Improved Conversation Outcomes After Social Communication Skills Training for People With Traumatic Brain Injury and Their Communication Partners: A Clinical Trial Investigating In-Person and Telehealth Delivery
| Autor: | Emma Power, Rachael Rietdijk, Leanne Togher, Robert Heard, Michelle C. Attard |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Research design
Adult Male Linguistics and Language medicine.medical_specialty media_common.quotation_subject Telehealth Interpersonal communication Language and Linguistics law.invention Social Skills Speech and Hearing Interpersonal relationship Young Adult Social skills Randomized controlled trial law Behavior Therapy Brain Injuries Traumatic medicine Humans Conversation Interpersonal Relations Social Communication Disorder media_common Aged Middle Aged Telemedicine Clinical trial Treatment Outcome Research Design Physical therapy Language Therapy Female New South Wales Psychology |
| Zdroj: | Journal of speech, language, and hearing research : JSLHR. 63(2) |
| ISSN: | 1558-9102 |
| Popis: | Purpose The aim of the study was to investigate the effectiveness of social communication skills training (TBIconneCT) for people with traumatic brain injury (TBI) and their communication partners, delivered in-person or via telehealth, on quality of conversations. Method This study is a clinical trial, including an in-person intervention group ( n = 17), a telehealth intervention group ( n = 19), and a historical control group ( n = 15). Participants were adults at least 6 months post moderate-to-severe TBI with social communication skills deficits and their usual communication partners. Participants completed a casual and purposeful conversation task at pre-intervention, postintervention, and a follow-up assessment. A blinded assessor evaluated conversations using the Adapted Measure of Participation in Conversation and the Adapted Measure of Support in Conversation. Treatment effects were examined by comparing groups on change in ratings between pre- and posttraining. Maintenance of effects was examined using change between posttraining and follow-up assessment. The trial protocol was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12615001024538). Results Trained participants with TBI had significant improvements in participation in casual conversation compared to controls. Trained communication partners also had significant improvements compared to controls on ratings of support in casual conversations. However, treatment effects were not maintained at follow-up for two of eight measures. Comparisons between outcomes of in-person and telehealth groups found negligible to small effect sizes for six of eight measures. Conclusions The findings reinforce previous studies demonstrating the efficacy of communication partner training after TBI. Telehealth delivery produced similar outcomes to in-person delivery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|