Development and Evaluation of a Clinical Assessment Tool of TBI-Related Social Communication

颅脑损伤相关社会沟通临床评估工具的开发与评价 患有创伤性脑损伤(TBI)的成年人存在沟通障碍的风险，这些障碍会对回归产生负面影响 工作、家庭和社区角色。与颅脑损伤相关的社交障碍(TBI-SCI)是 无效的以无效的、无组织的和不适当的语言交流为特征的，并降低了 理解他人的非文字和非语言信息。尽管社交沟通对 日常生活中，由于言语语言病理学家(SLP)的缺乏，TBI-SCI被低估了诊断和治疗 快速、可靠、有效并为以人为中心的治疗计划提供信息的临床评估工具。这个 拟议的K23职业发展奖的目标是通过开发、完善和 评估患者和照顾者报告的满足SLP和成人需求的TBI-SCI评估工具 使用TBI。患者报告的结果衡量标准有助于个性化康复并严格评估 与健康相关的结果和治疗效果。以人为中心的康复理论指导下的生存 评估工具，我们将进行一项前瞻性的定性研究，以确定社交技能和 利益相关者(患有脑外伤的成年人、家庭成员和SLP)认为对脑外伤重要的中介因素- 脊髓损伤康复。调查结果将为平行报告的患者和照顾者的内容和结构提供信息 临床评估工具。我们将使用迭代认知访谈来改进工具，以确保工具 获取对TBI-SCI康复最重要的因素(即，内容有效)并且易于 理解。将对来自不同样本的工具反应进行初步心理测量测试 100名成人脑外伤患者和150名照顾者评估工具的有效性和可靠性。这项工作支持NIDCD的 开发和测试将提供沟通治疗的改进的诊断工具的战略优先事项 目标并将通知后续的R01应用程序，以进行大规模心理测量测试和测试 临床实施的可行性。完成拟议的研究和职业发展 活动将使BYOM博士在临床评估工具方面拥有深入的知识和全面的培训 发展，包括定性研究方法、定量工具评估和 实施科学。通过这次培训，BYOM博士将独一无二地准备好将她在社会领域的培训转化为 沟通理论、脑创伤-脊髓损伤及临床脑损伤沟通康复的发展与评价 临床上可行的SLP实践，以支持成人脑外伤。

TITLE: Development and Evaluation of a Clinical Assessment Tool of TBI-Related Social Communication Adults with traumatic brain injury (TBI) are at risk for communication impairments that negatively affect return to work, family, and community roles. TBI-related social communication impairments (TBI-SCI) are characterized by ineffective, disorganized, and inappropriate verbal communication and reduced capacity to understand others’ non-literal and non-verbal messages. Despite the importance of social communication to daily life, TBI-SCI are under-diagnosed and under-treated because speech-language pathologists (SLPs) lack clinical assessment tools that are quick, reliable, valid, and inform person-centered treatment planning. The objective of the proposed K23 career development award is to address this gap by developing, refining, and evaluating patient- and caregiver-reported TBI-SCI assessment tools that meet the needs of SLPs and adults with TBI. Patient-reported outcome measures facilitate personalized rehabilitation and rigorously assess health-related outcomes and treatment effects. Guided by person-centered rehabilitation theory and existing assessment tools, we will conduct a prospective qualitative study to identify social communication skills and mediating factors that stakeholders (adults with TBI, family members, and SLPs) perceive as important to TBI- SCI rehabilitation. Findings will inform the content and structure of parallel patient- and caregiver-reported clinical assessment tools. We will refine the tools using iterative cognitive interviewing to ensure the tools capture the most important factors to TBI-SCI rehabilitation (i.e., are content valid) and are easy to comprehend. Preliminary psychometric testing will be conducted on tool responses from a diverse sample of 100 adults with TBI and 150 caregivers to evaluate tool validity and reliability. This work supports NIDCD’s strategic priority to develop and test improved diagnostic tools that will provide communication treatment targets and will inform a subsequent R01 application to conduct large-scale psychometric testing and to test the feasibility of clinical implementation. Completion of the proposed research and career development activities will equip Dr. Byom with in-depth knowledge and comprehensive training in clinical assessment tool development, including qualitative research methodology, quantitative tool evaluation, and principles of implementation science. With this training, Dr. Byom will be uniquely poised to translate her training in social communication theory, TBI-SCI, and clinical TBI communication rehabilitation to development and evaluation of clinically feasible SLP practices to support adults with TBI.