@article{ref1,
title="Quasi-contextualized speech treatment in traumatic brain injury inpatient rehabilitation: effects on outcomes during the first year after discharge",
journal="Journal of head trauma rehabilitation",
year="2021",
author="Beaulieu, Cynthia L. and Peng, Juan and Hade, Erinn M. and Montgomery, Erin and Gilchrist, Kamie and Corrigan, John D. and Horn, Susan D. and Bogner, Jennifer",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To evaluate the effect of providing quasi-contextualized speech therapy, defined as metacognitive, compensatory, or strategy training applied to cognitive and language impairments to facilitate the performance of future real-life activities, on functional outcomes up to 1 year following traumatic brain injury (TBI). SETTING: Acute inpatient rehabilitation. PARTICIPANTS: Patients enrolled during the TBI-Practice-Based Evidence (TBI-PBE) study (n = 1760), aged 14 years or older, who sustained a severe, moderate, or complicated mild TBI, received speech therapy in acute inpatient rehabilitation at one of 9 US sites, and consented to follow-up 3 and 9 months postdischarge from inpatient rehabilitation. <br><br>DESIGN: Propensity score methods applied to a database consisting of multisite, prospective, longitudinal observational data. MAIN MEASURES: Participation Assessment with Recombined Tools-Objective-17, FIM Motor and Cognitive scores, Satisfaction With Life Scale, and Patient Health Questionnaire-9. <br><br>RESULTS: When at least 5% of therapy time employed quasi-contextualized treatment, participants reported better community participation during the year following discharge. Quasi-contextualized treatment was also associated with better motor and cognitive function at discharge and during the year after discharge. The benefit, however, may be dependent upon a balance of rehabilitation time that relied on contextualized treatment. <br><br>CONCLUSIONS: The use of quasi-contextualized treatment may improve outcomes. Care should be taken, however, to not provide quasi-contextualized treatment at the expense of contextualized treatment.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000649",
url="http://dx.doi.org/10.1097/HTR.0000000000000649"
}