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Bryant L, Sedlarevic N, Stubbs P, Bailey B, Nguyen V, Bluff A, Barnett D, Estela M, Hayes C, Jacobs C, Kneebone I, Lucas C, Mehta P, Power E, Hemsley B. Collaborative co-design and evaluation of an immersive virtual reality application prototype for communication rehabilitation (DISCOVR prototype). Disabil Rehabil Assist Technol 2024; 19:90-99. [PMID: 35442823 DOI: 10.1080/17483107.2022.2063423] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 03/29/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE Virtual reality (VR) lends itself to communication rehabilitation by creating safe, replicable, and authentic simulated environments in which users learn and practice communication skills. The aim of this research was to obtain the views of health professionals and technology specialists on the design characteristics and usability of a prototype VR application for communication rehabilitation. MATERIALS AND METHODS Nine professionals from different health and technology disciplines participated in an online focus group or individual online interview to evaluate the application and use of the VR prototype. Data sources were analysed using a content thematic analysis. RESULTS Four main themes relating to VR design and implementation in rehabilitation were identified: (i) designing rehabilitation-focused virtual worlds; (ii) understanding and using VR hardware; (iii) making room for VR in rehabilitation and training; and (iv) implementing VR will not replace the health professional's role. DISCUSSION Health professionals and technology specialists engaged in co-design while evaluating the VR prototype. They identified software features requiring careful consideration to ensure improved usability, client safety, and success in communication rehabilitation outcomes. Continuing inclusive co-design, engaging health professionals, clients with communication disability, and their families will be essential to creating useable VR applications and integrating these successfully into rehabilitation. Implications for rehabilitationHealth and technology professionals, along with clients, are integral to the co-design of new VR technology applications.Design of VR applications needs to consider the client's communication, physical, cognitive, sensory, psychosocial, and emotional needs for greater usability of these programs.Realism and authenticity of interactions, characters, and environments are considered important factors to allow users to be fully immersed in virtual simulations to enhance rehabilitation.
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Affiliation(s)
- Lucy Bryant
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Neira Sedlarevic
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Peter Stubbs
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Benjamin Bailey
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Vincent Nguyen
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Andrew Bluff
- Faculty of Transdisciplinary Innovation, University of Technology Sydney Animal Logic Academy, Sydney, Australia
| | - Diana Barnett
- Occupational Therapist Children's Hospital, Westmead, Australia
| | | | - Carolyn Hayes
- Susan Wakil School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Sydney, Sydney, Australia
| | - Chris Jacobs
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Ian Kneebone
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Cherie Lucas
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Poonam Mehta
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Emma Power
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
| | - Bronwyn Hemsley
- University of Technology Sydney Graduate School of Health, Faculty of Health, Sydney, Australia
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Armstrong R. Assessment of spoken discourse in patients with a TBI in acute settings. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2023; 58:1846-1850. [PMID: 37092807 DOI: 10.1111/1460-6984.12885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/26/2023] [Accepted: 04/03/2023] [Indexed: 05/03/2023]
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Nielsen AI, Jensen LR, Power E. Meeting the confused patient with confidence: perceived benefits of communication partner training in subacute TBI. Brain Inj 2022; 37:1-14. [PMID: 36571429 DOI: 10.1080/02699052.2022.2158224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 08/11/2022] [Accepted: 12/09/2022] [Indexed: 12/27/2022]
Abstract
OBJECTIVE This study aims to explore health professionals' perceived benefits of implementing Communication Partner Training (CPT) using Supported Conversation for Adults with Aphasia (SCA™) in a subacute rehabilitation setting with patients in post-traumatic confusional state (PTCS) after TBI. METHOD The study was conducted in a clinical setting using a pre-post questionnaire design to explore change. One hundred and four interdisciplinary clinicians attended CPT in the SCA™ method and subsequent implementation support. Participants completed a questionnaire with both quantitative and qualitative questions before and after the training and implementation period. Data were analyzed using descriptive and inferential statistics and qualitative content analysis. RESULTS Participants' perceived confidence and self-assessed ability to communicate with patients in PTCS significantly increased after CPT (p = 0.006). While participants still experienced communication challenges, they reported using CPT-related tools and strategies in their interactions. Participants found they could apply strategies to improve patients' comprehension of information and to confirm their understanding of patients' communication. However, using strategies to enhance patients' expressive abilities was perceived as more challenging. CONCLUSIONS Training health professionals in CPT increase their confidence in managing communication with patients in PTCS. Further research is needed to evaluate the efficacy of CPT within a more rigorous research design.
