An Evaluation of Reading Comprehension of Expository Text in Adults With Traumatic Brain Injury

Abstract

The results help to elucidate the nature of reading comprehension in adults with TBI with mild-to-moderate cognitive impairments and endorse further evaluation of reading comprehension strategies as a potential intervention option for these individuals. Future research is needed to better understand how individual differences influence a person's reading and response to intervention.

Evaluation of use of reading comprehension strategies to improve reading comprehension of adult college students with acquired brain injury

“…A comparison of veterans with TBI with matched controls on an experimental reading comprehension task showed that time spent reading test paragraphs and test questions, as well as time responding to test questions were more than double for the TBI group compared to the control group; no differences in accuracy of responses to questions was found (Sullivan et al, 2014). In the Sohlberg et al (2014) study, rate of reading, as measured via an oral reading fluency task, revealed significant differences between participants with TBI and matched controls. Together, these results suggest that relative to matched unimpaired readers, both silent and oral reading rate for text-level material is significantly slower for readers with brain injury Sullivan et al, 2014).…”

“…There is some suggestion that readers with brain injury struggle with suppression during reading (Laatsch & Krisky, 2006). When comparing a group of 12 adults with TBI and 12 controls matched for age, gender, and education on a multivariate composite of cognitive variables, significant differences were found on the CPT-II commission measure implicating a possible relationship between suppression abilities and reading comprehension (Sohlberg, Griffiths, & Fickas, 2014).…”

Use of Visual Cues by Adults With Traumatic Brain Injuries to Interpret Explicit and Inferential Information

“…Confirmation of this comes from research showing that most people with cognitivecommunication deficits following severe TBI accurately derive explicit meaning from written or spoken communications but may have difficulty interpreting inferential information. 4,5,15,[25][26][27] Individuals with TBI may have particular difficulty ascertaining information from visual cues. Difficulty may arise when attempting to derive information from static images due to the lack of movement cues and the differential manner and location in which the brain processes static versus dynamic stimuli.…”

Treating reading comprehension deficits in sub-acute brain injury rehabilitation: Identifying clinical practice and management

“…There is no current recommended rehabilitation framework for managing CCRC deficits, and causative factors and theories are still being investigated 9,11,47 . The ICF model 43 has been used as the underlying framework for this study.…”

“…There is a small but growing trend for research into solely strategy-based interventions for discourse reading in pwABI (arising from cognitive-communication deficits and aphasia), with five publications identified in the past six years 47,88,[94][95][96] . All five studies used contentbased and cognitive / metacognitive reading strategies, with three also using visual strategies 88,94,95 .…”