abstract: 'BackgroundCognitive-communication disorders (CCDs) are common in the

  traumatic brain injury (TBI) population. Despite this, there has been

  limited research that explores the long-term impacts of reduced

  cognitive-communication functioning on daily life for this population.

  AimsTo identify the long-term impacts of cognitive-communication

  impairment as reported by adults with TBI and their significant others.

  Methods \& ProceduresA qualitative descriptive approach grounded in

  phenomenology was used. Semi-structured, one-on-one interviews were

  conducted with adults with CCDs following TBI (n = 16) and their

  significant others (n = 12) to explore their lived experiences. Outcomes

  \& ResultsReflexive thematic analysis revealed an overarching theme of

  `The pervasive and unyielding impacts of cognitive-communication changes

  on daily life following TBI''. Within this overarching theme, three

  subthemes were identified: (1) self-awareness of communication changes;

  (2) fatigue; and (3) self-identity and life roles. Conclusion \&

  ImplicationsThe findings from this study highlight the long-term

  negative impacts of reduced cognitive-communication functioning on daily

  life. Health professionals supporting this population should consider

  ways to reduce the significant impact CCDs have on the lives of adults

  following TBI and their significant others. In addition, the findings

  highlight the importance of long-term rehabilitation services following

  TBI, with further research needed that explores how these services can

  be optimised. What this paper addsWhat is already known on this

  subjectCognitive-communication disorders (CCDs) affect the majority of

  adults who experience moderate to severe traumatic brain injury (TBI)

  and encompass any component of communication that is affected by

  cognition. The hallmark characteristic of CCDs are breakdowns that

  affect social communication skills as well as cognitive-linguistic

  deficits. Combined, these can have dramatic implications for a person''s

  quality of life, their level of independence, employment opportunities

  and social participation. There has been limited research to date that

  explores the long-term impacts of CCDs on the lives of adults following

  TBI. Further research that explores these impacts is needed to improve

  the support services and rehabilitation models of care available for

  this population. What this study addsThe overarching theme was `The

  pervasive and unyielding impacts of communication changes on daily life

  following TBI'' with subthemes including changed communication,

  self-awareness of communication changes, fatigue and self-identity and

  life roles. The findings from this study highlight the long-term

  negative impacts of reduced cognitive-communication functioning on

  everyday functioning and quality of life as well as the importance of

  long-term rehabilitation services following TBI. What are the clinical

  implications of this work?Speech-language therapists and other health

  professionals working with this clinical population should consider how

  to address the significant and long-lasting impacts of CCDs. Due to the

  complex nature of the barriers experienced by this clinical population,

  an interdisciplinary targeted approach is advised wherever possible when

  providing rehabilitation services.'
affiliation: 'Kelly, C (Corresponding Author), Griffith Univ, Sch Hlth Sci \& Social
  Work, Nathan, Qld, Australia.

  Kelly, Crystal; Cornwell, Petrea; Hewetson, Ronelle, Griffith Univ, Sch Hlth Sci
  \& Social Work, Nathan, Qld, Australia.

  Copley, Anna, Univ Queensland, Sch Hlth \& Rehabil Sci, Brisbane, Australia.'
author: Kelly, Crystal and Cornwell, Petrea and Hewetson, Ronelle and Copley, Anna
author-email: crystal.kelly@griffithuni.edu.au
author_list:
- family: Kelly
  given: Crystal
- family: Cornwell
  given: Petrea
- family: Hewetson
  given: Ronelle
- family: Copley
  given: Anna
da: '2023-09-28'
doi: 10.1111/1460-6984.12923
earlyaccessdate: JUL 2023
eissn: 1460-6984
files: []
issn: 1368-2822
journal: INTERNATIONAL JOURNAL OF LANGUAGE \& COMMUNICATION DISORDERS
keywords: 'cognitive-communication; qualitative methodology; speech and language

  therapists; traumatic brain injury'
keywords-plus: 'IMPAIRED SELF-AWARENESS; QUALITATIVE RESEARCH; MENTORING PROGRAM;

  REHABILITATION; COMMUNITY; INTERVENTIONS; SATURATION; INTERVIEWS;

  RECOVERY; IDENTITY'
language: English
month: 2023 JUL 10
number-of-cited-references: '58'
orcid-numbers: Kelly, Crystal/0000-0003-1669-5137
papis_id: 05acd100fedc0f929b65a28720d1a3eb
ref: Kelly2023pervasiveunyielding
times-cited: '0'
title: The pervasive and unyielding impacts of cognitive-communication changes following
  traumatic brain injury
type: article
unique-id: WOS:001022208700001
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
web-of-science-categories: Audiology \& Speech-Language Pathology; Linguistics; Rehabilitation
year: '2023'