Effectiveness of Communication-specific Coping Intervention for adults with traumatic brain injury: preliminary results
Effectiveness of Communication-specific Coping Intervention for adults with traumatic brain injury: preliminary results
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DOI：
10.1080/09602011.2016.1259114
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发表时间：
2019-01-02
影响因子：
2.7
通讯作者：
Whiteoak, Joanne
中科院分区：
文献类型：
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作者：
Douglas, Jacinta M.;Knox, Lucy;Whiteoak, Joanne
患有创伤性脑损伤（TBI）的人将日常互动描述为一种长期挑战，通常与持续的压力有关。沟通特异性应对干预（communication -specific Coping Intervention, comcope - i）是针对沟通障碍情境下的应对而发展起来的一种新的治疗方法。干预包括认知行为疗法、自我指导和情境敏感的社会沟通疗法。本研究的目的是检查comcope - i在一组严重TBI和持续功能性沟通困难的成年人中的有效性。参与者为13例严重TBI成人（GCS = 3-8；平均年龄= 35.2岁；平均伤后时间= 7.6年）。该项目分为三个阶段：(1)控制/干预前等待阶段（多次评估），(2)治疗（6周），(3)随访（12周）。采用计划两两比较的重复测量方差分析来检验变化的显著性。干预在沟通特异性应对、功能性沟通和压力方面取得了统计学上的显著改善，并维持了三个月。在临床医生盲评中，沟通特定应对策略的使用得到改善。患者报告说，在治疗结束时以及1个月和3个月后，压力显著减轻。这种干预为TBI患者提供了一种有希望的改善沟通特异性应对和减少沟通功能障碍及其负面后果的方法。
People with traumatic brain injury (TBI) describe everyday interactions as a long-term challenge frequently associated with ongoing stress. Communication-specific Coping Intervention (CommCope-I) is a new treatment developed to target coping in the context of communication breakdown. The intervention incorporates principles of cognitive behavioural therapy, self-coaching and context-sensitive social communication therapy. The purpose of this study was to examine the effectiveness of CommCope-I in a group of adults with severe TBI and ongoing functional communication difficulties. Participants were 13 adults with severe TBI (GCS = 3-8; mean age = 35.2 years; mean time post-injury = 7.6 years). The project involved three phases: (1) Control/pre-intervention wait phase (multiple assessments), (2) Treatment (6 weeks), and (3) Follow-up (12 weeks). Repeated measures ANOVA with planned pairwise comparisons were used to test the significance of change. Intervention elicited statistically significant improvements in communication-specific coping, functional communication and stress that were maintained for three months. Improved use of communication-specific coping strategies was evident in clinician blind ratings. Clients reported significant reduction in stress at the end of treatment and one and three months later. This intervention provides a promising means of improving communication-specific coping and reducing communication dysfunction and its negative consequences for people with TBI.