Treatment efficacy of social communication skills training after traumatic brain injury: A randomized treatment and deferred treatment controlled trial

被引:150
作者
Dahlberg, Cynthia A. [1 ]
Cusick, Christopher P. [1 ]
Hawley, Lenore A. [1 ]
Newman, Jody K. [1 ]
Morey, Clare E. [1 ]
Harrison-Felix, Cynthia L. [1 ]
Whiteneck, Gale G. [1 ]
机构
[1] Craig Hosp, Res Dept, Englewood, CO USA
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2007年 / 88卷 / 12期
关键词
brain injuries; rehabilitation; social interaction;
D O I
10.1016/j.apmr.2007.07.033
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To evaluate the efficacy of a replicable group treatment program to improve social communication skills after traumatic brain injury (TBI). Design: Randomized treatment and defer-red treatment controlled trial, with follow-up at 3, 6, and 9 months post-treatment. Setting: Community. Participants: Volunteer sample of 52 people with TBI who were at least 1 year postinjury, who received rehabilitation, and who had identified social communication deficits. Intervention: Twelve weekly group sessions (1.5h each) to improve social communication. Main Outcome Measures: The Profile of Functional Impairment in Communication (PFIC), Social Communication Skills Questionnaire-Adapted (SCSQ-A), Goal Attainment Scale (GAS), Craig Handicap Assessment and Reporting Technique-Short Form social integration and occupation subscales, Community Integration Questionnaire social integration and productivity subscales, and Satisfaction With Life Scale (SWLS). Results: Independent samples t test analysis showed significant treatment effect compared with no treatment on 7 of 10 of the PFIC subscales (P range,.024 to <.001) and the SCSQ-A (P=.005) after the first 12 weeks of the study. After 12 weeks of treatment for all participants, repeated-measures analysis showed significant improvements from baseline on 9 of 10 PFlC subscales (P range,.01-.001), SCSQ-A (P <=.001), GAS (P <=.001), and SWLS (P=.011). At 6-month follow-up, scores were significantly better than baseline on 6 of 10 PFIC scales (P range,.01-.001), the SCSQ-A (P <=.001), GAS (P <=.001), and SWLS (P <=.001). Conclusions: TBI subjects who received social communication skills training had improved communication skills that were maintained on follow-up. Overall life satisfaction for participants was improved.
引用
收藏
页码:1561 / 1573
页数:13
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