A Single Case Experimental Design Investigating Collaborative Interpersonal Strategy Building with Audio Reflection (CISBAR) for Improving Social Communication after Acquired Brain Injury
Datum
2022-10-04
Autor:innen
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Verlag
University of Oregon
Zusammenfassung
Four adults with a history of acquired brain injury (ABI) participated in an intervention study via Zoom with their everyday communication partners. This was the first trial of a new intervention, Collaborative Interpersonal Strategy Building with Audio Reflection (CISBAR). When developing CISBAR, I aimed to provide speech-language pathologists (SLPs) with an integrated package for goal-setting and treatment of social communication after ABI by combining motivational interviewing and goal attainment scaling with evidence-based treatment elements drawn from social cognitive and conversational coaching approaches. To elicit the targeted communication behaviors, CISBAR adds a new system of selecting equivalent conversation topics. To foster self-awareness and reflection, CISBAR incorporates the Conversational Rating System for ABI (CoRS-ABI). I used a single-case experimental, multiple-probe design across participants to evaluate CISBAR. All participants achieved personal communication goals. Raters scored behavior counts in 6-7 minute conversations in random order without knowing study phase. Behavior count results supported a treatment effect in the two working on interruption, but not the two working on verbosity. Participants’ communication skills improved as reported by both primary participants and partners. Improvements were maintained at one-month follow-up. Overall, results were encouraging. With further enhancements to increase treatment potency across a range of communication targets, CISBAR shows promise as a treatment package for social communication intervention post-ABI.
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Schlagwörter
brain injury, cognitive rehabilitation, conversation, intervention, social communication, treatment