Remediation of social communication impairments following traumatic brain injury using metacognitive strategy intervention: a pilot study

Finch, Emma, Cornwell, Petrea, Copley, Anna, Doig, Emmah and Fleming, Jennifer (2017) Remediation of social communication impairments following traumatic brain injury using metacognitive strategy intervention: a pilot study. Brain Injury, 1-10. doi:10.1080/02699052.2017.1346284


Author Finch, Emma
Cornwell, Petrea
Copley, Anna
Doig, Emmah
Fleming, Jennifer
Title Remediation of social communication impairments following traumatic brain injury using metacognitive strategy intervention: a pilot study
Journal name Brain Injury   Check publisher's open access policy
ISSN 1362-301X
0269-9052
Publication date 2017-07-01
Sub-type Article (original research)
DOI 10.1080/02699052.2017.1346284
Open Access Status Not yet assessed
Start page 1
End page 10
Total pages 10
Place of publication Abingdon, Oxfordshire, United Kingdom
Publisher Taylor & Francis
Language eng
Abstract To perform a pilot study to evaluate whether a novel metacognitive, goal-based intervention improved and maintained the social communication skills of adults with traumatic brain injury (TBI).

Eight community-dwelling participants with TBI completed three study phases: (1) baseline, (2) eight-week intervention targeting social communication impairments and (3) follow-up. Participants completed the Profile of Pragmatic Impairment in Communication (PPIC), LaTrobe Communication Questionnaire (LCQ) and Goal Attainment Scaling (GAS) at the commencement of baseline phase, pre- and post-intervention and completion of the follow-up phase. During the intervention programme phase, participants attended two 1-hour therapy sessions (one individual; one group) per week focusing on remediating impaired social communication skills using metacognitive strategy intervention and goal-based therapy.

Variable changes in PPIC feature-summary scores were observed post-intervention. A non-significant improvement in LCQ scores was also observed. There was a significant increase in GAS goal T-scores following the intervention, with six of the eight participants achieving or exceeding their expected level of performance on all goals.

A goal-driven, metacognitive approach to intervention may assist individuals with TBI to achieve their personal social communication goals, with benefits reported by participants and observable during conversations. Further research is required.
Keyword Cognition
Goal
Metacognition
Metacognitive strategy intervention
Pragmatics
Social communication
Traumatic brain injury
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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