Social Competence Treatment After Traumatic Brain Injury

A Multicenter, Randomized Controlled Trial of Interactive Group Treatment Versus Noninteractive Treatment

Cynthia Harrison-Felix, Jody K. Newman, Lenore Hawley, Clare Morey, Jessica M. Ketchum, William C. Walker, Kathleen R. Bell, Scott R. Millis, Cynthia Braden, James Malec, Flora M. Hammond, C. B. Eagye, Laura Howe

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To evaluate the effectiveness of a replicable group treatment program for improving social competence after traumatic brain injury (TBI). Design: Multicenter randomized controlled trial comparing 2 methods of conducting a social competency skills program, an interactive group format versus a classroom lecture. Setting: Community and veteran rehabilitation centers. Participants: Civilian, military, and veteran adults with TBI and social competence difficulties (N=179), at least 6 months postinjury. Interventions: The experimental intervention consisted of 13 weekly group interactive sessions (1.5h) with structured and facilitated group interactions to improve social competence, and the control consisted of 13 traditional classroom sessions using the same curriculum with brief supplemental individual sessions but without structured group interaction. Main Outcome Measures: Profile of Pragmatic Impairment in Communication (PPIC), an objective behavioral rating of social communication impairments after TBI. LaTrobe Communication Questionnaire (LCQ), Goal Attainment Scale (GAS), Satisfaction with Life Scale, Posttraumatic Stress Disorder Checklist-C (PCL) civilian version, Brief Symptom Inventory 18 (BSI-18), Scale of Perceived Social Self-Efficacy (PSSE). Results: Social competence goals (GAS) were achieved and maintained for most participants regardless of treatment method. Significant improvements in the primary outcome (PPIC) and 2 of the secondary outcomes (LCQ and BSI) were seen immediately posttreatment and at 3 months posttreatment in the alternative treatment arm only; however, these improvements were not significantly different between the group interactive structured treatment and alternative treatment arms. Similar trends were observed for PSSE and PCL-C. Conclusions: Social competence skills improved for persons with TBI in both treatment conditions. The group interactive format was not found to be a superior method of treatment delivery in this study.

Original languageEnglish (US)
JournalArchives of Physical Medicine and Rehabilitation
DOIs
StateAccepted/In press - Jan 1 2018

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Randomized Controlled Trials
Communication
Veterans
Self Efficacy
Therapeutics
Rehabilitation Centers
Post-Traumatic Stress Disorders
Traumatic Brain Injury
Social Skills
Checklist
Curriculum
Outcome Assessment (Health Care)
Equipment and Supplies
Surveys and Questionnaires

Keywords

  • Brain injuries
  • Rehabilitation
  • Social skills
  • Treatment

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Social Competence Treatment After Traumatic Brain Injury : A Multicenter, Randomized Controlled Trial of Interactive Group Treatment Versus Noninteractive Treatment. / Harrison-Felix, Cynthia; Newman, Jody K.; Hawley, Lenore; Morey, Clare; Ketchum, Jessica M.; Walker, William C.; Bell, Kathleen R.; Millis, Scott R.; Braden, Cynthia; Malec, James; Hammond, Flora M.; Eagye, C. B.; Howe, Laura.

In: Archives of Physical Medicine and Rehabilitation, 01.01.2018.

Research output: Contribution to journalArticle

Harrison-Felix, Cynthia ; Newman, Jody K. ; Hawley, Lenore ; Morey, Clare ; Ketchum, Jessica M. ; Walker, William C. ; Bell, Kathleen R. ; Millis, Scott R. ; Braden, Cynthia ; Malec, James ; Hammond, Flora M. ; Eagye, C. B. ; Howe, Laura. / Social Competence Treatment After Traumatic Brain Injury : A Multicenter, Randomized Controlled Trial of Interactive Group Treatment Versus Noninteractive Treatment. In: Archives of Physical Medicine and Rehabilitation. 2018.
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abstract = "Objective: To evaluate the effectiveness of a replicable group treatment program for improving social competence after traumatic brain injury (TBI). Design: Multicenter randomized controlled trial comparing 2 methods of conducting a social competency skills program, an interactive group format versus a classroom lecture. Setting: Community and veteran rehabilitation centers. Participants: Civilian, military, and veteran adults with TBI and social competence difficulties (N=179), at least 6 months postinjury. Interventions: The experimental intervention consisted of 13 weekly group interactive sessions (1.5h) with structured and facilitated group interactions to improve social competence, and the control consisted of 13 traditional classroom sessions using the same curriculum with brief supplemental individual sessions but without structured group interaction. Main Outcome Measures: Profile of Pragmatic Impairment in Communication (PPIC), an objective behavioral rating of social communication impairments after TBI. LaTrobe Communication Questionnaire (LCQ), Goal Attainment Scale (GAS), Satisfaction with Life Scale, Posttraumatic Stress Disorder Checklist-C (PCL) civilian version, Brief Symptom Inventory 18 (BSI-18), Scale of Perceived Social Self-Efficacy (PSSE). Results: Social competence goals (GAS) were achieved and maintained for most participants regardless of treatment method. Significant improvements in the primary outcome (PPIC) and 2 of the secondary outcomes (LCQ and BSI) were seen immediately posttreatment and at 3 months posttreatment in the alternative treatment arm only; however, these improvements were not significantly different between the group interactive structured treatment and alternative treatment arms. Similar trends were observed for PSSE and PCL-C. Conclusions: Social competence skills improved for persons with TBI in both treatment conditions. The group interactive format was not found to be a superior method of treatment delivery in this study.",
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AU - Newman, Jody K.

