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Autism Spectrum Disorder01:19

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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Exploring Person-Centered Goals in Speech-Language Pathology Services for Mild Traumatic Brain Injury.

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Person-centered goals after mild traumatic brain injury (mTBI) focus on returning to productivity, primarily in cognitive and academic areas. Standard symptom scales do not fully capture these patient aspirations, highlighting the need for tailored interviewing methods.

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Area of Science:

  • Neurorehabilitation
  • Speech-Language Pathology
  • Traumatic Brain Injury Research

Background:

  • Person-centered goals are crucial for motivating patients and guiding individualized rehabilitation after mild traumatic brain injury (mTBI).
  • Understanding these goals is essential for speech-language pathologists (SLPs) to tailor treatment effectively.
  • Existing self-report measures may not adequately capture the full spectrum of patient-defined aspirations.

Purpose of the Study:

  • To describe the nature of person-centered goals identified in individuals receiving speech-language pathology services post-mTBI.
  • To explore how these goals align with existing self-report symptom measures.
  • To inform treatment planning by understanding patient-identified aspirations.

Main Methods:

  • Retrospective chart review of 59 patients (ages 14-65) treated by SLPs in an outpatient concussion clinic.
  • Goals were coded by domain (impairment, activity, participation), setting, treatment type, and rehabilitative expectation (restorative/compensatory).
  • Alignment with a concussion symptom scale was assessed; three independent reviewers coded data, with consensus resolving discrepancies.

Main Results:

  • The majority of goals were activity-focused (46%), particularly return to school (49%) and work (21%).
  • Cognitive goals predominated (62%), followed by communication (13%) and emotional regulation (13%).
  • Most goals were restorative (86%), and only 37% aligned with items on a standard concussion symptom scale.

Conclusions:

  • Standard mTBI symptom scales inadequately capture person-centered goals.
  • SLPs should employ person-centered interviewing techniques to elicit meaningful patient goals.
  • This approach is vital for effective goal-setting and treatment planning in mTBI rehabilitation.