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Affiliation(s)
- Annesofie Ishøy Nielsen
- Department of Brain and Spinal Cord Injury, The Neuroscience Centre, Copenhagen University Hospital, Rigshospitalet, Denmark
| | - Lise Randrup Jensen
- Department of Nordic Studies and Linguistics, University of Copenhagen, Postal address: Emil Holms Kanal 2, DK-2300 København S, Copenhagen, Denmark
| | - Emma Power
- Department of Speech Pathology, University of Technology Sydney, Speech Pathology, Graduate School of Health, Postal address: PO Box 123 Broadway NSW 2007 Australia, Sydney, Australia
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Johnson LW, Hall KD. A Scoping Review of Cognitive Assessment in Adults With Acute Traumatic Brain Injury. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2022; 31:739-756. [PMID: 35050695 DOI: 10.1044/2021_ajslp-21-00132] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
PURPOSE The purpose of this study was to describe and synthesize the current research regarding the prevailing cognitive domains impacted by acute traumatic brain injury (TBI) in adults. Standardized and nonstandardized assessments of cognitive function and comorbidities influencing cognitive function during the initial stages of recovery are presented to help guide clinical assessment. METHOD A scoping review, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework, was used to explore four electronic databases. Searches identified peer-reviewed empirical literature addressing aspects of cognitive domains impacted after TBI, cognitive assessment, and comorbidities impacting assessment in adults after acute TBI. RESULTS A total of 1,072 records were identified and reduced to 75 studies based on inclusion criteria. The cognitive domains most impacted in acute TBI were memory and executive function. The Glasgow Coma Scale (GCS) was the most frequently used tool to assess cognitive abilities, despite it being a measurement of consciousness, not of cognition. Psychological changes were the most commonly noted comorbidity impacting cognitive assessment. CONCLUSIONS Assessment of cognition after acute TBI requires a multifaceted approach that considers the typical profile of cognitive impairment, as well as patient-specific factors influencing cognitive abilities following initial brain injury. The present results support the generally held view that memory and executive function deficits are common cognitive difficulties associated with acute TBI in adults. The GCS remains the most widely used tool to assess function, though numerous tools are available that specifically address cognitive domains. Acute medical comorbidities common within this stage of injury are highlighted, as well as gaps of clinical knowledge that remain. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.18372086.
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Affiliation(s)
- Leslie W Johnson
- Department of Communication Sciences and Disorders, North Carolina Central University, Durham
| | - Kellyn D Hall
- Department of Communication Sciences and Disorders, North Carolina Central University, Durham
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Agrela N, Santos ME, Guerreiro S. Communication skills training pilot programme after traumatic brain injury: short and medium-term benefits. Brain Inj 2021; 35:304-314. [PMID: 33464934 DOI: 10.1080/02699052.2021.1872096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objective: The study aimed to evaluate whether a pilot communication rehabilitation programme improves different communicative modalities in people who have sustained a moderate to severe TBI immediately following the training and at 3 months follow up.Methods: We have recruited 12 participants who had moderate-to-severe TBI. Subjects were randomly divided into two groups, EG and CG. We have assessed the groups before and after treatment and we have performed a follow-up three months later, through of the ABaCo. The EG followed a very structured programme. In the CG, a programme to stimulate communication through free conversation was carried out. Each programme consisted of 24 group sessions, of 1h30 min, twice a week, for 12 weeks.Results: Improvements were observed in both groups, although more evident in the EG. Both groups had better results in extralinguistic production. In the EG, there was still an improvement in the paralinguistic production and extralinguistic comprehension, after ending the training. These improvements persisted 3 months after ending the programme.Conclusion: The results demonstrated the effectiveness of the intervention of a structured pragmatic rehabilitation programme. However, the existence of a communication group based solely on conversation can also have positive results and should be implemented whenever a more specific intervention is not possible. In future research, it will be important to increase the sample size and involve caregivers in person and regularly in the EG programme.
