Text-to-speech accommodations for the reading challenges of adults with traumatic brain injury

Harvey, James; Hux, Karen

doi:10.3109/02699052.2015.1022878

Cited by 11 publications

(13 citation statements)

References 38 publications

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“…TBI is the leading worldwide source of morbidity and mortality caused by an injury, and its socio-economic impact is worth billions of dollars annually. After having sustained a TBI, individuals are at risk of functional impairments in information processing, abstract reasoning, executive functioning, attention, and memory, which affect different aspects of communicative functioning [ 2 ]. Individuals with severe TBI are especially likely to experience difficulties with understanding and assimilating new information [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Traumatic Brain Injury and Sexuality: User Experience Study of an Information Toolkit

Marier-Deschênes¹,

Gagnon²,

Déry³

et al. 2020

J Participat Med

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Background After having sustained a traumatic brain injury (TBI), individuals are at risk of functional impairments in information processing, abstract reasoning, executive functioning, attention, and memory. This affects different aspects of communicative functioning. Specific strategies can be adopted to improve the provision of health information to individuals with TBI, including the development of written materials and nonwritten media. Objective A user-centered design was adopted to codevelop four audiovisual presentations, a double-sided information sheet, and a checklist aimed at informing individuals about post-TBI sexuality. The last phase of the project was the assessment of the user experience of the information toolkit, based on the User Experience Honeycomb model. Methods Overall, two small group discussions and one individual semistructured interview were conducted with individuals with moderate to severe TBI. Results The participants mentioned that the toolkit was easily usable and would have fulfilled a need for information on post-TBI sexuality during or after rehabilitation. They mostly agreed that the minimalist visual content was well-organized, attractive, and relevant. The information was easily located, the tools were accessible in terms of reading and visibility, and the content was also considered credible. Conclusions Aspects such as usability, usefulness, desirability, accessibility, credibility, and findability of information were viewed positively by the participants. Further piloting of the toolkit is recommended to explore its effects on the awareness of the potential sexual repercussions of TBI in individuals and partners.

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Section: Introductionmentioning

confidence: 99%

Traumatic Brain Injury and Sexuality: User Experience Study of an Information Toolkit

Marier-Deschênes¹,

Gagnon²,

Déry³

et al. 2020

J Participat Med

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“…(vi) Compensatory / facilitative interventions [172][173][174][175]. Four papers reported on external support or compensatory interventions to aid reading comprehension.…”

Section: Types Of Reading Interventionsmentioning

confidence: 99%

“…Four papers reported on external support or compensatory interventions to aid reading comprehension. Textto-speech technology [173][174][175] provided verbal information alongside written text, with the material read aloud via a computerised program at varying speech rates.…”

Section: Types Of Reading Interventionsmentioning

confidence: 99%

“…Set, formalised reading stimuli were used by twelve studies for all participants [48,50,114,[168][169][170][171][172][173][174][175]182]. Eleven studies reported both the length (number of words) and complexity (grade level) of reading stimulus materials [48,50,114,[169][170][171][172][173][174][175]182]; one study reported number of words only [168] (see Table 4.2). A further study reported the number of words for stimulus materials for only one of four participants [183].…”

Section: Intervention Stimulus and Dosagementioning

confidence: 99%

“…Across these studies, the reading stimulus ranged from grades 1 to 15, using texts of up to 2769 words. The method of grade level identification was reported for eight studies [48,50,114,[172][173][174][175]182], and included use of the Fry graph readability measure, the Flesch-Kincaid grade level measure, the Gunning-Fog index, and the Readability consensus measure (summarised and available at http://www.readabilityformulas.com) [186], the Scientific Research Associates reading laboratory [187] levels and the General Equivalency Diploma study guide levels (cited in [175]).…”

Section: Intervention Stimulus and Dosagementioning

confidence: 99%

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Developing a novel, contextual intervention for reading comprehension deficits in early brain injury rehabilitation

Watter¹

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Background and Aims:Changes to cognitive-communication skills, including changes to reading comprehension, are common in adults following acquired or traumatic brain injury. Cognitivecommunication reading comprehension (CCRC) deficits occur at a discourse level, are evident early post-injury and can persist long-term. CCRC deficits have been reported across international populations, and can impact a person's reading ability, participation and independence with tasks involving reading both during rehabilitation and upon return home. If reading comprehension deficits are addressed early in recovery, participation in activities that require discourse-level reading may improve -both early in recovery (e.g., rehabilitation tasks, leisure activities) and longer term (e.g., reading skills for living independently and/or community participation).Speech Language Pathologists (SLPs) provide rehabilitation for CCRC deficits for adults with brain injury, including during early (i.e., sub-acute and post-hospital discharge) rehabilitation. However, there is a lack of published evidence to inform clinical practice regarding the management of reading deficits during early recovery (i.e., <6m post-onset).This evidence-gap impacts SLPs internationally in providing early rehabilitation services to adults with acquired brain injury (ABI) and CCRC deficits.The aim of this thesis was two-fold:(1) To develop a reading comprehension intervention for adults with CCRC deficits that is evidence-based, responsive to contextual and service delivery factors, and able to be delivered by SLPs during sub-acute and early rehabilitation;(2) To evaluate the effectiveness of the intervention with individuals during early rehabilitation, including identifying intervention effectiveness and the experiences of clients and families. Method:This thesis used an emergent multi-phase mixed method design. To address Aim 1, a number of studies were undertaken, including:• Investigating the clinical context and service delivery of sub-acute SLPs working within specialised Australian brain injury rehabilitation centres (reported in Chapter 3); thematic analyses of semi-structured interviews. These were: positive change, supporting independence and self-efficacy, salience, therapeutic alliance and intensity. Conclusion:The evidence base for managing CCRC deficits following ABI has been identified, and an evidence-based contextually-sensitive intervention and service delivery model for the early rehabilitation of CCRC disorders has been developed and successfully piloted. This study has provided preliminary evidence regarding the early intervention for CCRC deficits (at an impairment / skill, activity and participation level) in adults with acquired brain injury, as demonstrated by improvements on formal assessments, SCED results, and as reported by participants / significant others. As such, SLPs should consider addressing reading comprehension early in recovery as a key component of their rehabilitation of cognitivecommunication disorders. Further research is ...

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Early reading comprehension and speed of reading impairments in individuals with uncomplicated and complicated mild traumatic brain injury

Tabet

LeBlanc

Frenette

et al. 2020

Journal of Communication Disorders

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Text-to-speech accommodations for the reading challenges of adults with traumatic brain injury

Abstract: As a group, adults with TBI appear to benefit in reading efficiency when simultaneously listening to and reading written passages; however, differences exist that reinforce the importance of individualizing treatment.

Cited by 11 publications

References 38 publications

Traumatic Brain Injury and Sexuality: User Experience Study of an Information Toolkit

Traumatic Brain Injury and Sexuality: User Experience Study of an Information Toolkit

Developing a novel, contextual intervention for reading comprehension deficits in early brain injury rehabilitation

Early reading comprehension and speed of reading impairments in individuals with uncomplicated and complicated mild traumatic brain injury

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