INCOG Recommendations for Management of Cognition Following Traumatic Brain Injury, Part IV

Abstract

There is strong evidence for person-centered treatment of cognitive-communication disorders and use of instructional strategies such as errorless learning, metacognitive strategy training, and group treatment. Future studies should include tests of alternative service delivery models and development of participation-level outcome measures.

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

“…They provided multiple-component interventions for CCRC deficits, across a number of environments, via a range of service delivery options including groups. These intervention features correspond with current best-practice CCD rehabilitation and management guidelines 15,29 . The treatment hierarchies reported by surveyed clinicians addressed both the cognitive-communication and participation aspects of reading after ABI;…”

“…The use of terminology specific to CCD is common within professional guidelines 14,15 , and was also reflected in clinical practice via the survey findings. However, differences in terminology within the literature and systematic review were noted.…”

“…While current clinical and professional guidelines do not provide specific recommendations for discourse level CCRC interventions following ABI, their recommendations for service delivery can be utilised. These include delivering interventions that: are person centred, use individualised treatment items, and recognises patients' previous literacy skills 15 ; promote carry-over and generalisation of skills; and involve communication partners / significant others 15,29 . Consequently, we must first look to the literature and then to expert opinion to identify the evidence base and "best practice" recommendations for reading interventions.…”

“…Firstly, as previously identified, the majority of studies came from the aphasia literature, influencing all aspects of the research, including assessment methods, differential diagnosis and treatment selection. Secondly, the relative recency of dedicated research into CCD including assessment, interventions and management 15 may have impacted terminology use within the literature. Perhaps a diagnosis of a CCD is more common in clinical practice than is reflected in the literature.…”

“…Typically, pwABI experience discourse or text level reading comprehension deficits (i.e., occurring at a paragraph level or above) in the context of a cognitive-communication disorder (CCD) 14,15 , however these deficits may also occur following aphasia 16 . A recent systematic review investigated discourse level reading comprehension difficulties following ABI 17 .…”