Quasi-Contextualized Speech Treatment in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year After Discharge.
Quasi-Contextualized Speech Treatment in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year After Discharge.
复制标题
创伤性脑损伤住院患者康复中的准情境化言语治疗：对出院后第一年结果的影响。
DOI：
10.1097/htr.0000000000000649
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Bogner,Jennifer
中科院分区：
文献类型：
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作者：
Beaulieu,CynthiaL;Peng,Juan;Hade,ErinnM;Montgomery,Erin;Gilchrist,Kamie;Corrigan,JohnD;Horn,SusanD;Bogner,Jennifer
Objective:To evaluate the effect of providing quasi-contextualized speech therapy, defined as metacognitive, compensatory, or strategy training applied to cognitive and language impairments to facilitate the performance of future real-life activities, on functional outcomes up to 1 year following traumatic brain injury (TBI).Setting:Acute inpatient rehabilitation.Participants:Patients enrolled during the TBI-Practice-Based Evidence (TBI-PBE) study (n= 1760), aged 14 years or older, who sustained a severe, moderate, or complicated mild TBI, received speech therapy in acute inpatient rehabilitation at one of 9 US sites, and consented to follow-up 3 and 9 months postdischarge from inpatient rehabilitation.Design:Propensity score methods applied to a database consisting of multisite, prospective, longitudinal observational data.Main Measures:Participation Assessment with Recombined Tools-Objective-17, FIM Motor and Cognitive scores, Satisfaction With Life Scale, and Patient Health Questionnaire-9.Results:When at least 5% of therapy time employed quasi-contextualized treatment, participants reported better community participation during the year following discharge. Quasi-contextualized treatment was also associated with better motor and cognitive function at discharge and during the year after discharge. The benefit, however, may be dependent upon a balance of rehabilitation time that relied on contextualized treatment.Conclusions:The use of quasi-contextualized treatment may improve outcomes. Care should be taken, however, to not provide quasi-contextualized treatment at the expense of contextualized treatment.
