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

Watter, Kerrin, Copley, Anna and Finch, Emma (2016) Treating reading comprehension deficits in sub-acute brain injury rehabilitation: identifying clinical practice and management. Journal of Communication Disorders, 64 110-132. doi:10.1016/j.jcomdis.2016.07.006


Author Watter, Kerrin
Copley, Anna
Finch, Emma
Title Treating reading comprehension deficits in sub-acute brain injury rehabilitation: identifying clinical practice and management
Journal name Journal of Communication Disorders   Check publisher's open access policy
ISSN 1873-7994
0021-9924
Publication date 2016-11-01
Sub-type Article (original research)
DOI 10.1016/j.jcomdis.2016.07.006
Open Access Status Not yet assessed
Volume 64
Start page 110
End page 132
Total pages 23
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Language eng
Abstract There is limited evidence for cognitive-communication reading comprehension (CCRC) interventions for adults following acquired brain injury (ABI), particularly during sub-acute rehabilitation. The purpose of this study was to investigate the clinical practice of speech-language pathologists (SLPs) with CCRC deficits during sub-acute ABI rehabilitation and compare it to the best available evidence. An electronic survey was used to gather information from clinicians across Australia regarding clinical practice in the areas of assessment, intervention, treatment hierarchies and service delivery; survey questions were developed from an extensive review of the literature and expert clinician opinion. Survey findings were then compared with the literature in the form of a systematic review. Surveyed clinicians provided multiple interventions for CCRC rehabilitation, including impairment based (94.7%), activity based (94.7%) and reading strategy interventions (100.0%). Five strategies were used by>94% of SLPs (highlighting, identifying main points/wh- questioning, re-reading, summarising, reducing visual load). When compared with the literature, strong similarities were found for strategy-based interventions and individual service delivery, with broad similarities for functional and impairment-based interventions, and impairment based treatment hierarchies. Strong differences in assessment were identified. Strategy use reported in clinical practice (100.0% SLPs) was higher than in the literature. Further investigation into the effectiveness of specific reading strategies for people with ABI is warranted.
Keyword Acquired brain injury
Cognitive communication disorder
Reading comprehension
Speech-language pathology
Sub-acute rehabilitation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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