Aashna Vazirani, Martin Checklin, Adam McKay, Dean McKenzie, Joanne Steel
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引用次数: 0
Abstract
Purpose: Recent INCOG 2.0 guidelines for posttraumatic amnesia (PTA) recommend commencing multidisciplinary functional intervention for patients who do not demonstrate severe behavioral disturbance. This pilot feasibility study aimed to determine if people with traumatic brain injury (TBI) could engage in a narrative discourse intervention during PTA.
Method: A narrative discourse intervention was developed based on existing evidence for discourse treatment and allied health treatments with patients in PTA. The study setting was a TBI-specific facility. Participants were screened on ward admission for PTA status and received daily discourse intervention comprising a story retell with visual supports and self-generated task during PTA. Measures included the Pittsburgh Rehabilitation Participation Scale (PRPS), the Agitated Behavior Scale (ABS), number of sessions attended, length of session, narrative organization, and patient enjoyment of sessions.
Results: Ten patients participated in this pilot study, in a total of 56 sessions overall. Average session duration was approximately 25 min. Participation (PRPS) scores ranged from 3 to 5 (good to very good), and agitation scores were mostly within normal limits on the ABS. Narrative samples produced with picture supports were more organized than self-generated samples. Participants reported enjoying sessions.
Conclusions: Discourse intervention conducted in the early PTA recovery period was feasible for this cohort, within a specialized TBI setting. Future research is required to examine the feasibility of intervention with patients in PTA in other settings, and the potential efficacy of narrative discourse intervention during PTA.
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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