{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T01:54:44Z","timestamp":1793325284918,"version":"4.5.0"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,9,18]],"date-time":"2022-09-18T00:00:00Z","timestamp":1663459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Spoken discourse is commonly affected after traumatic brain injury (TBI). Although guidelines recommend prioritizing discourse\u2010level skills in cognitive communication management, previous literature has highlighted challenges in managing discourse clinically. Little is known about how speech\u2013language pathologists (SLPs) assess and treat discourse after TBI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate current SLP practice to determine the alignment of clinical practice with research evidence and recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>This online survey consisted of 30 questions on SLPs\u2019 practice with discourse assessment, analysis and treatment processes, including the materials and methods used and rationales for decision\u2010making. Participants were recruited through national and international SLP professional bodies, TBI\u2010specific or SLP special\u2010interest groups and social media. Survey responses were analysed using descriptive statistics, with free text included to support individual responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>There were 70 participants, from Australia, the United States, UK and New Zealand. Nearly half the participants had over 11 years of experience working with adults with TBI and a quarter had over 20 years of experience. Participants reported that they regularly evaluated the discourse ability of people with TBI, most commonly during spontaneous conversation or with a personal narrative task. Discourse intervention approaches mostly targeted client self\u2010monitoring ability, social skills or conversational interactions. Practice varied dependent on setting, with more SLPs in community or outpatient services undertaking discourse assessment and treatment than in hospital settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>Overall, survey respondents\u2019 management of spoken discourse aligned with recommendations in the research literature, incorporating an individualized, goal\u2010based approach. Factors affecting the use of discourse in practice included client\u2010specific factors and needs, availability of time for transcription and analysis, and SLPs\u2019 knowledge level and confidence with discourse. Increased knowledge of discourse methods and treatment approaches could help inform decision\u2010making for SLPs working in TBI.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on this subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Spoken discourse is one of the most affected areas of communication for people with TBI. Although recent research has provided guidance on assessment and treatment options for TBI discourse, it is unknown how SLPs manage spoken discourse clinically.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This research adds to the limited research on how SLPs across clinical settings and regions manage discourse assessment and treatment. Respondents\u2019 practice was generally aligned with recommendations, featuring individualized, goal\u2010based practice. Potential barriers to discourse implementation included client factors and SLP knowledge, training, and service delivery factors.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This survey provides evidence that clinical translation is starting to occur in this field, but there remains a need for increased knowledge of assessment and treatment methods, training, and TBI\u2010specific resources to better support SLP practice, particularly relating to transcription. Core reporting outcomes in research on TBI discourse management would assist with translation of the findings to practice.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12784","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T06:04:04Z","timestamp":1663567444000},"page":"591-607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["How do speech\u2013language pathologists assess and treat spoken discourse after TBI? A survey of clinical practice"],"prefix":"10.1111","volume":"59","author":[{"given":"Joanne","family":"Steel","sequence":"first","affiliation":[{"name":"The University of Newcastle  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivania","family":"Coluccio","sequence":"additional","affiliation":[{"name":"The University of Newcastle  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Elbourn","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Spencer","sequence":"additional","affiliation":[{"name":"The University of Newcastle  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030244000112"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/htr.0000000000000580"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2016.1239013"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102007\u2010970570"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102005\u2010922102"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12528"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.07.033"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2017.1398803"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09602011.2016.1259114"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050210128870"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2018.1539246"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJSLP\u201018\u20100204"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.11.005"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2017.1346284"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2014.947619"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511819391"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.05.030"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699059209029669"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00011363-200701000-00005"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2022.2079724"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000499156"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_ajslp\u201021\u201000088"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2017.1379613"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1558\/jircd.v7i1.25519"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_JSLHR\u2010L\u201018\u20100466"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2019.1583281"},{"key":"e_1_2_9_28_1","volume-title":"Handbook of research methods for nursing and health science","author":"Minichiello V.","year":"2004"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1766114"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2010.543983"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_AJSLP\u201020\u201000299"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2015.1057891"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2018.1561417"},{"key":"e_1_2_9_34_1","volume-title":"TBIconneCT Clinician Manual TBIconneCT: connecting people living with traumatic brain injury to conversation training","author":"Rietdijk R.","year":"2019"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJSLP\u201017\u20100011"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/026870399401993"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP\u201019\u201000093"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_JSLHR\u201020\u201000708"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2022.2039372"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/tld.0000000000000241"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2013.775492"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2018.1531304"},{"key":"e_1_2_9_43_1","volume-title":"TBI express: social communication training for people with TBI and their communication partners","author":"Togher L.","year":"2010"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/htr.0000000000000071"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102005\u2010922101"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916\u2010015\u20100506\u2010z"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100039\u20103400512"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arrct.2019.100036"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12784","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1460-6984.12784","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12784","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T18:42:02Z","timestamp":1711132922000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.12784"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,18]]},"references-count":47,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/1460-6984.12784"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.12784","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,18]]},"assertion":[{"value":"2022-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}