Introducing the model of cognitive-communication competence: A model to guide evidence-based communication interventions after brain injury

MacDonald, Sheila

doi:10.1080/02699052.2017.1379613

Cited by 149 publications

(120 citation statements)

References 232 publications

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“…Comprehensive assessment involves the consideration of a range of aspects of communication as reflected in the (MacDonald ) model. When the evaluation of functional communication skills is limited, as was found in the reviewed assessments, this impedes the identification of specific support strategies to maximize retained functional skills.…”

Section: Discussionmentioning

confidence: 99%

“…) as to the multiple benefits of SLT intervention in the promotion of effective communication for people with dementia and their CPs. In addition, cognitive communication assessments should evaluate beyond the level of impairment to consider the range of medical, personal, and contextual influences that impact on the person with dementia's communication competence (MacDonald ). There is a clear benefit to the person with dementia especially in terms of enhancing positive behaviour, and meaningful interactions.…”

Section: Discussionmentioning

confidence: 99%

“…Cognitive communication assessments should guide clinicians in determining the best interventions to address communication difficulties and enable them to recommend the best possible adaptations by the person with dementia and their family. A broadened definition of communication competence (MacDonald ) acknowledges the multiple cognitive processes that influence communication and are influenced by the person's unique communication environment (figure ).…”

Section: Introductionmentioning

confidence: 99%

“…Model of cognitive–communication competence (MacDonald ). [Color figure can be viewed at wileyonlinelibrary.com]…”

Section: Introductionmentioning

confidence: 99%

“…The cognitive domain (i.e., executive function, attention, working memory, speed of processing, social cognition, reasoning and problem solving) impacts on the communication domain (i.e., auditory comprehension, verbal expression, pragmatics, reading and writing) (MacDonald ). A comprehensive focus on the individual's communication domain takes account of the physical (e.g., hearing and visual perception) and emotional (e.g., anxiety, confidence, depression) factors that can influence communication performance.…”

Section: Introductionmentioning

confidence: 99%

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Assessing cognitive communication skills in dementia: a scoping review

Dooley

Walshe

2019

Intl J Lang & Comm Disor

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Background: Cognitive communication difficulties are a characteristic feature of dementia. These deficits have negative effects on all aspects of daily life. Yet, there are few options for standardized assessment of cognitive communication skills in people with dementia. Aims: To review published cognitive-communication assessments to determine what psychometrically sound assessments exist that are applicable to all people with dementia. Methods & Procedures: A scoping review of the literature was conducted using an established scoping review model. Cognitive-communication assessments validated in English with people with dementia were sought. A comprehensive search of eight relevant electronic databases was undertaken. Two reviewers independently analysed and assessed the psychometric quality of instruments that met inclusion criteria. Outcomes & Results: Four cognitive-communication assessments were included in the review. Although psychometrically sound, none was suitable for administration at all stages of dementia. Only one was validated for different dementia types. None included subtests for evaluation of conversation ability, and none involved the evaluation of communication partners' communication. Conclusions & Implications: There are limited options for standardized communication assessment for individuals with dementia and their communication partners. Directions for the development of new measures are provided to facilitate research and improve clinical practice. What this paper addsWhat is already known on the subject People with dementia experience deterioration in communication function with the progression of the disease, but they retain functional communication abilities. Speech and language therapists have few assessments for evaluating the cognitive communication ability of people with dementia. What this paper adds to existing knowledgeThis scoping review has identified and summarized the cognitive communication assessments that have been validated for use with people with dementia and has synthesized their validity, reliability, acceptability and comprehensiveness. What are the potential or actual clinical implications of this work?Currently, speech and language therapists must use assessments that are validated for use on specific subtypes of dementia and not across severity levels. Given that interventions typically include a focus on the listener's

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Model of cognitive–communication competence (MacDonald ). [Color figure can be viewed at wileyonlinelibrary.com]…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessing cognitive communication skills in dementia: a scoping review

Dooley

Walshe

2019

Intl J Lang & Comm Disor

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Neuropsychological functioning of adults with PTEN hamartoma tumor syndrome

Oldenboom,

Drissen,

van Dongen

et al. 2024

American J of Med Genetics Pt A

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PTEN hamartoma tumor syndrome (PHTS) might be associated with a distinct cognitive and psychological profile. However, previous studies are limited, predominantly based on small and pediatric cohorts, likely affected by selection bias, and show a broad range of findings. We aimed to characterize the neuropsychological functioning of adults with PHTS. A total of 40 participants, with intellectual disability as exclusion criterium, completed an extensive clinical neuropsychological assessment including cognitive tasks, questionnaires, and a clinical diagnostic interview. The cognitive tasks and questionnaire data were categorized as below and above average based on 1.5 SD. About 80% of participants showed an average level of intelligence. In addition, 30% and 24% of participants scored below average on immediate memory recall and speed of information processing, respectively. Furthermore, about 25% reported above average scores on the majority of the questionnaires, indicating psychological distress, signs of alexithymia, and cognitive complaints. Personality of participants was characterized by inflexibility, social withdrawal, and difficulties in recognizing and describing their own emotions. Adults with PHTS demonstrate a heterogeneous yet distinct neuropsychological profile that is characterized by slower information processing, psychological problems, and specific personality traits. These findings provide directions on how to optimize the care and daily lives of adults with PHTS.

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Training students from rehabilitation professions on communicating with patients with communication disorders

Mach

Baylor

Burns

et al. 2021

PM&R

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Background: FRAME, a mnemonic referring to a program for helping health care providers adapt patient-provider communication when working with patients with communication disorders, improves the knowledge, confidence, and communication skills of medical students for working with this population. However, the impact of the FRAME program for preparing students from the rehabilitation disciplines to work with patients with communication disorders is unknown. Objective: To examine the effects of the FRAME program on the knowledge, confidence, and communication skills of students in physical therapy (PT), occupational therapy (OT), and prosthetics and orthotics (P&O) in terms of how to communicate effectively with patients with communication disorders. Design: An exploratory, quasi-experimental pretest-posttest design. Setting: PT, OT, and P&O clinical education programs at the University of Washington's Department of Rehabilitation Medicine. Participants: Twenty rehabilitation students (PT = 12; OT = 7; and P&O = 1) participated in the FRAME training. Interventions: The FRAME program, delivered in a single, 2-hour session teaches students communication skills to use with patients with various types of communication disorders.Main Outcome Measures: A quiz of students' knowledge about communication disorders and a self-rating of confidence for interacting with this patient population were used. Speech-language pathology graduate clinicians rated students' use of communication strategies from each area of the FRAME training during interactions with standardized patients portraying aphasia and dysarthria. Student qualitative feedback were also collected. Results: Students' knowledge, confidence, and use of communication strategies improved significantly following training. Greatest gains were observed in students' ability to familiarize themselves with how a patient communicates and establish a method of communication before proceeding with the interview. Qualitative feedback aligned with these findings. Conclusions: The FRAME program increases the knowledge, confidence, and use of communication strategies in rehabilitation students in order to communicate more effectively with patients with communication disorders in their future careers.

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Introducing the model of cognitive-communication competence: A model to guide evidence-based communication interventions after brain injury

Abstract: This model could bridge evidence to practice by promoting a comprehensive and consistent view of communication competence for evidence synthesis, clinical decision-making, outcome measurement, and interprofessional collaboration.

Cited by 149 publications

References 232 publications

Assessing cognitive communication skills in dementia: a scoping review

Assessing cognitive communication skills in dementia: a scoping review

Neuropsychological functioning of adults with PTEN hamartoma tumor syndrome

Training students from rehabilitation professions on communicating with patients with communication disorders

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