Social communication following traumatic brain injury part 2: Identifying effective treatment ingredients.

TitleSocial communication following traumatic brain injury part 2: Identifying effective treatment ingredients.
Publication TypeJournal Article
Year of Publication2019
AuthorsMeulenbroek P, Ness B, Lemoncello R, Byom L, MacDonald S, O'Neil-Pirozzi TM, Sohlberg MKMoore
JournalInt J Speech Lang Pathol
Volume21
Issue2
Pagination128-142
Date Published2019 04
ISSN1754-9515
KeywordsBrain, 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.

DOI10.1080/17549507.2019.1583281
Alternate JournalInt J Speech Lang Pathol
PubMed ID30955383