American Journal of Speech-Language Pathology最新文献

{"title":"Perspectives on Airway Protection: A Mixed Methods Investigation in People With Parkinson's Disease.","authors":"Jordanna S Sevitz, Nicole Rogus-Pulia, Michelle S Troche","doi":"10.1044/2024_AJSLP-24-00353","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00353","url":null,"abstract":"<p><strong>Purpose: </strong>Disordered airway protection, including both disordered swallowing (dysphagia) and disordered cough (dystussia), is highly prevalent among persons with Parkinson's disease (pwPD). A comprehensive understanding of the perspectives of pwPD as it relates to airway protection is currently lacking and is necessary to provide relevant, person-centered care. Therefore, this study used a parallel-convergent mixed methods design to quantitatively and qualitatively investigate pwPD's perspectives on airway protection.</p><p><strong>Method: </strong>Thirteen pwPD were consecutively recruited from a cough training trial. Quantitative data (obtained from the Swallowing Quality of Life questionnaire [SWAL-QOL] and the modified Canadian Occupational Performance Measure [mCOPM]) and qualitative data (obtained from semistructured interviews) were integrated to define participant knowledge, perceived importance, perceived performance, and psychosocial implications of airway protective deficits.</p><p><strong>Results: </strong>All participants reported basic knowledge about airway protection, which centered around four themes-physiology, the interconnectedness between bulbar functions, danger, and impaired airway protection as a consequence of PD. All participants believed that airway protection was important (median mCOPM score = 10), with three primary themes related to importance-survival, anticipated future decline, and maintaining oral intake. We identified a split between participants who perceived themselves to have \"a swallowing problem\" and those who did not, with three themes relating to perceived impairment-use of eating strategies, unpredictable and inconsistent symptom experience, and vigilance required to mitigate symptoms. Psychosocial ramifications centered on three key themes that aligned with three SWAL-QOL domains-overall burden, fear of future decline, and social embarrassment.</p><p><strong>Conclusion: </strong>The integration of quantitative and qualitative data in this study highlights the importance of considering unique patient perspectives to develop personalized and relevant management plans for each unique pwPD that integrate objective and clinical findings with patient priorities and needs.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28489280.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-21"},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining How U.S.-Educated Students Navigate International Clinical Practice in Audiology and Speech-Language Pathology.","authors":"Fauzia Abdalla, Ishara Ramkissoon, Samantha Ghali, Lemmietta McNeilly","doi":"10.1044/2024_AJSLP-24-00127","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00127","url":null,"abstract":"<p><strong>Purpose: </strong>The current qualitative study aimed to explore the experiences and challenges reported by United States (U.S.)-educated international clinicians practicing outside of the U.S. upon graduate degree completion. Identification of strategies for international practice was sought.</p><p><strong>Method: </strong>Nine participants, including seven speech-language pathologists (six women, one man) and two male audiologists practicing in 10 countries, were interviewed. Content analysis was used to systematically structure interview data, and a phenomenological orientation with qualitative analyses was adopted to explore the value and significance of the international practitioners' experiences.</p><p><strong>Results: </strong>Data analysis revealed three overarching themes that emphasized the influence of local context on clinical practice, professional autonomy, and navigating strategies for professional success. These thematic results were supported by several subthemes addressing a range of topics, such as evidence-based practice, colonialism, encroachment, resilience, and self-care. Analysis and interpretation of themes led to specific outcomes, including (a) suggestions for curricular and clinical changes within graduate programs, (b) optimal personal skills and strategies professionals utilize to achieve success during international engagements, and (c) recommendations for universities and professional organizations to enhance graduate personnel preparation of clinicians.</p><p><strong>Conclusions: </strong>Study implications offered recommendations that graduate programs and professional organizations could use to optimize the preparation of the audiology and speech-language pathology workforce internationally. The implications include advising, mentoring, curriculum, service provision coaching, clinical placement, and alumni relations that benefit international graduate degree candidates, departments, and universities. Insights from this study are an invaluable resource for academicians and future graduate students planning to work internationally.