Article

Cognitive-communication disorders are common in individuals with
traumatic brain injury (TBI) and can have a major impact on long-term outcome.
Guidelines for evidence-informed rehabilitation are needed, thus an international
group of researchers and clinicians (known as INCOG) convened to develop
recommendations for assessment and intervention. METHODS: An expert panel met to
select appropriate recommendations for assessment and treatment of
cognitive-communication disorders based on available literature. To promote
implementation, the team developed decision algorithms incorporating the
recommendations, based on inclusion and exclusion criteria of published trials,
and then prioritized recommendations for implementation and developed audit
criteria to evaluate adherence to best practice recommendations. RESULTS:
Rehabilitation of individuals with cognitive-communication disorders should
consider premorbid communication status; be individualized to the person's needs,
goals, and skills; provide training in use of assistive technology where
appropriate; include training of communication partners; and occur in context to
minimize the need for generalization. Evidence supports treatment of social
communication problems in a group format. CONCLUSION: There is strong evidence
for person-centered treatment of cognitive-communication disorders and use of
instructional strategies such as errorless learning, metacognitive strategy
training, and group treatment. Future studies should include tests of alternative
service delivery models and development of participation-level outcome measures.

Langue : ANGLAIS