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Affiliation(s)
- Nicole Agrela
- Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Maria Emília Santos
- Center for Interdisciplinary Research in Health (CIIS), Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Sandra Guerreiro
- Centro de Reabilitação Profissional de Gaia (CRPG), Gaia, Portugal
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LeBlanc J, Seresova A, Laberge-Poirier A, Tabet S, Correa JA, Alturki AY, Feyz M, de Guise E. Cognitive-communication skills and acute outcome following mild traumatic brain injury. Brain Inj 2020; 34:1472-1479. [PMID: 32857623 DOI: 10.1080/02699052.2020.1802669] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE Little is known about cognitive-communication skills post mild traumatic brain injury (mTBI). We aimed to determine how performance on cognitive-communication measures in the acute recovery period relates to early outcome following complicated mTBI. METHOD Results of language and communication skill measures, demographic and accident-related data, length of stay (LOS), Glasgow Outcome Scale-Extended (GOSE) scores and discharge destinations were retrospectively gathered for 128 admitted patients with complicated mTBI. RESULTS More than half of the individuals required rehabilitation services post discharge from hospital with over a third needing in-patient rehabilitation. Patients with poorer skills in auditory comprehension, verbal reasoning, confrontation naming, verbal fluency and conversational discourse were more likely to require in-patient rehabilitation. Subjects with worse skills in naming, conversational discourse and letter-category verbal fluency had a greater chance of being referred to out-patient rehabilitation services. Thus patients with both auditory comprehension and oral expression deficits were more likely to require in-patient services whereas those who had oral expression deficits but no significant difficulty in auditory comprehension were more often referred to out-patient services. Also, worse conversational discourse skills and semantic-category naming ability were related to lower GOSE scores and the chance of a longer LOS was greater when letter-category naming was poorer. CONCLUSION The likelihood of individuals requiring rehabilitation services post mTBI was related to performance on several oral expression and auditory comprehension measures. It is therefore important to evaluate cognitive-communication skills early to determine rehabilitation needs.
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Affiliation(s)
- Joanne LeBlanc
- Traumatic Brain Injury Program, McGill University Health Center , Montreal, Canada
| | - Alena Seresova
- Traumatic Brain Injury Program, McGill University Health Center , Montreal, Canada
| | | | - Sabrina Tabet
- Department of Psychology, Université de Montréal , Montreal, Canada
| | - José A Correa
- Department of Mathematics and Statistics, McGill University , Montreal, Canada
| | - Abdulrahman Y Alturki
- Department of Neurology and Neurosurgery, McGill University , Montreal, Canada.,Adult Neurosurgery Department, National Neurosciences Institute, King Fahad Medical City , Riyadh, Saudi Arabia
| | - Mitra Feyz
- Traumatic Brain Injury Program, McGill University Health Center , Montreal, Canada
| | - Elaine de Guise
- Department of Psychology, Université de Montréal , Montreal, Canada.,Department of Neurology and Neurosurgery, McGill University , Montreal, Canada.,Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain (CRIR) , Montreal, Canada.,Research Institute-McGill University Health Center , Montreal, Canada
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Nielsen AI, Power E, Jensen LR. Communication with patients in post-traumatic confusional state: perception of rehabilitation staff. Brain Inj 2020; 34:447-455. [DOI: 10.1080/02699052.2020.1725839] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Annesofie Ishøy Nielsen
- Department of Neurorehabilitation, TBI Unit, Copenhagen University Hospital, Rigshospitalet, Denmark
| | - Emma Power
- University of Technology Sydney, Graduate School of Health, Ultimo, Australia
- University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Lidcombe, Australia
| | - Lise Randrup Jensen
- Department of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen, Denmark
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Hemsley B, Steel J, Worrall L, Hill S, Bryant L, Johnston L, Georgiou A, Balandin S. A systematic review of falls in hospital for patients with communication disability: Highlighting an invisible population. JOURNAL OF SAFETY RESEARCH 2019; 68:89-105. [PMID: 30876524 DOI: 10.1016/j.jsr.2018.11.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 08/23/2018] [Accepted: 11/28/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Patients with communication disability, associated with impairments of speech, language, or voice, have a three-fold increased risk of adverse events in hospital. However, little research yet examines the causal relationship between communication disability and risk for specific adverse events in hospital. OBJECTIVE To examine the impact of a patient's communication disability on their falls risk in hospital. METHODS This systematic review examined 61 studies on falls of adult hospital patients with communication disability, and patients at high risk of communication disability, to determine whether or not communication disability increased risk for falls, and the nature of and reasons for any increased risk. RESULTS In total, 46 of the included studies (75%) reported on participants with communication disability, and the remainder included patients with health conditions placing them at high risk for communication disability. Two thirds of the studies examining falls risk identified communication disability as contributing to falls. Commonly, patients with communication disability were actively excluded from participation; measures of communication or cognition were not reported; and reasons for any increased risk of falls were not discussed. CONCLUSIONS There is some evidence that communication disability is associated with increased risk of falls. However, the role of communication disability in falls is under-researched, and reasons for the increased risk remain unclear. Practical applications: Including patients with communication disability in falls research is necessary to determine reasons for their increased risk of adverse events in hospital. Their inclusion might be helped by the involvement of speech-language pathologists in falls research teams.