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Caregivers of Children in Early Intervention Feel About Simplified Language Input.","authors":"Julia Andary, Megan Nylund-Hackbarth, Emily Lorang, Bridget Walsh, Sarah N Douglas, Courtney E Venker","doi":"10.1044/2024_AJSLP-24-00380","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00380","url":null,"abstract":"<p><strong>Purpose: </strong>Caregivers of children in early intervention (EI) are commonly taught to simplify their speech, yet there is little research on caregivers' perspectives on recommended simplification strategies. We explored caregivers' opinions about using shortened and telegraphic speech and examined what caregiver and child characteristics are associated with caregiver views on simplified linguistic input.</p><p><strong>Method: </strong>Seventy-seven caregivers of children in EI completed an online survey on caregivers' perspectives on the language input provided to children with language delays. Using Likert scales, caregivers indicated their beliefs regarding speaking in shortened utterances (i.e., utterances with very few words) and telegraphic input (i.e., utterances that include content words such as nouns and verbs but remove function words and grammatical markings). In addition, caregivers were asked to rate the importance of a number of different factors (i.e., receptive language, expressive language, age, cognitive abilities, and diagnosis) when deciding how to speak to their children.</p><p><strong>Results: </strong>Caregivers reported a range of views, with few feeling neutral about shortened utterances or telegraphic input. Overall, caregivers perceived telegraphic utterances as less beneficial than shortened utterances. Caregivers with less formal education had a more positive view of telegraphic utterances compared to those with more formal education. Caregivers rated receptive language as the most important factor when deciding how to speak to a child.</p><p><strong>Conclusions: </strong>Caregivers of children in EI have differing views about simplified language input. Practitioners should provide a clear rationale and discuss caregivers' views about simplification approaches to better tailor their recommendations.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28452668.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-8"},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cough Suppression Therapy in Patients With Chronic Refractory Cough and Oropharyngeal Dysphagia.","authors":"ShengYing A Chen, Jessica F Kim, Priya Krishna, Ethan Simmons, Brianna K Crawley, Thomas Murry","doi":"10.1044/2024_AJSLP-24-00345","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00345","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic refractory cough (CRC), defined as cough lasting over 8 weeks despite medical intervention, is a prevalent condition with a number of associated comorbidities. Cough suppression therapy (CST) has been demonstrated to be a promising avenue for treating CRC by improving airway control and coordination. However, little is known about the effects of CST in CRC patients diagnosed with comorbid oropharyngeal dysphagia (DYS) despite a large subset of patients with both conditions. The purpose of this study was to determine if CST affects self-assessment of DYS severity in patients diagnosed with both CRC and oropharyngeal DYS.</p><p><strong>Method: </strong>The charts of 106 patients with a primary diagnosis of CRC who completed CST were reviewed. A total of 30 age- and gender-matched individuals, 15 with CRC and oropharyngeal DYS (CRC + DYS) and 15 with CRC only, were identified. All patients underwent stroboscopic examinations by an otolaryngologist and completed the Cough Severity Index and Eating Assessment Tool-10 surveys. Statistical analyses were conducted to compare pre- and posttreatment symptom severity, gender, age, race/ethnicity, and comorbidities.</p><p><strong>Results: </strong>Self-reported severity of DYS decreased in all 15 CRC + DYS patients, and their average post-treatment score was statistically similar to that of patients with only CRC. Both groups had comparable reductions in their self-assessment of cough severity. The two groups presented no statistically significant difference in pretreatment cough severity, treatment duration, number of treatment sessions, comorbidities, age, and gender.</p><p><strong>Conclusion: </strong>These findings suggest that CRC patients with oropharyngeal DYS and no evidence of aspiration had statistically significant improved self-assessment of swallowing disorder severity when treated with CST.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Peer Effect Is \"Utterly Profound\": A Social-ABI-lity Pilot Study of a Multicomponent, Peer-Moderated Social Media Skills Intervention for People With Acquired Brain Injury.","authors":"Melissa Brunner, Rachael Rietdijk, Kylie Southwell, James Baker, Stephen Cooper, Petra Avramovic, Sophie Brassel, Emma Power, Nick Rushworth, Leanne Togher","doi":"10.1044/2024_AJSLP-24-00114","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00114","url":null,"abstract":"<p><strong>Purpose: </strong>People who have an acquired brain injury (ABI) experience challenges in using social media. However, rehabilitation clinicians report feeling inadequately prepared to support them in its use. We aimed to evaluate the outcomes of a multicomponent, peer-moderated social media skills intervention for people with ABI.</p><p><strong>Method: </strong>This study utilized a mixed-methods, pre-post intervention design. Two people with ABI were invited to be research co-investigators and participated as peer moderators. A total of seven adults with an ABI were recruited to participate in the intervention and completed a short self-guided course about social media skills (social-ABI-lity course) and then took part in a private, peer-moderated Facebook group over an 8-week period (social-ABI-lity Facebook group). Data were analyzed with mixed methods, collected via observation of group activity, weekly surveys, social media use and quality of life questionnaires (pre-intervention, postintervention, and after 3 months), and postintervention interview.