Speech Pathology, Faculty of Health Sciences, University of Sydney, Australia.
J Rehabil Med. 2013 Jul;45(7):637-45. doi: 10.2340/16501977-1173.
To determine effectiveness of communication training for partners of people with severe traumatic brain injury.
Three arm non-randomized controlled trial comparing communication partner training (JOINT) with individual treatment (TBI SOLO) and a waitlist control group with 6 month follow-up.
Forty-four outpatients with severe chronic traumatic brain injuries were recruited.
Ten-week conversational skills treatment program encompassing weekly group and individual sessions for both treatment groups. The JOINT condition focused on both the partner and the person with traumatic brain injury while the TBI SOLO condition focused on the individual with TBI only.
Primary outcomes were blind ratings of the person with traumatic brain injury's level of participation during conversation on the Measure of Participation in Communication Adapted Kagan scales.
Communication partner training improved conversational performance relative to training the person with traumatic brain injury alone and a waitlist control group on the primary outcome measures. Results were maintained at six months post-training.
Training communication partners of people with chronic severe traumatic brain injury was more efficacious than training the person with traumatic brain injury alone. The Adapted Kagan scales proved to be a robust and sensitive outcome measure for a conversational skills training program.
确定针对严重创伤性脑损伤患者的伴侣进行沟通培训的效果。
比较沟通伙伴培训（JOINT）与个体治疗（TBI SOLO）和 6 个月随访的等待名单对照组的三臂非随机对照试验。
招募了 44 名患有严重慢性创伤性脑损伤的门诊患者。
为期 10 周的会话技能治疗计划，包括每周一次的小组和个人会议，适用于两个治疗组。JOINT 条件不仅关注伴侣，还关注创伤性脑损伤患者，而 TBI SOLO 条件仅关注创伤性脑损伤患者个人。
主要结果是通过 Kagan 适应沟通参与量表对创伤性脑损伤患者在对话中的参与程度进行盲评。
与单独培训创伤性脑损伤患者和等待名单对照组相比，沟通伙伴培训在主要结果测量方面提高了会话表现。结果在训练后 6 个月仍得以维持。
对慢性严重创伤性脑损伤患者的沟通伙伴进行培训比单独培训创伤性脑损伤患者更有效。适应 Kagan 量表被证明是一种用于会话技能培训计划的强大而敏感的结果测量方法。
