Social Competence Treatment After Traumatic Brain Injury: A Multicenter, Randomized Controlled Trial of Interactive Group Treatment Versus Noninteractive Treatment

Harrison-Felix, Cynthia; Newman, Jody; Hawley, Lenore; Morey, Clare; Ketchum, Jessica M.; Walker, William C.; Bell, Kathleen R.; Millis, Scott R.; Braden, Cynthia; Malec, James F.; Eagye, C.B.; Howe, Laura L. S.

doi:10.1016/j.apmr.2018.05.030

Cited by 22 publications

(16 citation statements)

References 31 publications

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“…The LCQ35 (self-report) will be employed as the primary outcome measure in the present RCT. Both Braden et al 26 and Harrison-Felix et al ,25 found the LCQ to be sensitive to change in social communication skills, and comparable with changes found in Social Communication Skills Questionnaire–Adapted (SCSQ-A) used as primary outcome measures in other GIST trials 26. The LCQ has been psychometrically evaluated with excellent results in the TBI population,35 39 40 and it has been translated into Norwegian.…”

Section: Methods and Analysismentioning

confidence: 82%

“…To the authors’ knowledge, these are the most recent systematic reviews describing SCD interventions, and a search of Ovid MEDLINE in April 2019 indicated that only four studies have been conducted since 2013. These four studies22–25 provide further evidence for the efficacy of SCD interventions.…”

Section: Introductionmentioning

confidence: 93%

“…The latest study, a multicentre randomised controlled trial (RCT) conducted by Harrison-Felix et al , compared two methods of GIST: an interactive group format versus a classroom lecture 25. They found that social competence skills improved in both treatment groups and the interactive format was not found to be superior to the classroom treatment using the same curriculum 25.…”

Section: Introductionmentioning

confidence: 99%

“…Still, GIST is one of the best-validated context-sensitive group interventions for SCD,21 25 26 and the treatment emphasises self-assessment, individual goal setting and facilitates generalisation through homework and family or friend involvement 18. The efficacy of GIST has been demonstrated in several systematic reviews and guidelines,1 3 19 20 and findings have suggested improved social communication and overall satisfaction with life in various TBI populations, with results also maintained at follow-up 21 25 26. Hence, application to broader patient groups seems feasible.…”

Section: Introductionmentioning

confidence: 99%

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Intensive and standard group-based treatment for persons with social communication difficulties after an acquired brain injury: study protocol for a randomised controlled trial

et al. 2019

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IntroductionSocial communication difficulties (SCDs) occur frequently after an acquired brain injury (ABI) and have disabling consequences, but effective interventions are scant. Group Interactive Structured Treatment (GIST) is a holistic group treatment targeting SCD that has received empirical support.ObjectiveTo determine the efficacy of two GIST protocols, standard GIST and a newly developed intensive GIST, comparing standard GIST results to a wait-list control group (WL), as well as to intensive GIST received by participants following WL. The within subject results for WL and intensive GIST will also be examined.Methods and analysisSixty adults (18–75 years) with SCD after ABI will be recruited for this randomised controlled trial. Standard GIST (n=30) will be delivered via outpatient sessions for 2.5 hours once per week for 12 weeks, plus one initial orientation session. Participants will be assessed at preintervention and postintervention and at 3-month and 6-month follow-ups (T1-T4). Intensive GIST (n=30) participants will be admitted to an inpatient rehabilitation unit for 4 weeks (two times 3 days/week, two times 4 days/week) and receive full-day sessions each week. Those participants will complete four assessments (T1-T4) in 12-week intervals as part of WL, assessments preintensive and postintensive GIST and at 3-month and 6-month follow-ups (T4-T7). The primary outcome measure is the La Trobe Questionnaire (self-report). Secondary outcome measures include the Profile of Pragmatic Impairment in Communication, a test of emotion recognition, the Goal Attainment Scale and questionnaires addressing social, emotional and cognitive functions, self-efficacy and quality of life.Ethics and disseminationResults will be communicated through international, peer-reviewed and popular science journals and presentations at scientific conferences. The study is approved by the Regional Committees for Medical and Health Research Ethics Norway (2017/1360). The trial will be conducted in accordance with the Declaration of Helsinki and reported in accordance with the Consolidated Standards of Reporting Trials 2010 statement and Standard Protocol Items: Recommendations for Interventional Trials recommendations.Trial registration numberNCT03636399.

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Section: Methods and Analysismentioning

confidence: 82%

Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Intensive and standard group-based treatment for persons with social communication difficulties after an acquired brain injury: study protocol for a randomised controlled trial

et al. 2019

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“…40,41 There has been extensive research into social and community integration after TBI, including return to employment, 7 driving, 8 social participation, 6 and changes in life roles. 42 Programs such as social competence training 43 were designed to improve social skills to broadly facilitate social and community integration. Vocational rehabilitation is designed for the express purpose of providing resources for individuals with TBI to navigate the many complex factors associated with returning to work after injury.…”

Section: Discussionmentioning

confidence: 99%

Lifetime history of traumatic brain injury is associated with increased loneliness in adults: A US nationally representative study

Kumar

Ornstein

Bollens‐Lund

et al. 2020

Int J Geriat Psychiatry

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Background/Objectives An estimated 55 million individuals worldwide live with chronic disability associated with traumatic brain injury (TBI), which may include cognitive, behavioral, and social impairments. Reduced participation in social activities is common after TBI; however, few studies have evaluated loneliness among survivors of TBI. The current study aimed to evaluate the association between history of TBI and loneliness and to identify mediators of this association. Methods/Design Retrospective cohort study. Nationally representative sample of N = 724 adults over age 50 years (Health and Retirement Study). Loneliness was evaluated using the 11‐item Revised University of California Los Angeles (R‐UCLA) Loneliness Scale (range 11‐33). Lifetime history of TBI evaluated retrospectively using the Ohio State University TBI Identification Method. We included the following covariates: age, sex, race, and education; and mediators: depressive symptoms, number of comorbidities, chronic pain, difficulty with activities of daily living, and social network index. Results History of TBI was associated with a 1.28‐point (95% CI, 0.46‐2.11; P < .05; Cohen's D = 0.284) increase in R‐UCLA Loneliness Scale scores after covariate adjustment. Individuals with more recent injuries (within 10 years) and multiple lifetime TBIs reported the highest loneliness scores. In the structural equation model, depressive symptoms partially mediated the relationship between TBI and loneliness. All models were adjusted for US population sampling weights. Conclusions History of TBI was associated with greater loneliness compared with individuals without TBI in a representative sample of US adults. Managing depressive symptoms and medical consequences of TBI may be a target to ameliorate reporting of loneliness in this population.

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Communication Treatment Approaches to Improve Discourse Production in Traumatic Brain Injury

Togher,

Elbourn,

Steel

2023

Spoken Discourse Impairments in the Neurogenic Populations

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Social Competence Treatment After Traumatic Brain Injury: A Multicenter, Randomized Controlled Trial of Interactive Group Treatment Versus Noninteractive Treatment

Abstract: Social competence skills improved for persons with TBI in both treatment conditions. The group interactive format was not found to be a superior method of treatment delivery in this study.

Cited by 22 publications

References 31 publications

Intensive and standard group-based treatment for persons with social communication difficulties after an acquired brain injury: study protocol for a randomised controlled trial

Intensive and standard group-based treatment for persons with social communication difficulties after an acquired brain injury: study protocol for a randomised controlled trial

Lifetime history of traumatic brain injury is associated with increased loneliness in adults: A US nationally representative study

Communication Treatment Approaches to Improve Discourse Production in Traumatic Brain Injury

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