Title | Social communication following traumatic brain injury part 2: Identifying effective treatment ingredients. |
Publication Type | Journal Article |
Year of Publication | 2019 |
Authors | Meulenbroek P, Ness B, Lemoncello R, Byom L, MacDonald S, O'Neil-Pirozzi TM, Sohlberg MKMoore |
Journal | Int J Speech Lang Pathol |
Volume | 21 |
Issue | 2 |
Pagination | 128-142 |
Date Published | 2019 04 |
ISSN | 1754-9515 |
Keywords | Brain, Brain Injuries, Traumatic, Cognition, Cognitive Behavioral Therapy, Communication, Humans, Patient Education as Topic, Predictive Value of Tests, Psychotherapy, Group, Social Behavior, Social Communication Disorder, Speech-Language Pathology, Treatment Outcome |
Abstract | PURPOSE: Social communication deficits are a severely debilitating aspect of traumatic brain injury (TBI), and there is strong clinical and research interest in how social communication interventions work for this population. Informed by a companion paper targeting assessment of social communication impairments post-TBI, this paper reviews relevant treatment theories and provides an inventory of social communication treatment components. METHOD: We completed a mapping review examining 17 articles from recent literature reviews and 4 updated articles from a literature search to identify treatment targets and ingredients using the Rehabilitation Treatment Specification System (RTSS). RESULT: Social communication interventions are primarily based on behavioural and cognitive treatment theories. Common social communication treatment targets include changing skilled behaviours and cognitive or affective representations. We offer a menu of therapeutic ingredients and treatment considerations which represent the current state of social communication interventions. CONCLUSION: By reviewing the social communication intervention literature through a theoretical lens, we identify which treatment targets are missing, which targets are being addressed, and which therapeutic ingredients (i.e. clinician activities) are recommended. A hypothetical case study is provided as a supplement to demonstrate how speech-language pathologists may integrate treatment theory, ingredients, and targets into clinical practice. |
DOI | 10.1080/17549507.2019.1583281 |
Alternate Journal | Int J Speech Lang Pathol |
PubMed ID | 30955383 |