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Affiliation(s)
- Bronwyn Hemsley
- Speech Pathology, Graduate School of Health, The University of Technology, Sydney, Building 7 (Faculty of Science and Graduate School of Health Building), 67 Thomas Street, Ultimo, NSW 2007, Australia.
| | - Joanne Steel
- Speech Pathology, Graduate School of Health, The University of Technology, Sydney, Building 7 (Faculty of Science and Graduate School of Health Building), 67 Thomas Street, Ultimo, NSW 2007, Australia.
| | - Linda Worrall
- School of Health and Rehabilitation Sciences, University of Queensland Level 3, Therapies Annexe (84A), University of Queensland, Brisbane, St Lucia, QLD 4072, Australia.
| | - Sophie Hill
- Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Melbourne, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, VIC 3086, Australia.
| | - Lucy Bryant
- Speech Pathology, Graduate School of Health, The University of Technology, Sydney, Building 7 (Faculty of Science and Graduate School of Health Building), 67 Thomas Street, Ultimo, NSW 2007, Australia.
| | - Leanne Johnston
- School of Health and Rehabilitation Sciences, University of Queensland Level 3, Therapies Annexe (84A), University of Queensland, Brisbane, St Lucia, QLD 4072, Australia.
| | - Andrew Georgiou
- Centre for Health Systems and Safety Research, Macquarie University, Room L6 36, Level 6, 75 Talavera Road, Sydney, NSW 2109, Australia.
| | - Susan Balandin
- Faculty of Health, School of Health & Social Development, Deakin University, Melbourne, Burwood Campus, 221 Burwood Highway, Burwood, VIC 3125, Australia.
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Gauthier S, LeBlanc J, Seresova A, Laberge-Poirier A, A Correa J, Alturki AY, Marcoux J, Maleki M, Feyz M, de Guise E. Acute prediction of outcome and cognitive-communication impairments following traumatic brain injury: The influence of age, education and site of lesion. JOURNAL OF COMMUNICATION DISORDERS 2018; 73:77-90. [PMID: 29709658 DOI: 10.1016/j.jcomdis.2018.04.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Revised: 02/28/2018] [Accepted: 04/10/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Communication impairment following a traumatic brain injury (TBI) has been well documented, yet information regarding communication skills in the acute period following the injury is limited in the literature. Also, little is known about the influence of TBI severity (mild, moderate or severe) on cognitive-communication impairments and how these impairments are related to short-term functional outcome. The goal of this study was to assess the performance of adults with mild, moderate and severe TBI on different language tests and to determine how this performance is related to functional capacity. We also aimed to explore which variables among age, sex, education, TBI severity and site of cerebral damage would predict initial language impairments. METHODS Several language tests were administered to a sample of 145 adult patients with TBI of a range of severities admitted to an acute care service and to 113 healthy participants from the community. RESULTS TBI patients of a range of severities performed poorly on all language tests in comparison to the healthy controls. In addition, patients with mild TBI performed better than the moderate and severe groups, except on the reading test and on the semantic naming test. In addition, their performance on verbal fluency, conversational discourse and procedural discourse tasks predicted acute functional outcome. Finally, age, education and TBI severity and site of lesion predicted some language performance. A left temporal lesion was associated with poorer performance in conversational discourse and auditory comprehension tasks, a left frontal lesion with a decrease in the verbal fluency results and a right parietal lesion with decreased auditory comprehension and reasoning skills. CONCLUSION Health care professionals working in the acute care setting should be aware of the possible presence of cognitive-communication impairments in patients with TBI, even for those with mild TBI. These deficits can lead to functional communication problems and assistance may be required for tasks frequently encountered in acute care requiring intact comprehension and expression.
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Affiliation(s)
- Sandra Gauthier
- Department of Psychology, Université de Montréal, Montréal, Canada; Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montréal, Canada
| | - Joanne LeBlanc
- Traumatic Brain Injury Program-McGill University Health Center, Montréal, Canada
| | - Alena Seresova
- Traumatic Brain Injury Program-McGill University Health Center, Montréal, Canada
| | | | - José A Correa
- Department of Mathematics and Statistics, McGill University, Montréal, Canada
| | - Abdulrahman Y Alturki
- Department of Neurology and Neurosurgery, McGill University, Montréal, Canada; Department of Neurosurgery, the National Neuroscience Institute, Riyadh, Saudi Arabia
| | - Judith Marcoux
- Department of Neurology and Neurosurgery, McGill University, Montréal, Canada
| | - Mohammed Maleki
- Department of Neurology and Neurosurgery, McGill University, Montréal, Canada
| | - Mitra Feyz
- Traumatic Brain Injury Program-McGill University Health Center, Montréal, Canada
| | - Elaine de Guise
- Department of Psychology, Université de Montréal, Montréal, Canada; Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montréal, Canada; Department of Neurosurgery, the National Neuroscience Institute, Riyadh, Saudi Arabia; Research Institute-McGill University Health Center, Montréal, Canada.
