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Arch Phys Med Rehabil. 2007 Dec;88(12):1561-73.

Treatment efficacy of social communication skills training after traumatic brain injury: a randomized treatment and deferred treatment controlled trial.

Author information

1
Research Department, Craig Hospital, Englewood, CO 80113, USA. cdahlberg@craighospital.org

Abstract

OBJECTIVE:

To evaluate the efficacy of a replicable group treatment program to improve social communication skills after traumatic brain injury (TBI).

DESIGN:

Randomized treatment and deferred treatment controlled trial, with follow-up at 3, 6, and 9 months post-treatment.

SETTING:

Community.

PARTICIPANTS:

Volunteer sample of 52 people with TBI who were at least 1 year postinjury, who received rehabilitation, and who had identified social communication deficits.

INTERVENTION:

Twelve weekly group sessions (1.5 h each) to improve social communication.

MAIN OUTCOME MEASURES:

The Profile of Functional Impairment in Communication (PFIC), Social Communication Skills Questionnaire-Adapted (SCSQ-A), Goal Attainment Scale (GAS), Craig Handicap Assessment and Reporting Technique-Short Form social integration and occupation subscales, Community Integration Questionnaire social integration and productivity subscales, and Satisfaction With Life Scale (SWLS).

RESULTS:

Independent samples t test analysis showed significant treatment effect compared with no treatment on 7 of 10 of the PFIC subscales (P range, .024 to <.001) and the SCSQ-A (P=.005) after the first 12 weeks of the study. After 12 weeks of treatment for all participants, repeated-measures analysis showed significant improvements from baseline on 9 of 10 PFIC subscales (P range, .01-.001), SCSQ-A (P < or = .001), GAS (P < or = .001), and SWLS (P = .011). At 6-month follow-up, scores were significantly better than baseline on 6 of 10 PFIC scales (P range, .01-.001), the SCSQ-A (P < or = .001), GAS (P < or = .001), and SWLS (P < or = .001).

CONCLUSIONS:

TBI subjects who received social communication skills training had improved communication skills that were maintained on follow-up. Overall life satisfaction for participants was improved.

PMID:
18047870
DOI:
10.1016/j.apmr.2007.07.033
[Indexed for MEDLINE]

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