School of Health Sciences and Social Work, Griffith University, Brisbane, Australia.
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Brain Inj. 2022 Jul 3;36(8):1010-1018. doi: 10.1080/02699052.2022.2105953. Epub 2022 Jul 27.
To investigate the experiences and perspectives of speech pathologists when delivering cognitive-communication therapy to adults following traumatic brain injury (TBI).
An explanatory sequential mixed methods design was used to explore the practices of speech pathologists working in community-based rehabilitation (CBR) settings. The first participant group completed an in-depth online survey, whilst the second group participated in an interview to discuss their processes and recommendations when managing adults following TBI.
Participants highlighted the need for services to be client-centered and inclusive in their approaches to meet the rehabilitation needs of people following TBI in community-based settings. The key features identified to achieve this included utilizing a flexible service delivery approach, implementation of meaningful therapy, as well as inclusion of significant others.
These findings provide a snapshot of the current practices employed by a range of speech pathology services across Australia and New Zealand. Health professionals and rehabilitation service providers should consider the key factors highlighted by the participants when designing future CBR models of care for this client group.
调查言语病理学家在为创伤性脑损伤（TBI）后成人提供认知-沟通治疗时的经验和观点。
采用解释性顺序混合方法设计，探索在社区康复（CBR）环境中工作的言语病理学家的实践。第一组参与者完成了一项深入的在线调查，而第二组参与者则参加了一次访谈，讨论他们在管理 TBI 后成年人时的流程和建议。
参与者强调需要以客户为中心并采用包容性的方法来满足社区环境中 TBI 后人员的康复需求。确定实现这一目标的关键特征包括采用灵活的服务提供方法、实施有意义的治疗以及纳入重要他人。
这些发现提供了澳大利亚和新西兰一系列言语病理学服务当前实践的快照。医疗保健专业人员和康复服务提供商在为该客户群体设计未来的 CBR 护理模式时，应考虑参与者强调的关键因素。