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MacDonald S. Introducing the model of cognitive-communication competence: A model to guide evidence-based communication interventions after brain injury. Brain Inj 2017; 31:1760-1780. [DOI: 10.1080/02699052.2017.1379613] [Citation(s) in RCA: 59] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Sheila MacDonald
- Adjunct Lecturer, Department of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada
- Owner, Sheila MacDonald & Associates, Guelph, Ontario, Canada
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Steel J, Ferguson A, Spencer E, Togher L. Language and cognitive communication disorder during post-traumatic amnesia: Profiles of recovery after TBI from three cases. Brain Inj 2017; 31:1889-1902. [DOI: 10.1080/02699052.2017.1373200] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Joanne Steel
- Speech Pathology, The University of Newcastle, Newcastle, Australia
- NHMRC Centre of Research Excellence in Brain Recovery, Moving Ahead, Sydney, Australia
| | - Alison Ferguson
- Speech Pathology, The University of Newcastle, Newcastle, Australia
- NHMRC Centre of Research Excellence in Brain Recovery, Moving Ahead, Sydney, Australia
| | | | - Leanne Togher
- Speech Pathology, The University of Sydney, Sydney, Australia
- NHMRC Centre of Research Excellence in Brain Recovery, Moving Ahead, Sydney, Australia
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Steel J, Ferguson A, Spencer E, Togher L. Social communication assessment during post-traumatic amnesia and the post-acute period after traumatic brain injury. Brain Inj 2017; 31:1320-1330. [DOI: 10.1080/02699052.2017.1332385] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Joanne Steel
- Deparment of Speech Pathology, The University of Newcastle, Newcastle, Australia
- NHMRC Centre of Research Excellence in Brain Recovery, Moving Ahead, Sydney, Australia
| | - Alison Ferguson
- Deparment of Speech Pathology, The University of Newcastle, Newcastle, Australia
- NHMRC Centre of Research Excellence in Brain Recovery, Moving Ahead, Sydney, Australia
| | - Elizabeth Spencer
- Deparment of Speech Pathology, The University of Newcastle, Newcastle, Australia
| | - Leanne Togher
- NHMRC Centre of Research Excellence in Brain Recovery, Moving Ahead, Sydney, Australia
- Deparment of Speech Pathology, The University of Sydney, Sydney, Australia
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Ciccia AH, Lundine JP, Coreno A. Referral Patterns as a Contextual Variable in Pediatric Brain Injury: A Retrospective Analysis. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2016; 25:508-518. [PMID: 27681533 DOI: 10.1044/2016_ajslp-15-0087] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2015] [Accepted: 02/15/2016] [Indexed: 06/06/2023]
Abstract
PURPOSE Access to speech-language pathology (SLP) services is a critical variable in the rehabilitation of pediatric brain injury. In this study, we examined patterns of SLP referral and factors affecting referral during the acute period following brain injury in 2 large pediatric specialty hospitals. METHOD In a retrospective, cohort chart review study, data collection focused on referrals made during the acute period using International Classification of Diseases, Ninth Revision, Clinical Modification codes for primary diagnoses of brain injury between 2007 and 2014 (Centers for Disease Control and Prevention [CDC], 2014). A total of 200 charts were reviewed. Data extraction included demographic and injury-related variables, referral for rehabilitation across disciplines, and plans of care following assessment. RESULTS Samples for both facilities were similar except for primary mechanism of traumatic brain injuries and severity. SLP referral rate at Hospital 1 was 36% and only 2% at Hospital 2. Regression revealed that individuals were less likely to receive an SLP referral if injury severity was classified as unknown or mild or if they were younger in age. CONCLUSION SLP referral rates in the early acute period for children with brain injury were poor, creating a barrier to rehabilitation. This not only limits access to SLP services, but also may have broader and long-term impact.
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Affiliation(s)
| | - Jennifer P Lundine
- Nationwide Children's Hospital, Columbus, OHThe Ohio State University, Columbus
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Steel J, Ferguson A, Spencer E, Togher L. Speech-language pathologists’ perspectives on cognitive communication assessment during post-traumatic amnesia. Brain Inj 2016; 30:1131-42. [DOI: 10.1080/02699052.2016.1174785] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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