SLPQualitativeFrontiers in rehabilitation sciences2021

Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect).

Rebecca Leeson, Michelle Collins, Jacinta Douglas

PMID 36188811

WHAT IT FOUND

Clinicians used curiosity, respect, humor, choice, reframing, suggestions and negotiation to find personally meaningful social activity goals with ten adults with severe TBI.

Themes describe process, not tested efficacy.

Key findings

01Clinician strategies were organized as humanizing, empowering, and focusing.

02Goal focus was built across life, motivation, activity, and intervention domains.

03Post-intervention interview quotes included confidence, personal choice and control, valued role, new knowledge, and opportunities to make friends.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

This paper analyzed initial interviews from ten participants, not a controlled comparison of the program. Participants were already aware of the project aims and were included because they wanted to find social activities, so the interview process was aimed at that outcome. The clinicians were four experienced speech pathologists and one neuropsychologist with less than one year of experience, so the strategies may depend on that team. One participant could not engage meaningfully because of cognitive and communication impairment, and information came from his mother and support worker. The report of nine of ten participants continuing social activity is descriptive and not a tested effect.

Declared interests

The work was funded by the Transport Accident Commission directly and through the Institute for Safety Compensation and Recovery Research. The authors declared no commercial or financial relationships that could be construed as a potential conflict of interest.

The easy way to misread this

Do not read nine of ten participants continuing social activity as proof that the program works. This paper analyzed interviews, participants were already motivated to find social activities, and continuation was descriptive without a control group.

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