Measuring outcomes of a peer-led social communication skills intervention for adults with acquired brain injury: A pilot investigation.
Measuring outcomes of a peer-led social communication skills intervention for adults with acquired brain injury: A pilot investigation.
复制标题
衡量对患有获得性脑损伤的成年人进行同伴主导的社交沟通技能干预的结果：一项试点调查。
DOI：
10.1080/09602011.2020.1760892
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发表时间：
2021
影响因子：
2.7
通讯作者：
Howell S
中科院分区：
文献类型：
--
作者：
Howell S
严重获得性脑损伤（ABI）后社会能力下降是有充分证据的。本初步研究调查了一种以同伴为主导的群体干预，这种干预基于同伴模式可能是一种比临床医生主导的方法更有效的行为改变机制。从急性后神经康复中心招募了12名严重ABI患者，随机分配到同伴主导的干预组或工作人员主导的活动组（常规护理）（Clinicaltrials.gov: NCT02211339）。这些小组每周开会两次，持续8周。一个同伴被单独训练以促进干预组的互动。培训包括16个单独的课程，为期4周。小组行为在基线、干预后和维持期（4周）测量两次，使用会话参与的适应性测量（MPC）和互动网络工具（INT），这是一种新设计的小组会话互动测量。结果测量显示敏感性差异。两组在基线行为上没有差异。结果显示，治疗组干预后MPC交易量表有显著改善（p= 0.02）。干预组在干预后和随访中表现出更平衡的互动。研究结果显示了同伴领导小组的优势的初步证据。INT作为一种检测群体沟通行为变化的方法显示出了希望。试验注册：ClinicalTrials.gov标识符：NCT02211339。
Reduced social competence following severe acquired brain injury (ABI) is well-documented. This pilot study investigated a peer-led group intervention based on the claim that peer models may be a more effective mechanism for behaviour change than clinician-led approaches. Twelve participants with severe ABI were recruited from a post-acute neurorehabilitation setting and randomly assigned to either a peer-led intervention or a staff-led activity group (usual care) (Clinicaltrials.gov: NCT02211339). The groups met twice a week for 8 weeks. A peer was trained separately to facilitate interaction in the intervention group. Training comprised 16 individual sessions over 4 weeks. Group behaviour was measured twice at baseline, after intervention and at maintenance (4 weeks), using the Adapted Measure of Participation in Conversation (MPC) and the Interactional Network Tool (INT), a newly devised measure of group conversational interaction. Outcome measures showed differential sensitivity. The groups did not differ in baseline behaviour. Findings showed a significant improvement in the treated group on the MPC transaction scale post-intervention (p= .02). The intervention group showed more balanced interaction post-intervention on the INT and at follow-up. Findings show preliminary evidence of the advantage for peer-led groups. The INT shows promise as a method to detect a change in group communication behaviour.Trial registration: ClinicalTrials.gov identifier: NCT02211339.