SLPPilotBrain injury2022

Multi-level outcomes for young adults with acquired brain injury through a remote intensive cognitive rehabilitation approach: a pilot intervention study.

Christianna Gilbert, Grace Mooradian, Anne Citorik and 2 others

PMID 35188029

WHAT IT FOUND

Treatment participants with acquired brain injury improved classroom exam scores after the ICCR program, delivered in person and remotely, with lecture and seminar courses, computer exercises, and individual therapy, but some participation and quality of life gains were uncertain.

Key findings

01Treatment participants improved on classroom exams.

02Essay writing total scores improved by 4.00 points on a 12-point scale.

03Control participants showed no significant gains on standardized assessment measures.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

This was a pilot study with 12 participants, and the control group was only 5, so the results are preliminary. The study may have been underpowered to find effects in several outcome domains. Many gains, including some participation, quality of life, therapy probe, and standardized assessment results, did not survive correction for multiple comparisons. The only standardized memory measure that showed a gain that survived correction was SCCAN Memory. The program combined lecture courses, seminar courses, computer exercises, and individual therapy, so the contribution of any single component cannot be separated. The Spring semester changed from in-person delivery to telepractice, and the Summer semester was entirely remote, so delivery format effects are hard to isolate. Outcomes were not consistent across treatment components or semesters.

Declared interests

The article is indexed as supported by NIH extramural research and non-U.S. government research. The supplied text does not include an author conflict-of-interest declaration.

The easy way to misread this

Do not conclude that the ICCR program works because exam scores improved. This was a pilot with 12 participants, the program combined lecture courses, seminar courses, computer exercises, and individual therapy, and many participation and quality of life gains were uncertain.

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