The Journal of head trauma rehabilitation · 2013
Treatment of metaphor interpretation deficits subsequent to traumatic brain injury.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Brownell Hiram, Lundgren Kristine, Cayer-Meade Carol, Milione Janet, Katz Douglas I, Kearns Kevin
Аннотация
OBJECTIVE: To improve oral interpretation of metaphors by patients with traumatic brain injury (TBI).
DESIGN: Both single subject experimental design and group analysis.
SETTING: Patients' homes.
PARTICIPANTS: Eight adult patients with moderate to severe traumatic brain injury sustained 3 to 20 years before testing.
INTERVENTION: The Metaphor Training Program consisted typically of 10 baseline sessions, 3 to 9 1-hour sessions of structured intervention, and 10 posttraining baseline sessions. Training used extensive practice with simple graphic displays to illustrate semantic associations.
MAIN OUTCOME MEASURES: Quality of orally produced metaphor interpretation and accuracy of line orientation judgments served as dependent measures obtained during baseline, training, posttraining, and at a 3- to 4-month follow-up. Untrained line orientation judgments provided a control measure.
RESULTS: Group data showed significant improvement in metaphor interpretation but not in line orientation. Six of 8 patients individually demonstrated significant improvement in metaphor interpretation. Gains persisted for 3 of the 6 patients at the 3- to 4-month follow-up.
CONCLUSION: The Metaphor Training Program can improve cognitive-communication performance for individuals with moderate to severe traumatic brain injury. Results support the potential for treating patients' residual cognitive-linguistic deficits.
DESIGN: Both single subject experimental design and group analysis.
SETTING: Patients' homes.
PARTICIPANTS: Eight adult patients with moderate to severe traumatic brain injury sustained 3 to 20 years before testing.
INTERVENTION: The Metaphor Training Program consisted typically of 10 baseline sessions, 3 to 9 1-hour sessions of structured intervention, and 10 posttraining baseline sessions. Training used extensive practice with simple graphic displays to illustrate semantic associations.
MAIN OUTCOME MEASURES: Quality of orally produced metaphor interpretation and accuracy of line orientation judgments served as dependent measures obtained during baseline, training, posttraining, and at a 3- to 4-month follow-up. Untrained line orientation judgments provided a control measure.
RESULTS: Group data showed significant improvement in metaphor interpretation but not in line orientation. Six of 8 patients individually demonstrated significant improvement in metaphor interpretation. Gains persisted for 3 of the 6 patients at the 3- to 4-month follow-up.
CONCLUSION: The Metaphor Training Program can improve cognitive-communication performance for individuals with moderate to severe traumatic brain injury. Results support the potential for treating patients' residual cognitive-linguistic deficits.