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Social Communication Following Adult Traumatic Brain Injury: A Scoping Review of Theoretical Models
, Lindsey Byom1, Therese M O'Neil-Pirozzi2
1Division of Speech and Hearing Sciences, Department of Allied Health Sciences, University of North Carolina, Chapel Hill.
American Journal of Speech-Language Pathology
|June 23, 2020
Summary
Speech-language pathologists can use nine theoretical models to assess and treat social communication deficits in adults with traumatic brain injury (TBI). These models, categorized as cognitive, social competence, or pragmatic, empower tailored interventions for better outcomes.
Area of Science:
- Neuroscience
- Speech-language pathology
- Rehabilitation medicine
Background:
- Social communication abilities are crucial for achieving life goals across various contexts.
- Traumatic brain injury (TBI) frequently results in social communication impairments.
- Evidence-based theoretical models are essential for effective TBI-related social communication intervention.
Purpose of the Study:
- To conduct a scoping review of theoretical models applicable to the evaluation and treatment of social communication problems in adults with TBI.
- To identify and categorize models that can inform speech-language pathology practices for TBI survivors.
Main Methods:
- A comprehensive scoping review of literature was performed using PubMed, PsycINFO, and Embase databases.
- Searched for sources published between 1989 and 2020 focusing on human social communication and participation.
- Systematically examined identified sources for relevant social communication models.
Main Results:
- Nine distinct theoretical models were identified for potential use by speech-language pathologists.
- These models were thematically categorized into three classes: cognitive, social competence, and pragmatic.
- An in-depth description of one exemplar model from each class was provided using a developed evaluation framework.
Conclusions:
- Social communication difficulties are a prevalent issue for adults following TBI.
- A diverse range of theoretical models is available to guide speech-language pathology assessment and treatment.
- Selecting individualized, model-informed approaches can optimize intervention effectiveness for TBI patients.
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