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Interactive Alignment After Communication Partner Training in Adults With Traumatic Brain Injury.

Eniola Bode-Akinboye1, Rachel Rietdijk2, Rick Dale3

  • 1School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.

American Journal of Speech-Language Pathology
|March 12, 2026
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Summary
This summary is machine-generated.

Communication partner training did not improve interactive alignment (IA) in adults with traumatic brain injury (TBI). However, conversations became more diverse after training, indicating shifts in conversational dynamics.

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Area of Science:

  • Neuroscience
  • Communication Sciences
  • Rehabilitation Medicine

Background:

  • Adults with moderate-severe traumatic brain injury (TBI) frequently experience communication difficulties, especially in conversations.
  • Traditional research methods using static measures fail to capture the dynamic nature of conversations.
  • Understanding conversational dynamics is crucial for effective TBI communication interventions.

Purpose of the Study:

  • To investigate interactive alignment (IA) in adults with TBI and their communication partners.
  • To determine if IA synchrony changes after communication partner training (CPT).

Main Methods:

  • Analysis of de-identified conversation transcripts from 18 adults with TBI and their partners.
  • Recurrence quantification analysis (RQA) applied to pre- and post-CPT conversation data.
  • Examination of word choice synchrony and conversational dynamics.

Main Results:

  • No significant change in interactive alignment (IA) was observed post-CPT.
  • A decrease in determinism was found, suggesting more diverse word and phrase usage after training.
  • Conversational dynamics showed changes, though not in the predicted direction of increased IA.

Conclusions:

  • Interactive alignment (IA) can be a valuable measure in TBI treatment studies.
  • Communication partner training (CPT) influences conversational dynamics in adults with TBI.
  • Findings suggest CPT may foster more varied conversational exchanges rather than increased synchrony.