</p><p><strong>Results: </strong>Small improvements in social media skills were observed, although no significant changes were noted on quantitative measures for quality of life or confidence and enjoyment of Facebook use. Following a thematic analysis of interview data and incorporating reflections from peer moderators, we generated eight themes: loss, isolation, return, confidence, choice, identity, connection to community, and the \"peer\" effect. The intervention was identified as being feasible, acceptable, and engaging for all, with the role of the peer moderators perceived as being highly relevant and relatable by the participants. The peer moderators reported a positive influence on their confidence and sense of self-identity following the intervention.</p><p><strong>Conclusions: </strong>The intervention was feasible and acceptable, with peer moderators also benefitting from their involvement. Future research is warranted to determine the fidelity and efficacy of this intervention on a larger scale and to develop clinical resources to support goal setting and individualized approaches to support people with ABI to use social media safely and meaningfully.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician and Caregiver Perspectives on a Community-Based Dynamic Temporal and Tactile Cueing Treatment Trial for Childhood Apraxia of Speech: Exploring Perceptions of Research and Routine Clinical Practice.","authors":"Donna C Thomas, Geraldine Bricker-Katz, Elizabeth Murray, Shelley L Velleman, Jenya Iuzzini-Seigel","doi":"10.1044/2024_AJSLP-24-00228","DOIUrl":"10.1044/2024_AJSLP-24-00228","url":null,"abstract":"<p><strong>Purpose: </strong>Dynamic Temporal and Tactile Cueing (DTTC) is an evidence-based treatment for children with childhood apraxia of speech. In clinical practice, speech-language pathologists (SLPs) frequently use an eclectic approach incorporating aspects of DTTC, for reasons that are not well understood. This research note describes a qualitative investigation of the experiences of SLPs and caregivers who participated in protocolized research DTTC for a 24-session treatment efficacy study. Specifically, we sought to understand the perspectives of these SLPs and caregivers regarding (a) DTTC treatment, as provided during the study, and (b) participating in a treatment research study.</p><p><strong>Method: </strong>Four SLPs and three caregivers participated in semistructured interviews, via Zoom, 4 weeks after the treatment study. Questions explored perceptions of research DTTC treatment and experiences of participating in a research study. Data were analyzed with inductive thematic analysis using an iterative and reflective process.</p><p><strong>Results: </strong>One overarching main theme was identified: \"Research and clinical practice: Different priorities and processes,\" with five subthemes. The subthemes were (a) research DTTC is more challenging, (b) research DTTC is surprisingly effective, (c) clinical practice is preferable to research, (d) research participation leads to new learning, and (e) power differential exists between researchers and clinicians.</p><p><strong>Conclusions: </strong>Aspects of the research DTTC were uncomfortable for SLPs and families, despite its efficacy and what they learned from participating. SLPs perceived a schism between researchers and clinicians. More needs to be done to decrease the perceived gap between researchers and clinicians to facilitate implementation of evidence-based practice in nonresearch contexts.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28299764.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-10"},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Reliability of the Adapted Kagan Scales for Rating Conversations for People With Acquired Brain Injury: A Multiphase Iterative Mixed-Methods Design.","authors":"Nicholas Behn, Emma Power, Penny Prodger, Leanne Togher, Madeline Cruice, Jane Marshall, Rachael Rietdijk","doi":"10.1044/2024_AJSLP-24-00144","DOIUrl":"10.1044/2024_AJSLP-24-00144","url":null,"abstract":"<p><strong>Purpose: </strong>Rating the quality of conversations can assess communication skills in both people with acquired brain injury and their communication partners. This study explored the clinical feasibility and reliability of two conversation rating scales: the Adapted Measure of Participation in Conversation (MPC) and the Adapted Measure of Support in Conversation (MSC).</p><p><strong>Method: </strong>Raters were final-year speech and language therapy students (<i>n</i> = 14) and qualified clinicians (<i>n</i> = 2). Raters attended training on the Adapted MPC and MSC, watched 5 or 10 min of videotaped conversations (<i>n</i> = 23), and then scored them on the MPC and MSC scales. Data were collected over four phases, which varied according to the length of the training, sample length, number of samples rated, and level of clinical expertise. Feasibility data (time taken to score conversations and ease of use) were collected. Interrater reliability was assessed using intraclass correlations (ICCs: absolute agreement, single measures).