Treatment of Conversational Discourse Following Closed-Head Injury

Youse, Kathleen and Coelho, Carl (2006) Treatment of Conversational Discourse Following Closed-Head Injury. [Clinical Aphasiology Paper]

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Abstract

Chronic deficits in cognitive abilities and conversational discourse contribute to long-term functional disability and decreased quality of life for individuals with CHI. This study investigated whether improvements in a specific cognitive ability, attention, would facilitate conversational discourse for an individual with CHI. A single subject multiple treatments comparison design was employed utilizing two interventions, one attention-based and one social skills-based. Treatment effect sizes suggest that both treatments were active; however, the participant’s performance was variable reducing the magnitude of change observed. Qualitative findings revealed positive real-world consequences associated with the improvements in attention and conversational skills.

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