AU - Hawley, Lenore

AU - Morey, Clare

AU - Ketchum, Jessica M.

AU - Walker, William C.

AU - Bell, Kathleen R.

AU - Millis, Scott R.

AU - Braden, Cynthia

AU - Malec, James

AU - Hammond, Flora M.

AU - Eagye, C. B.

AU - Howe, Laura

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N2 - Objective: To evaluate the effectiveness of a replicable group treatment program for improving social competence after traumatic brain injury (TBI). Design: Multicenter randomized controlled trial comparing 2 methods of conducting a social competency skills program, an interactive group format versus a classroom lecture. Setting: Community and veteran rehabilitation centers. Participants: Civilian, military, and veteran adults with TBI and social competence difficulties (N=179), at least 6 months postinjury. Interventions: The experimental intervention consisted of 13 weekly group interactive sessions (1.5h) with structured and facilitated group interactions to improve social competence, and the control consisted of 13 traditional classroom sessions using the same curriculum with brief supplemental individual sessions but without structured group interaction. Main Outcome Measures: Profile of Pragmatic Impairment in Communication (PPIC), an objective behavioral rating of social communication impairments after TBI. LaTrobe Communication Questionnaire (LCQ), Goal Attainment Scale (GAS), Satisfaction with Life Scale, Posttraumatic Stress Disorder Checklist-C (PCL) civilian version, Brief Symptom Inventory 18 (BSI-18), Scale of Perceived Social Self-Efficacy (PSSE). Results: Social competence goals (GAS) were achieved and maintained for most participants regardless of treatment method. Significant improvements in the primary outcome (PPIC) and 2 of the secondary outcomes (LCQ and BSI) were seen immediately posttreatment and at 3 months posttreatment in the alternative treatment arm only; however, these improvements were not significantly different between the group interactive structured treatment and alternative treatment arms. Similar trends were observed for PSSE and PCL-C. Conclusions: Social competence skills improved for persons with TBI in both treatment conditions. The group interactive format was not found to be a superior method of treatment delivery in this study.

AB - Objective: To evaluate the effectiveness of a replicable group treatment program for improving social competence after traumatic brain injury (TBI). Design: Multicenter randomized controlled trial comparing 2 methods of conducting a social competency skills program, an interactive group format versus a classroom lecture. Setting: Community and veteran rehabilitation centers. Participants: Civilian, military, and veteran adults with TBI and social competence difficulties (N=179), at least 6 months postinjury. Interventions: The experimental intervention consisted of 13 weekly group interactive sessions (1.5h) with structured and facilitated group interactions to improve social competence, and the control consisted of 13 traditional classroom sessions using the same curriculum with brief supplemental individual sessions but without structured group interaction. Main Outcome Measures: Profile of Pragmatic Impairment in Communication (PPIC), an objective behavioral rating of social communication impairments after TBI. LaTrobe Communication Questionnaire (LCQ), Goal Attainment Scale (GAS), Satisfaction with Life Scale, Posttraumatic Stress Disorder Checklist-C (PCL) civilian version, Brief Symptom Inventory 18 (BSI-18), Scale of Perceived Social Self-Efficacy (PSSE). Results: Social competence goals (GAS) were achieved and maintained for most participants regardless of treatment method. Significant improvements in the primary outcome (PPIC) and 2 of the secondary outcomes (LCQ and BSI) were seen immediately posttreatment and at 3 months posttreatment in the alternative treatment arm only; however, these improvements were not significantly different between the group interactive structured treatment and alternative treatment arms. Similar trends were observed for PSSE and PCL-C. Conclusions: Social competence skills improved for persons with TBI in both treatment conditions. The group interactive format was not found to be a superior method of treatment delivery in this study.

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