{"title":"混合促进认知运动组治疗社区成人后发性脑损伤的初步可行性和益处","authors":"Therese M O'Neil-Pirozzi, Stefan Kolesnik","doi":"10.1044/2025_AJSLP-24-00542","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Cognitive exercise is an activity that people engage in to maximize brain health and function. A hybrid cognitive exercise group model creates an opportunity to potentially benefit adults with chronic moderate-severe (m-s) cognitive impairments post-acquired brain injury (ABI) in community residential settings. This article reports preliminary feasibility, enjoyment, and potential cognitive benefits of a 1-year hybrid cognitive exercise group from participant and trained in-person volunteer facilitator perspectives.</p><p><strong>Method: </strong>Ten adults residing in a community home participated in the group directed by a rehabilitation speech-language pathologist (SLP) via an internet-based videoconferencing platform and facilitated by three in-person trained volunteers in this mixed-methods single-group study. Attendance, retention, and postgroup satisfaction data were obtained from participants and facilitators. Pre-/postgroup cognitive testing data were obtained from participants.</p><p><strong>Results: </strong>Participants and facilitators attended more than 90% of sessions, with 100% retention. Eighty percent of participants reported that the group was extremely helpful, and 90% reported that it was extremely enjoyable, with 100% wanting to continue in the group. Episodic memory and processing speed were significantly improved postgroup. Facilitators reported that the group was extremely helpful and enjoyable to participants, with 100% wanting to continue helping run the group.</p><p><strong>Conclusions: </strong>Engagement in a hybrid cognitive exercise group led online by a rehabilitation SLP was perceived feasible by adults with chronic m-s cognitive impairments post-ABI residing in a community home and trained in-person volunteer facilitators. Cognitive benefits may be associated with this model of economical, time-efficient, and enjoyable group engagement. Further study is warranted.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29710805.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2928-2941"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Preliminary Feasibility and Benefits of a Hybrid-Facilitated Cognitive Exercise Group for Adults Post-Acquired Brain Injury in a Community Residential Setting.\",\"authors\":\"Therese M O'Neil-Pirozzi, Stefan Kolesnik\",\"doi\":\"10.1044/2025_AJSLP-24-00542\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Cognitive exercise is an activity that people engage in to maximize brain health and function. A hybrid cognitive exercise group model creates an opportunity to potentially benefit adults with chronic moderate-severe (m-s) cognitive impairments post-acquired brain injury (ABI) in community residential settings. This article reports preliminary feasibility, enjoyment, and potential cognitive benefits of a 1-year hybrid cognitive exercise group from participant and trained in-person volunteer facilitator perspectives.</p><p><strong>Method: </strong>Ten adults residing in a community home participated in the group directed by a rehabilitation speech-language pathologist (SLP) via an internet-based videoconferencing platform and facilitated by three in-person trained volunteers in this mixed-methods single-group study. Attendance, retention, and postgroup satisfaction data were obtained from participants and facilitators. Pre-/postgroup cognitive testing data were obtained from participants.</p><p><strong>Results: </strong>Participants and facilitators attended more than 90% of sessions, with 100% retention. Eighty percent of participants reported that the group was extremely helpful, and 90% reported that it was extremely enjoyable, with 100% wanting to continue in the group. Episodic memory and processing speed were significantly improved postgroup. Facilitators reported that the group was extremely helpful and enjoyable to participants, with 100% wanting to continue helping run the group.</p><p><strong>Conclusions: </strong>Engagement in a hybrid cognitive exercise group led online by a rehabilitation SLP was perceived feasible by adults with chronic m-s cognitive impairments post-ABI residing in a community home and trained in-person volunteer facilitators. Cognitive benefits may be associated with this model of economical, time-efficient, and enjoyable group engagement. Further study is warranted.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29710805.</p>\",\"PeriodicalId\":49240,\"journal\":{\"name\":\"American Journal of Speech-Language Pathology\",\"volume\":\" \",\"pages\":\"2928-2941\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-09-04\",\"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/10.1044/2025_AJSLP-24-00542\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Speech-Language Pathology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2025_AJSLP-24-00542","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/8 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Preliminary Feasibility and Benefits of a Hybrid-Facilitated Cognitive Exercise Group for Adults Post-Acquired Brain Injury in a Community Residential Setting.
Purpose: Cognitive exercise is an activity that people engage in to maximize brain health and function. A hybrid cognitive exercise group model creates an opportunity to potentially benefit adults with chronic moderate-severe (m-s) cognitive impairments post-acquired brain injury (ABI) in community residential settings. This article reports preliminary feasibility, enjoyment, and potential cognitive benefits of a 1-year hybrid cognitive exercise group from participant and trained in-person volunteer facilitator perspectives.
Method: Ten adults residing in a community home participated in the group directed by a rehabilitation speech-language pathologist (SLP) via an internet-based videoconferencing platform and facilitated by three in-person trained volunteers in this mixed-methods single-group study. Attendance, retention, and postgroup satisfaction data were obtained from participants and facilitators. Pre-/postgroup cognitive testing data were obtained from participants.
Results: Participants and facilitators attended more than 90% of sessions, with 100% retention. Eighty percent of participants reported that the group was extremely helpful, and 90% reported that it was extremely enjoyable, with 100% wanting to continue in the group. Episodic memory and processing speed were significantly improved postgroup. Facilitators reported that the group was extremely helpful and enjoyable to participants, with 100% wanting to continue helping run the group.
Conclusions: Engagement in a hybrid cognitive exercise group led online by a rehabilitation SLP was perceived feasible by adults with chronic m-s cognitive impairments post-ABI residing in a community home and trained in-person volunteer facilitators. Cognitive benefits may be associated with this model of economical, time-efficient, and enjoyable group engagement. Further study is warranted.
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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