2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundCognitive-communication disorders (CCDs) are common in the
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traumatic brain injury (TBI) population. Despite this, there has been
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limited research that explores the long-term impacts of reduced
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cognitive-communication functioning on daily life for this population.
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AimsTo identify the long-term impacts of cognitive-communication
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impairment as reported by adults with TBI and their significant others.
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Methods \& ProceduresA qualitative descriptive approach grounded in
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phenomenology was used. Semi-structured, one-on-one interviews were
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conducted with adults with CCDs following TBI (n = 16) and their
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significant others (n = 12) to explore their lived experiences. Outcomes
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\& ResultsReflexive thematic analysis revealed an overarching theme of
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`The pervasive and unyielding impacts of cognitive-communication changes
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on daily life following TBI''. Within this overarching theme, three
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subthemes were identified: (1) self-awareness of communication changes;
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(2) fatigue; and (3) self-identity and life roles. Conclusion \&
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ImplicationsThe findings from this study highlight the long-term
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negative impacts of reduced cognitive-communication functioning on daily
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life. Health professionals supporting this population should consider
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ways to reduce the significant impact CCDs have on the lives of adults
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following TBI and their significant others. In addition, the findings
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highlight the importance of long-term rehabilitation services following
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TBI, with further research needed that explores how these services can
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be optimised. What this paper addsWhat is already known on this
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subjectCognitive-communication disorders (CCDs) affect the majority of
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adults who experience moderate to severe traumatic brain injury (TBI)
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and encompass any component of communication that is affected by
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cognition. The hallmark characteristic of CCDs are breakdowns that
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affect social communication skills as well as cognitive-linguistic
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deficits. Combined, these can have dramatic implications for a person''s
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quality of life, their level of independence, employment opportunities
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and social participation. There has been limited research to date that
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explores the long-term impacts of CCDs on the lives of adults following
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TBI. Further research that explores these impacts is needed to improve
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the support services and rehabilitation models of care available for
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this population. What this study addsThe overarching theme was `The
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pervasive and unyielding impacts of communication changes on daily life
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following TBI'' with subthemes including changed communication,
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self-awareness of communication changes, fatigue and self-identity and
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life roles. The findings from this study highlight the long-term
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negative impacts of reduced cognitive-communication functioning on
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everyday functioning and quality of life as well as the importance of
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long-term rehabilitation services following TBI. What are the clinical
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implications of this work?Speech-language therapists and other health
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professionals working with this clinical population should consider how
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to address the significant and long-lasting impacts of CCDs. Due to the
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complex nature of the barriers experienced by this clinical population,
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an interdisciplinary targeted approach is advised wherever possible when
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providing rehabilitation services.'
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affiliation: 'Kelly, C (Corresponding Author), Griffith Univ, Sch Hlth Sci \& Social
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Work, Nathan, Qld, Australia.
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Kelly, Crystal; Cornwell, Petrea; Hewetson, Ronelle, Griffith Univ, Sch Hlth Sci
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\& Social Work, Nathan, Qld, Australia.
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Copley, Anna, Univ Queensland, Sch Hlth \& Rehabil Sci, Brisbane, Australia.'
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author: Kelly, Crystal and Cornwell, Petrea and Hewetson, Ronelle and Copley, Anna
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author-email: crystal.kelly@griffithuni.edu.au
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author_list:
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- family: Kelly
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given: Crystal
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- family: Cornwell
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given: Petrea
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- family: Hewetson
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given: Ronelle
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- family: Copley
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given: Anna
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da: '2023-09-28'
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doi: 10.1111/1460-6984.12923
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earlyaccessdate: JUL 2023
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eissn: 1460-6984
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files: []
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issn: 1368-2822
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journal: INTERNATIONAL JOURNAL OF LANGUAGE \& COMMUNICATION DISORDERS
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keywords: 'cognitive-communication; qualitative methodology; speech and language
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therapists; traumatic brain injury'
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keywords-plus: 'IMPAIRED SELF-AWARENESS; QUALITATIVE RESEARCH; MENTORING PROGRAM;
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REHABILITATION; COMMUNITY; INTERVENTIONS; SATURATION; INTERVIEWS;
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RECOVERY; IDENTITY'
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language: English
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month: 2023 JUL 10
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number-of-cited-references: '58'
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orcid-numbers: Kelly, Crystal/0000-0003-1669-5137
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papis_id: 05acd100fedc0f929b65a28720d1a3eb
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ref: Kelly2023pervasiveunyielding
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times-cited: '0'
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title: The pervasive and unyielding impacts of cognitive-communication changes following
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traumatic brain injury
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001022208700001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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web-of-science-categories: Audiology \& Speech-Language Pathology; Linguistics; Rehabilitation
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year: '2023'
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