Measuring outcomes of a peer-led social communication skills intervention for adults with acquired brain injury: A pilot investigation

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Measuring outcomes of a peer-led social communication skills intervention for adults with acquired brain injury: A pilot investigation

Howell, S; Beeke, S; Pring, T; Varley, R; (2021) Measuring outcomes of a peer-led social communication skills intervention for adults with acquired brain injury: A pilot investigation. Neuropsychological Rehabilitation , 31 (7) pp. 1069-1090. 10.1080/09602011.2020.1760892. Green open access

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Abstract

Reduced social competence following severe acquired brain injury (ABI) is well-documented. This pilot study investigated a peer-led group intervention based on the claim that peer models may be a more effective mechanism for behaviour change than clinician-led approaches. Twelve participants with severe ABI were recruited from a post-acute neurorehabilitation setting and randomly assigned to either a peer-led intervention or a staff-led activity group (usual care) (Clinicaltrials.gov: NCT02211339). The groups met twice a week for 8 weeks. A peer was trained separately to facilitate interaction in the intervention group. Training comprised 16 individual sessions over 4 weeks. Group behaviour was measured twice at baseline, after intervention and at maintenance (4 weeks), using the Adapted Measure of Participation in Conversation (MPC) and the Interactional Network Tool (INT), a newly devised measure of group conversational interaction. Outcome measures showed differential sensitivity. The groups did not differ in baseline behaviour. Findings showed a significant improvement in the treated group on the MPC transaction scale post-intervention (p = .02). The intervention group showed more balanced interaction post-intervention on the INT and at follow-up. Findings show preliminary evidence of the advantage for peer-led groups. The INT shows promise as a method to detect a change in group communication behaviour. / Trial registration: ClinicalTrials.gov identifier: NCT02211339.

Type:	Article
Title:	Measuring outcomes of a peer-led social communication skills intervention for adults with acquired brain injury: A pilot investigation
Open access status:	An open access version is available from UCL Discovery
DOI:	10.1080/09602011.2020.1760892
Publisher version:	https://doi.org/10.1080/09602011.2020.1760892
Language:	English
Additional information:	This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords:	Brain injury, Communication, Rehabilitation, Social networks, Intervention, group
UCL classification:	UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Language and Cognition
URI:	https://discovery.ucl.ac.uk/id/eprint/10097514