A single case experimental design study on improving social communication skills after traumatic brain injury using communication partner telehealth training.
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PRIMARY OBJECTIVE To investigate use of telehealth to deliver social communication skills training TBIconneCT to people with severe traumatic brain injury TBI and their communication partners CPs RESEARCH DESIGN Feasibility study involving single case experimental design with two participants METHODS AND PROCEDURES TBI Express is an established program for improving social interactions between people with TBI and their CPs To improve access to the program we developed a modified version called TBIconneCT that can be delivered via videoconferencing Two participants with TBI and their CPs completed TBIconneCT training Outcome measures included exchange structure analysis of conversation samples blinded ratings of conversation samples and self report measures MAIN OUTCOMES AND RESULTS The study indicated positive change on blinded ratings of conversation and self reported measures for both participants Exchange structure analysis conducted on session by session data did not demonstrate treatment effects due to variability during baseline CONCLUSION This study indicated potential for using telehealth to provide social communication skills training to people with TBI and their families The study findings provide a foundation for a phase one clinical trial which will compare in person with videoconferencing delivery of TBIconneCT