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1
Discourse recovery after severe traumatic brain injury: exploring the first year
Elbourn, Elise
;
Kenny, Belinda
;
Power, Emma
;
Honan, Cynthia
;
McDonald, Skye
;
Tate, Robyn
;
Holland, Audrey
;
MacWhinney, Brian
;
Togher, Leanne
In: Brain Inj (2019)
Abstract:
OBJECTIVES: Although much is known about discourse impairment, little is known about discourse recovery after severe traumatic brain injury (TBI). This paper explores discourse recovery across the critical first year, controlling for pre-injury, injury and post-injury variables. DESIGN AND METHODS: An inception cohort comprising 57 participants with severe TBI was examined at 3, 6, 9 and 12 months post-injury and compared to a cross-section of matched healthy control participants. A narrative discourse task was analyzed with main concept analysis (MCA). A mixed linear model approach was used to track recovery controlling for pre-injury, injury and post-injury variables. RESULTS: An upward trajectory of recovery was observed, with peak periods of improvement between 3–6 and 9–12 months and all time points were significantly below controls. Years of education and PTA duration were significant covariates in the recovery model. Presence of aphasia also influenced the recovery model. CONCLUSIONS: Individuals with TBI typically improve over the first year, however many will continue to have discourse deficits at 12 months. Years of education, PTA duration and aphasia should be considered when planning services. The 3–6- and 9–12-month periods may offer optimal periods for discourse recovery and increased supports may be beneficial between 6-9 months.
Keyword:
Article
URL:
http://www.ncbi.nlm.nih.gov/pubmed/30465440
https://doi.org/10.1080/02699052.2018.1539246
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906198/
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2
Speech-language pathology students : learning clinical reasoning
Kenny, Belinda J.
(R19919);
Davenport, Rachel
;
Johnson, Robyn B.
. - : U.K., Elsevier, 2019
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3
Discourse recovery after severe traumatic brain injury : exploring the first year
Elbourn, Elise
;
Kenny, Belinda J.
(R19919);
Power, Emma
. - : U.K., Taylor & Francis, 2019
BASE
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4
Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury
Stubbs, Elin
;
Togher, Leanne
;
Kenny, Belinda
...
In: Brain Inj (2018)
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5
Recipes for successful provision of nutrition and hydration at the end of life
Kenny, Belinda J.
(R19919);
Smith, Helen
. - : Melbourne, Vic., Speech Pathology Australia, 2018
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6
Getting comfortable with "comfort feeding" : an exploration of legal and ethical aspects of the Australian speech-language pathologist's role in palliative dysphagia care
Kelly, Katherine
;
Cumming, Steven R.
;
Kenny, Belinda J.
(R19919). - : U.K., Taylor & Francis, 2018
BASE
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7
Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury
Stubbs, Elin
;
Togher, Leanne
;
Kenny, Belinda J.
(R19919). - : U.K., Taylor & Francis, 2018
BASE
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8
Cognitive-communication and psychosocial functioning 12 months after severe traumatic brain injury
Tran, Sarah
;
Kenny, Belinda J.
(R19919);
Power, Emma
. - : U.K., Taylor & Francis, 2018
BASE
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9
Strengthening the quality of longitudinal research into cognitive-communication recovery after traumatic brain injury : a systematic review
Elbourn, Elise
;
Togher, Leanne
;
Kenny, Belinda J.
(R19919). - : U.K., Taylor & Francis, 2017
BASE
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10
Mental health and illness : what are our ethical duties toward clients and colleagues?
Kenny, Belinda J.
(R19919);
Bradd, Patricia
;
Muller, Noel
. - : Melbourne, Vic., Speech Pathology Australia, 2017
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11
Autonomy & informed consent
Kenny, Belinda J.
(R19919);
Hamilton-Foster, Elise
. - : U.S., Ohio Speech-Language Hearing Association, 2017
BASE
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12
Conversational topics discussed by individuals with severe traumatic brain injury and their communication partners during sub-acute recovery
Brassel, Sophie
;
Kenny, Belinda
;
Power, Emma
...
In: Brain Inj (2016)
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13
Conversational topics discussed by individuals with severe traumatic brain injury and their communication partners during sub-acute recovery
Brassel, Sophie
;
Kenny, Belinda J.
(R19919);
Power, Emma
. - : U.K., Taylor & Francis, 2016
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14
Responsible and ethical clinical practice : a framework for knowledge translation
Kenny, Belinda J.
(R19919);
Block, Susan
. - : Melbourne, Vic., Speech Pathology Australia, 2015
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15
Ethical dilemmas experienced by speech-language pathologists working in private practice
Flatley, Danielle R.
;
Kenny, Belinda J.
;
Lincoln, Michelle A.
In:
International journal of speech language pathology. - Abingdon : Informa Healthcare
16 (2014) 3, 290-303
OLC Linguistik
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16
Ethical dilemmas experienced by speech-language pathologists working in private practice
Flatley, Danielle R.
;
Kenny, Belinda J.
(R19919);
Lincoln, Michelle
. - : U.K., Taylor & Francis, 2014
BASE
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17
Sport, scales, or war? Metaphors speech-language pathologists use to describe caseload management
Lincoln, Michelle
;
Kenny, Belinda
In:
International journal of speech language pathology. - Abingdon : Informa Healthcare
14 (2012) 3, 247-259
BLLDB
OLC Linguistik
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18
Sport, scales, or war? Metaphors speech-language pathoogists use to describe caseload management
Kenny, Belinda J.
(R19919);
Lincoln, Michelle
. - : U.K., Taylor & Francis, 2012
BASE
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19
Experienced speech-language pathologists' responses to ethical dilemmas : an integrated approach to ethical reasoning
Kenny, Belinda J.
(R19919);
Lincoln, Michelle
;
Balandin, Susan
. - : U.S., American Speech - Language - Hearing Association, 2010
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20
Ethical perspective on quality of care: the nature of ethical dilemmas identified by new graduate and experienced speech pathologists
Kenny, Belinda J.
;
Lincoln, Michelle
;
Balandin, Susan
...
In:
International journal of language & communication disorders. - Oxford : Wiley-Blackwell
44 (2009) 4, 421-439
BLLDB
OLC Linguistik
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