Is conversation partner training effective in assisting individuals with a traumatic brain injury to display improved communication outcomes

Wiltshire, Gilly-Elle; Ehrlich, Carolyn

doi:10.36251/josi.73

Cited by 12 publications

(12 citation statements)

References 38 publications

(52 reference statements)

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“…Partner training consists of activities such as education regarding communication strategies, reviews of recorded, home-based conversation samples, role playing, and conversational technique practice with feedback. 73 For individuals with APD, regular communication partners may benefit from education regarding the emotional recognition abilities of the patient and how to directly and unambiguously relate emotional content of a message. Understanding which modalities of affective processing are impaired or intact will allow the partner to structure affective messages around the modality that the patient relies on the most.…”

Section: Relevance Of Interventions For Executive Functioning and Socmentioning

confidence: 99%

“…Overall, partner training in TBI is associated with positive outcomes in the content and structure of communication as well as the relationships between the individual with TBI and the trained communication partners. 73 This has led many experts to advocate for partner-training to become a part of standard rehabilitation practice for individuals with TBI who demonstrate deficits in social communication. 73 Training a communication partner to understand the impact of APDs on communication is likely to have benefits for the relationships between individuals with TBI and familiar conversation partners.…”

Section: Relevance Of Interventions For Executive Functioning and Socmentioning

confidence: 99%

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Disorders of Emotional Communication in Traumatic Brain Injury

Wauters

Marquardt

2019

Semin Speech Lang

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Traumatic brain injury (TBI) leads to a wide array of behavioral and cognitive deficits. Individuals with TBI often demonstrate difficulties with the recognition and expression of emotion communicated through multiple modalities including facial expression, vocal prosody, and linguistic content. Deficits in emotional communication contribute to a pattern of social pragmatic communication problems, leading to decreased psychosocial function. Growing evidence supports intervention targeting affective processing. This article summarizes the current evidence for evaluation and treatment of affective processing disorders in TBI.

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Section: Relevance Of Interventions For Executive Functioning and Socmentioning

confidence: 99%

Section: Relevance Of Interventions For Executive Functioning and Socmentioning

confidence: 99%

Disorders of Emotional Communication in Traumatic Brain Injury

Wauters

Marquardt

2019

Semin Speech Lang

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“…20,21 Similar positive outcomes have been shown in a review for people with TBI however, the results were based on two studies identified between 2004 and 2014. 22 Furthermore, little detail on the characteristics of training programmes (e.g. materials, fidelity practices) and how they may be best implemented in clinical practice is provided.…”

Section: Introductionmentioning

confidence: 99%

Description and Effectiveness of Communication Partner Training in TBI: A Systematic Review

Behn

Francis

Togher

et al. 2020

Journal of Head Trauma Rehabilitation

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database inception to February 2019. Eligibility criteria: Empirical studies on interventions for adult communication partners where the primary focus of the program (>50%) was on improving communication skills of people with TBI and/or communication partners. Data: participants, characteristics of the training, outcome measures and findings. Risk of bias: standard checklists were used for methodological quality (PEDRO, ROBiN-T) and intervention description (TIDieR). Synthesis: narrative synthesis and effect sizes (Cohen's d) for group-level studies. Outcomes: Ten articles (describing eight studies) met eligibility criteria: three randomized controlled trials, two non-randomised controlled trials and three single-case experimental designs. Studies included a total of 258 people with TBI and 328 communication partners, however all but one study had fewer than 65 participants. Methodological quality varied and intervention description poor. Three studies in the final synthesis (n=41 communication partners, n=36 people with TBI) reported positive intervention effects. Effect sizes in group studies were (d=0.80-1.13) for TBI and (d=1.16-2.09) for communication partners. Conclusions: The articles provided encouraging though limited evidence for training communication partners. Greater methodological rigour, more clearly described interventions, and consistent use of outcome measures and follow-up post-treatment are needed. Further research in this field is warranted.

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“…Training involving communication partners has been recommended as best practice for management of cognitive-communication disorders after TBI (Togher et al, 2014), with a systematic review identifying four studies with positive outcomes (Wiltshire & Ehrlich, 2014). A nonrandomised controlled study found that a social communication skills programme involving joint training of the person with TBI and their communication partner had better outcomes than training the person with TBI alone or a control group (Togher, McDonald, Tate, Power, & Rietdijk, 2013;Togher, McDonald, Tate, Rietdijk, & Power, 2016).…”

Section: Introductionmentioning

confidence: 99%

Protocol for a clinical trial of telehealth-based social communication skills training for people with traumatic brain injury and their communication partners

et al. 2019

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Background: A previous clinical trial of training communication partners of people with traumatic brain injury (TBI) demonstrated positive outcomes [Togher, Power, McDonald, Tate, & Rietdijk (2009). Brain Impairment, 10(2), 188-204]. Adapting communication partner training for delivery via telehealth could improve access to this intervention.Objectives: To compare outcomes across in-person communication partner training, telehealth communication partner training and a control groupMethod: Protocol for a partially randomised controlled trial. People with moderate-severe TBI will be allocated to either an in-person or telehealth-based training program. Comparison data will be drawn from the original trial control group, which was recruited using the same eligibility criteria as this protocol. Outcomes after training will be compared between the in-person training group, the telehealth training group and the historical control group.Discussion: This protocol uses specific design features with the aim of maximising the study’s power, including a partially randomised allocation process and a historical control group. The results will inform about the feasibility and effectiveness of delivering TBI rehabilitation via telehealth.Trial registration: Australian and New Zealand Clinical Trials Registry: ACTRN12615001024538.

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Is conversation partner training effective in assisting individuals with a traumatic brain injury to display improved communication outcomes

Cited by 12 publications

References 38 publications

Disorders of Emotional Communication in Traumatic Brain Injury

Disorders of Emotional Communication in Traumatic Brain Injury

Description and Effectiveness of Communication Partner Training in TBI: A Systematic Review

Protocol for a clinical trial of telehealth-based social communication skills training for people with traumatic brain injury and their communication partners

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