</p><p><strong>Results: </strong>Raters took 30-45 min to score a 10-min sample, and they took 20-30 min to score a 5-min sample. Ease of use was rated highly across all phases. Overall reliability for rating 5 min of conversation (ICC = .52-.73) was better than for 10 min of conversation (ICC = .33-.68). Reliability for the MPC was moderate for both students (ICC = .69) and clinicians (ICC = .55), and for the MSC, it was moderate for both students (ICC = .73) and clinicians (ICC = .58). Reliability was better for students compared with clinicians.</p><p><strong>Conclusions: </strong>Rating a 5-min conversation in under 30 min was feasible, with more reliable results for 5-min compared with 10-min conversations. Implications for assessing conversation in the future are discussed.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Pilot Implementation of a Theory-Based Cognitive Rehabilitation Protocol for Adults With Chronic Cognitive Complaints After Mild Traumatic Brain Injury.","authors":"Lyn S Turkstra, Melissa R Ray, M Marina LeBlanc, Lisa H Lu, Glenn Curtiss, Amy O Bowles, Blessen C Eapen, Douglas B Cooper","doi":"10.1044/2024_AJSLP-24-00306","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00306","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to describe the development of and pilot feasibility outcomes for a strategy-based, brief, intensive cognitive rehabilitation intervention delivered to U.S. service members and veterans with mild traumatic brain injury in a recently completed 3-year pragmatic clinical trial: Symptom-Targeted Approach to Rehabilitation for Concussion (STAR-C).</p><p><strong>Method: </strong>To develop STAR-C, we used the Rehabilitation Treatment Specification System to identify core elements and principles from a previous randomized clinical trial of cognitive rehabilitation, and incorporated principles of neuroplasticity (e.g., high-dose spaced practice of personally meaningful tasks), best clinical practices (e.g., client-centered goal setting), health psychology (e.g., a focus on self-efficacy and motivation), and community-based participation research (e.g., the protocol was co-designed by clinicians and researchers). Treatment was based on a resource-allocation theory of everyday cognitive challenges, which predicted that automatic strategy use would reduce cognitive demands of everyday activities and therefore reduce cognitive symptoms. Treatment was delivered by speech-language pathologists (SLPs) and occupational therapists (OTs), using a protocol that included a problem-focused intake questionnaire, manualized treatment, and clinician resources. Therapy was delivered individually in six to 10 virtual or in-person sessions over 3-4 weeks. Therapy focused on desired changes in function, scaled using Goal Attainment Scaling.</p><p><strong>Results: </strong>Trained SLPs and OTs delivered STAR-C to 53 U.S. service members and veterans, with treatment fidelity > 95%. Participants and clinicians rated STAR-C as acceptable, feasible, and appropriate, and most participants attained and maintained targets.</p><p><strong>Conclusion: </strong>STAR-C appears to be a feasible method for improving everyday cognitive performance and efficacy should be tested in a controlled study.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28222613.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-18"},"PeriodicalIF":2.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"https://doi.org/10.1044/2024_AJSLP-24-00147","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":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Purpose in Life After Brain Injury: Expanding the Focus and Impact of Interdisciplinary Rehabilitation.","authors":"Natalie V Covington, Olivia Vruwink, Mary Vining Radomski","doi":"10.1044/2024_AJSLP-24-00113","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00113","url":null,"abstract":"<p><strong>Purpose: </strong>Traumatic brain injury (TBI) is a life-altering event that can abruptly and drastically derail an individual's expected life trajectory. While some adults who have sustained a TBI go on to make a full recovery, many live with persisting disability many years postinjury. Helping patients adjust to and flourish with disability that may persist should be as much a part of rehabilitative practice as addressing impairment, activity, and participation-level changes after TBI. Living with a sense of purpose in daily life has been shown to provide numerous health and psychological benefits in the general population, especially in the face of major life transitions. In this article, we argue that rehabilitative professionals across disciplines can fruitfully leverage the construct of purpose in life to lend structure, meaning, and intrinsic motivation to TBI rehabilitation and to the recrafting of lives in the aftermath of unexpected change.</p><p><strong>Method: </strong>We provide a narrative review of the literature relevant to recovery and long-term well-being after TBI and of the role of purpose in daily life in promoting well-being in the general population. We then outline avenues for, and potential benefits of, incorporating a focus on purpose in life into TBI rehabilitation and discuss future directions in purpose-in-life rehabilitation research.</p><p><strong>Conclusion: </strong>We propose that an overarching rehabilitative focus on purpose in daily life could improve well-being after TBI by grounding therapeutic services in a construct that meaningfully connects traditional rehabilitation targets to patients' broader lives, while concurrently addressing injury-related purpose disruption, in order to promote flourishing after brain injury irrespective of a person's degree of functional recovery.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}