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Narrative Discourse Intervention for Patients in Posttraumatic Amnesia: A Feasibility Study.

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Title: Narrative Discourse Intervention for Patients in Posttraumatic Amnesia: A Feasibility Study.
Authors: Vazirani, Aashna1, Checklin, Martin1,2, McKay, Adam1,3,4, McKenzie, Dean1,5, Steel, Joanne6 joanne.steel@newcastle.edu.au
Source: American Journal of Speech-Language Pathology. Jun2025, Vol. 34, p1642-1655. 14p.
Subject Terms: *Discourse analysis, *Storytelling, *Communication, *Speech therapy, Brain injury treatment, T-test (Statistics), Pilot projects, Descriptive statistics, Treatment duration, Agitation (Psychology), Rehabilitation centers, Happiness, Brain injuries, Amnesia, Narrative medicine, Confidence intervals, Data analysis software, Patient satisfaction, Reliability (Personality trait), Hospital wards, Activities of daily living, Disease complications
Abstract: Purpose: Recent INCOG 2.0 guidelines for posttraumatic amnesia (PTA) recommend commencing multidisciplinary functional intervention for patients who do not demonstrate severe behavioral disturbance. This pilot feasibility study aimed to determine if people with traumatic brain injury (TBI) could engage in a narrative discourse intervention during PTA. Method: A narrative discourse intervention was developed based on existing evidence for discourse treatment and allied health treatments with patients in PTA. The study setting was a TBI-specific facility. Participants were screened on ward admission for PTA status and received daily discourse intervention comprising a story retell with visual supports and self-generated task during PTA. Measures included the Pittsburgh Rehabilitation Participation Scale (PRPS), the Agitated Behavior Scale (ABS), number of sessions attended, length of session, narrative organization, and patient enjoyment of sessions. Results: Ten patients participated in this pilot study, in a total of 56 sessions overall. Average session duration was approximately 25 min. Participation (PRPS) scores ranged from 3 to 5 (good to very good), and agitation scores were mostly within normal limits on the ABS. Narrative samples produced with picture supports were more organized than self-generated samples. Participants reported enjoying sessions. Conclusions: Discourse intervention conducted in the early PTA recovery period was feasible for this cohort, within a specialized TBI setting. Future research is required to examine the feasibility of intervention with patients in PTA in other settings, and the potential efficacy of narrative discourse intervention during PTA. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Narrative Discourse Intervention for Patients in Posttraumatic Amnesia: A Feasibility Study.
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  Data: <searchLink fieldCode="AR" term="%22Vazirani%2C+Aashna%22">Vazirani, Aashna</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Checklin%2C+Martin%22">Checklin, Martin</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22McKay%2C+Adam%22">McKay, Adam</searchLink><relatesTo>1,3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22McKenzie%2C+Dean%22">McKenzie, Dean</searchLink><relatesTo>1,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Steel%2C+Joanne%22">Steel, Joanne</searchLink><relatesTo>6</relatesTo><i> joanne.steel@newcastle.edu.au</i>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. Jun2025, Vol. 34, p1642-1655. 14p.
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  Data: *<searchLink fieldCode="DE" term="%22Discourse+analysis%22">Discourse analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Storytelling%22">Storytelling</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injury+treatment%22">Brain injury treatment</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+duration%22">Treatment duration</searchLink><br /><searchLink fieldCode="DE" term="%22Agitation+%28Psychology%29%22">Agitation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+centers%22">Rehabilitation centers</searchLink><br /><searchLink fieldCode="DE" term="%22Happiness%22">Happiness</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Amnesia%22">Amnesia</searchLink><br /><searchLink fieldCode="DE" term="%22Narrative+medicine%22">Narrative medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Reliability+%28Personality+trait%29%22">Reliability (Personality trait)</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+wards%22">Hospital wards</searchLink><br /><searchLink fieldCode="DE" term="%22Activities+of+daily+living%22">Activities of daily living</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Recent INCOG 2.0 guidelines for posttraumatic amnesia (PTA) recommend commencing multidisciplinary functional intervention for patients who do not demonstrate severe behavioral disturbance. This pilot feasibility study aimed to determine if people with traumatic brain injury (TBI) could engage in a narrative discourse intervention during PTA. Method: A narrative discourse intervention was developed based on existing evidence for discourse treatment and allied health treatments with patients in PTA. The study setting was a TBI-specific facility. Participants were screened on ward admission for PTA status and received daily discourse intervention comprising a story retell with visual supports and self-generated task during PTA. Measures included the Pittsburgh Rehabilitation Participation Scale (PRPS), the Agitated Behavior Scale (ABS), number of sessions attended, length of session, narrative organization, and patient enjoyment of sessions. Results: Ten patients participated in this pilot study, in a total of 56 sessions overall. Average session duration was approximately 25 min. Participation (PRPS) scores ranged from 3 to 5 (good to very good), and agitation scores were mostly within normal limits on the ABS. Narrative samples produced with picture supports were more organized than self-generated samples. Participants reported enjoying sessions. Conclusions: Discourse intervention conducted in the early PTA recovery period was feasible for this cohort, within a specialized TBI setting. Future research is required to examine the feasibility of intervention with patients in PTA in other settings, and the potential efficacy of narrative discourse intervention during PTA. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=186264108
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2025_AJSLP-24-00096
    Languages:
      – Code: eng
        Text: English
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        PageCount: 14
        StartPage: 1642
    Subjects:
      – SubjectFull: Discourse analysis
        Type: general
      – SubjectFull: Storytelling
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Speech therapy
        Type: general
      – SubjectFull: Brain injury treatment
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Treatment duration
        Type: general
      – SubjectFull: Agitation (Psychology)
        Type: general
      – SubjectFull: Rehabilitation centers
        Type: general
      – SubjectFull: Happiness
        Type: general
      – SubjectFull: Brain injuries
        Type: general
      – SubjectFull: Amnesia
        Type: general
      – SubjectFull: Narrative medicine
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Patient satisfaction
        Type: general
      – SubjectFull: Reliability (Personality trait)
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      – SubjectFull: Hospital wards
        Type: general
      – SubjectFull: Activities of daily living
        Type: general
      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Narrative Discourse Intervention for Patients in Posttraumatic Amnesia: A Feasibility Study.
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              M: 06
              Text: Jun2025
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              Y: 2025
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