TBI. To address this gap in knowledge, we used a participatory approach to engage 10 adults with TBI in conceptualizing tools to address their challenges accessing Facebook. Participants described multifaceted challenges in using social media, including interface overload, social comparisons, and anxiety over self-presentation and communication after injury. They discussed their needs and preferences and generated ideas for design solutions. Our work contributes to designing assistive and accessibility technology to facilitate an equal access to the benefits of social media for individuals with TBI.

翻译：创伤性脑损伤（TBI）可能导致慢性感觉运动、认知、心理社会和沟通障碍，从而限制社会参与。社交媒体可以成为TBI患者社会参与的有用渠道，但存在访问障碍。尽管研究已关注访问障碍的性质，但很少有研究探讨解决这些障碍的技术方案，尤其缺乏考虑TBI患者视角的研究。为填补这一知识空白，我们采用参与式方法，邀请10名成年TBI患者参与概念化工具的设计，以应对他们在访问Facebook时面临的挑战。参与者描述了使用社交媒体的多重挑战，包括界面过载、社会比较，以及受伤后对自我呈现和沟通的焦虑。他们讨论了自身需求和偏好，并构思了设计解决方案。我们的工作为设计辅助和无障碍技术做出了贡献，旨在促进TBI患者平等享受社交媒体的益处。