{"title":"Visual Stimulus Materials Used in Spoken Narrative Discourse Elicitation After Traumatic Brain Injury: A Scoping Review.","authors":"Joanne Steel, Rhianne Hoffman, Elise Bogart","doi":"10.1044/2024_AJSLP-24-00147","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Management of discourse is acknowledged as a critical component of speech-language pathology practice with cognitive communication after traumatic brain injury (TBI). This scoping review aimed to collate the visual materials that are being used in empirical research for spoken narrative elicitation post-TBI, in both assessment and treatment contexts. We aimed to examine the format, structure, and sources for visuals used. Discourse analyses were also investigated.</p><p><strong>Method: </strong>The research was conducted and reported as per the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews between September 26, 2023, and March 1, 2024. Four electronic databases were searched for peer-reviewed original research studies reporting spoken narrative tasks using visual elicitation stimuli after TBI. Secondary searches of backward and forward citations were also undertaken.</p><p><strong>Results: </strong>Of the 1,461 studies found in the search, 60 studies were eligible for data extraction. Eleven visual stimuli were used in 51 of the studies to elicit narratives. The visual stimulus reported in the highest number of studies was The Flowerpot Incident, a six-picture black-and-white picture sequence. Overall, the most frequently used format was a wordless storybook, analyzed most frequently at the macrostructural level.</p><p><strong>Conclusions: </strong>Research studies are using picture sequences or wordless storybooks to elicit discourse samples after TBI. This contrasts with a recent survey of clinical practice with discourse post-TBI, where The Cookie Theft picture was most reported in use (Steel et al., 2024). We discuss the relevance of findings in relation to recent INCOG 2.0 guidelines (Togher et al., 2023) and speech-language pathology practice, and make recommendations for clinical and research future directions.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28098113.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-21"},"PeriodicalIF":2.3000,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Speech-Language Pathology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2024_AJSLP-24-00147","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Management of discourse is acknowledged as a critical component of speech-language pathology practice with cognitive communication after traumatic brain injury (TBI). This scoping review aimed to collate the visual materials that are being used in empirical research for spoken narrative elicitation post-TBI, in both assessment and treatment contexts. We aimed to examine the format, structure, and sources for visuals used. Discourse analyses were also investigated.
Method: The research was conducted and reported as per the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews between September 26, 2023, and March 1, 2024. Four electronic databases were searched for peer-reviewed original research studies reporting spoken narrative tasks using visual elicitation stimuli after TBI. Secondary searches of backward and forward citations were also undertaken.
Results: Of the 1,461 studies found in the search, 60 studies were eligible for data extraction. Eleven visual stimuli were used in 51 of the studies to elicit narratives. The visual stimulus reported in the highest number of studies was The Flowerpot Incident, a six-picture black-and-white picture sequence. Overall, the most frequently used format was a wordless storybook, analyzed most frequently at the macrostructural level.
Conclusions: Research studies are using picture sequences or wordless storybooks to elicit discourse samples after TBI. This contrasts with a recent survey of clinical practice with discourse post-TBI, where The Cookie Theft picture was most reported in use (Steel et al., 2024). We discuss the relevance of findings in relation to recent INCOG 2.0 guidelines (Togher et al., 2023) and speech-language pathology practice, and make recommendations for clinical and research future directions.
目的：话语管理被认为是创伤性脑损伤（TBI）后认知沟通的言语语言病理实践的重要组成部分。这一范围审查的目的是整理在评估和治疗背景下，用于创伤性脑损伤后口头叙述引出实证研究的视觉材料。我们的目的是检查使用的视觉效果的格式、结构和来源。语篇分析也进行了研究。方法：本研究于2023年9月26日至2024年3月1日期间按照系统评价和元分析扩展范围的首选报告项目进行并报告。在四个电子数据库中检索了同行评议的原始研究报告，这些研究报告使用视觉激发刺激进行TBI后的口头叙述任务。还进行了反向和正向引文的二次检索。结果：在检索到的1461项研究中，有60项研究符合数据提取条件。在51项研究中使用了11种视觉刺激来引出叙述。在最多的研究中报告的视觉刺激是《花盆事件》，这是一个六幅黑白图像序列。总的来说，最常用的格式是无文字的故事书，最常在宏观结构层面进行分析。结论：研究采用图片序列或无字故事书提取脑外伤后话语样本。这与最近一项关于脑损伤后临床实践的调查形成了鲜明对比，在该调查中，“饼干盗窃”图片被报道最多（Steel et al., 2024）。我们讨论了与最近的inccog 2.0指南（together等人，2023）和语言病理学实践相关的研究结果，并为临床和研究的未来方向提出了建议。补充资料：https://doi.org/10.23641/asha.28098113。
期刊介绍：
Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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