Impact of Illiteracy on Rehabilitation of Communication Disorders: Preliminary Considerations

Kahn, Alice; Kelly, Laura

doi:10.1080/0360127910170605

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…For some older adults, a lack of literacy skills seems to be an obstacle in certain functional contexts (Murphy, 1993;Kahn & Kelly, 1994). Other older adults, however, seem successful in developing coping strategies, independently or within social networks.…”

Section: Literacy In Later Lifementioning

confidence: 93%

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Literacy proficiency of older adults

Kamp

Boudard

2003

International Journal of Educational Research

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Section: Literacy In Later Lifementioning

confidence: 93%

“…Decline of participation rate in adult education by age groups, 1994. Source: Dutch Adult Literacy Survey, 1994(Van der Kamp & Scheeren, 1996.…”

mentioning

confidence: 99%

Literacy proficiency of older adults

Kamp

Boudard

2003

International Journal of Educational Research

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“…Consequently, these adults often develop a range of strategies and social support networks to help with reading based tasks 2,3 . For adults who experience changes to their reading skills suddenly, for example, following an acquired brain injury (ABI) or traumatic brain injury (TBI), a range of similar challenges may arise and rehabilitation may be required.…”

Section: Introductionmentioning

confidence: 99%

Treating reading comprehension deficits in sub-acute brain injury rehabilitation: Identifying clinical practice and management

Watter

Copley

Finch

2016

Journal of Communication Disorders

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“…Consequently, these adults often develop a range of strategies and social support networks to help with reading based tasks [199,200]. For adults who experience changes to their reading skills suddenly, for example, following an ABI or TBI, a range of similar 110 challenges may arise and rehabilitation may be required.…”

Section: Introductionmentioning

confidence: 99%

Developing a novel, contextual intervention for reading comprehension deficits in early brain injury rehabilitation

Watter¹

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Background and Aims:Changes to cognitive-communication skills, including changes to reading comprehension, are common in adults following acquired or traumatic brain injury. Cognitivecommunication reading comprehension (CCRC) deficits occur at a discourse level, are evident early post-injury and can persist long-term. CCRC deficits have been reported across international populations, and can impact a person's reading ability, participation and independence with tasks involving reading both during rehabilitation and upon return home. If reading comprehension deficits are addressed early in recovery, participation in activities that require discourse-level reading may improve -both early in recovery (e.g., rehabilitation tasks, leisure activities) and longer term (e.g., reading skills for living independently and/or community participation).Speech Language Pathologists (SLPs) provide rehabilitation for CCRC deficits for adults with brain injury, including during early (i.e., sub-acute and post-hospital discharge) rehabilitation. However, there is a lack of published evidence to inform clinical practice regarding the management of reading deficits during early recovery (i.e., <6m post-onset).This evidence-gap impacts SLPs internationally in providing early rehabilitation services to adults with acquired brain injury (ABI) and CCRC deficits.The aim of this thesis was two-fold:(1) To develop a reading comprehension intervention for adults with CCRC deficits that is evidence-based, responsive to contextual and service delivery factors, and able to be delivered by SLPs during sub-acute and early rehabilitation;(2) To evaluate the effectiveness of the intervention with individuals during early rehabilitation, including identifying intervention effectiveness and the experiences of clients and families. Method:This thesis used an emergent multi-phase mixed method design. To address Aim 1, a number of studies were undertaken, including:• Investigating the clinical context and service delivery of sub-acute SLPs working within specialised Australian brain injury rehabilitation centres (reported in Chapter 3); thematic analyses of semi-structured interviews. These were: positive change, supporting independence and self-efficacy, salience, therapeutic alliance and intensity. Conclusion:The evidence base for managing CCRC deficits following ABI has been identified, and an evidence-based contextually-sensitive intervention and service delivery model for the early rehabilitation of CCRC disorders has been developed and successfully piloted. This study has provided preliminary evidence regarding the early intervention for CCRC deficits (at an impairment / skill, activity and participation level) in adults with acquired brain injury, as demonstrated by improvements on formal assessments, SCED results, and as reported by participants / significant others. As such, SLPs should consider addressing reading comprehension early in recovery as a key component of their rehabilitation of cognitivecommunication disorders. Further research is ...

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Impact of Illiteracy on Rehabilitation of Communication Disorders: Preliminary Considerations

Cited by 4 publications

References 3 publications

Literacy proficiency of older adults

Literacy proficiency of older adults

Treating reading comprehension deficits in sub-acute brain injury rehabilitation: Identifying clinical practice and management

Developing a novel, contextual intervention for reading comprehension deficits in early brain injury rehabilitation

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