A Single-Case Design Study of Collaborative Interpersonal Strategy Building With Audio Reflection for Improving Social Communication Following Acquired Brain Injury.
IF 2.3 3区 医学Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
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Abstract
Purpose: This article reports the results of a single-case experimental multiple-baseline study across participants aiming to evaluate treatment effects of a metacognitive, joint reflection intervention package for social communication after acquired brain injury (ABI).
Method: Four adults with a history of ABI and their everyday communication partners (ECPs) participated in a novel intervention, the Collaborative Interpersonal Strategy Building with Audio Reflection (CISBAR), incorporating collaborative goal setting, metacognitive strategy instruction, and joint audio reflection. Primary participants and ECPs engaged in 6- to 7-min conversations on opinion topics during the baseline, intervention, and follow-up phases. Raters scored turn-taking behavior (interruption, length of speaking turn) in each videorecorded conversation sample in random order without knowing study phase. Pre-/post-intervention questionnaires captured client and partner perspectives of communication changes.
Results: All four participants achieved personal communication goals. Visual analysis of specific communication targets supported a treatment effect in the two participants targeting interruption, but not in the two participants targeting verbosity. Design-comparable effect size analysis showed a medium effect size for decreasing interruption. Communication skills of all participants improved following CISBAR according to self- and partner-report questionnaires. Improvements in communication target behaviors maintained at 1-month follow-up.
Conclusions: Results suggest that CISBAR shows promise as a treatment package for improving social communication post-ABI. The discussion considers the complexities of measuring changes in social communication, the treatment ingredients and candidacy considerations for CISBAR, and the emphasis on shared decision making in the therapy process.
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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