Cameron Kate, Cornwell Petrea, Watter Kerrin, McLennan Vanette, Wegener Nina
Acquired Brain Injury Transitional Rehabilitation Service, Department of Rehabilitation, Division of Allied Health and Rehabilitation, Princess Alexandra Hospital, Metro South Hospital and Health Service, Brisbane, Queensland, Australia.
School of Health Sciences and Social Work, Griffith University, Brisbane, Queensland, Australia.
Disabil Rehabil. 2025 Feb;47(3):571-584. doi: 10.1080/09638288.2024.2356683. Epub 2024 Jun 7.
Cognitive communication impairments resulting from acquired brain injury (ABI) impact a person's ability to return to and maintain employment. This study reviews the assessment of cognitive communication skills for return to work after injury.
A scoping review was conducted. Key search terms included brain injury, cognitive communication, work and their synonyms. Studies were included if participants had an ABI diagnosis, were at least 16 years old, mentioned vocational rehabilitation or return to work, and cognition or cognitive communication.
A total of 692 studies were identified through database searches with an additional 18 articles found through handsearching. Fourteen articles were included in the final review. Measures, most included in studies target discrete skills when aligned to the Model of Cognitive Communication Competence. The Individual and Contextual Domains of the model were not well represented and there were limited measures able to capture self or other reported data.
Assessment of cognitive communication skills for returning to work following ABI requires an individualised and contextualised approach. This study highlights a gap between key clinical models and measures reported in the current literature. Further research into clinical practice is required.
后天性脑损伤(ABI)导致的认知交流障碍会影响一个人重返工作岗位并维持就业的能力。本研究回顾了脑损伤后认知交流技能对重返工作岗位的评估。
进行了一项范围综述。关键检索词包括脑损伤、认知交流、工作及其同义词。纳入的研究要求参与者有ABI诊断,年龄至少16岁,提及职业康复或重返工作岗位,以及认知或认知交流。
通过数据库检索共识别出692项研究,通过手工检索又发现了18篇文章。最终综述纳入了14篇文章。与认知交流能力模型一致时,研究中大多数测量针对离散技能。该模型的个体和情境领域体现不足,能够获取自我或他人报告数据的测量方法有限。
ABI后重返工作岗位的认知交流技能评估需要个体化和情境化方法。本研究凸显了当前文献中关键临床模型与测量方法之间存在差距。需要对临床实践进行进一步研究。