Measuring outcomes from a peer-led social communication skills intervention for adults following brain injury

衡量脑损伤后成人同伴主导的社交沟通技能干预的结果

• 批准号: ES/T008504/1
• 负责人: Susan Howell
• 金额: $ 11.13万
• 依托单位: University College London
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FT008504%2F1
• 关键词: Measuring; outcomes; peer; led; social

Acquired brain injury is a principal cause of life-long disability worldwide. Chronic cognitive and communication problems can follow injury, adversely impacting previous relationships and the ability to build new ones. Reduced social acceptance and social isolation are commonly reported problems. Intervention for social communication skills is recommended as a practice standard in programmes of rehabilitation, but the evidence of gain from more traditional models of intervention is mixed. In particular, automatic transfer of skills learned in the training setting to everyday life cannot be assumed. Community re-integration entails the ability to build relationships with other people independently of family members and professionals. In order to play a valued social role, the person needs to be able to engage as an equal partner in conversation, and have an ability to speak on their own behalf.My PhD research developed and investigated the efficacy of a new approach, training a peer with a severe ABI to facilitate communication in an expert discussion group. Outcomes were compared to a control group (a traditional staff-led social activity group for individuals with severe ABI). Existing outcome measurement tools are designed to evaluate change in paired conversations rather than groups, so a new digital measurement tool (the INT) was developed and tested, using social network methodologies, to quantitatively measure change in group social participation over time.Results showed that a trained peer can successfully facilitate group interaction without direct support from a neurotypical communication partner. The intervention group showed an improved ability to socially connect and participate collaboratively over time. Conversely, there was no change over time in the staff-led group. Overall, these findings show initial evidence of benefit in independent relationship-building within complex encounters and in new social networks with multiple communication partners, consistent with the communication demands of everyday life.Developing findings from this PhD research has the potential to inform clinical practice in the following ways. It meets current recommendations for new interventions that address communication needs in real-world environments and a fully powered study is now required to increase confidence in these initial findings. A key objective for this fellowship is to produce a grant application for a multi-centre trial. Measurement of change in group social interaction is a new field of investigation and the INT meets current recommendations for new tools to measure social participation outcomes. My first mentor, Professor Joseph Devlin, as Vice Dean of Innovation and Enterprise is well placed to advise me on networking opportunities and the formulation of a contact plan to develop the INT. The measure also requires validation to demonstrate reliability and responsiveness with increased volumes of data, and to test its application to wider clinical contexts and groups. My secondary mentor, Dr Joshua Stott, brings experience of managing grant funded projects in dementia and mental health conditions

后天脑损伤是全世界终生残疾的主要原因。慢性认知和沟通问题可能伴随着伤害，对以前的关系和建立新关系的能力产生不利影响。社会认可度下降和社会孤立是经常被报道的问题。社会沟通技能干预被建议作为康复方案的实践标准，但从更传统的干预模式中获益的证据喜忧参半。特别是，不能假定将在培训环境中学到的技能自动转移到日常生活中。社区重新融合需要独立于家庭成员和专业人员与其他人建立关系的能力。为了扮演有价值的社会角色，这个人需要能够在交谈中作为平等的伙伴参与进来，并有能力自行发言。我的博士研究开发并调查了一种新方法的有效性，训练一位ABI严重的同龄人在专家讨论组中促进沟通。结果与对照组(一个传统的由工作人员领导的严重急性脑损伤患者的社会活动小组)进行了比较。现有的结果测量工具旨在评估成对对话中的变化，而不是群体，因此开发并测试了一种新的数字测量工具(INT)，使用社交网络方法来定量测量群体社会参与随时间的变化。结果表明，受过训练的同龄人可以成功地促进群体互动，而不需要典型的神经沟通伙伴的直接支持。随着时间的推移，干预组显示出社交联系和协作参与的能力有所提高。相反，工作人员领导的小组没有随着时间的推移而发生变化。总体而言，这些发现表明，初步证据表明，在复杂的遭遇中建立独立的关系以及在与多个沟通伙伴的新社交网络中建立关系是有益的，这与日常生活的沟通需求是一致的。这项博士研究的发展发现有可能在以下方面为临床实践提供信息。它符合当前关于解决现实世界环境中通信需求的新干预措施的建议，现在需要进行一项全面的研究，以增加对这些初步发现的信心。这项奖学金的一个关键目标是为多中心试验提出赠款申请。衡量群体社会互动的变化是一个新的调查领域，INT符合当前关于衡量社会参与结果的新工具的建议。我的第一位导师，约瑟夫·德夫林教授，作为创新和企业部的副院长，非常适合就网络机会和制定联系计划来发展INT向我提供建议。该措施还需要验证，以证明增加数据量的可靠性和响应性，并测试其在更广泛的临床背景和群体中的应用。我的第二导师约书亚·斯托特博士带来了管理痴呆症和精神健康疾病赠款资助项目的经验。

项目成果

Discourse analysis in adults with and without communication disorders: A resource for clinicians and researchers.

有和没有沟通障碍的成年人的话语分析：临床医生和研究人员的资源。

• 发表时间: 2023
• 作者: Keegan, L.

An examination of sample length and reliability of the Interactional Network Tool, a new measure of group interactions in acquired brain injury

• DOI: 10.1080/02687038.2022.2118517
• 发表时间: 2022-09
• 期刊: Aphasiology
• 影响因子: 2
• 作者: S. Howell;S. Beeke;Emma Louise Sinnott;R. Varley;T. Pring

Measuring group social interactions following acquired brain injury: an inter-rater reliability evaluation

测量获得性脑损伤后的群体社交互动：评估者间的可靠性评估

• DOI: 10.1080/02687038.2020.1836315
• 发表时间: 2020
• 期刊: Aphasiology
• 影响因子: 2
• 作者: Howell S

Measuring outcomes of a peer-led social communication skills intervention for adults with acquired brain injury: A pilot investigation.

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
• 发表时间: 2021
• 期刊: Neuropsychological rehabilitation
• 影响因子: 2.7
• 作者: Howell S