{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T02:44:26Z","timestamp":1788576266854,"version":"build-2803163510"},"reference-count":59,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive\u2010communication disorders (CCDs) are common in the traumatic brain injury (TBI) population. Despite this, there has been limited research that explores the long\u2010term impacts of reduced cognitive\u2010communication functioning on daily life for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To identify the long\u2010term impacts of cognitive\u2010communication impairment as reported by adults with TBI and their significant others.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods &amp; Procedures<\/jats:title>\n                    <jats:p>\n                      A qualitative descriptive approach grounded in phenomenology was used. Semi\u2010structured, one\u2010on\u2010one interviews were conducted with adults with CCDs following TBI (\n                      <jats:italic>n<\/jats:italic>\n                      = 16) and their significant others (\n                      <jats:italic>n<\/jats:italic>\n                      = 12) to explore their lived experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes &amp; Results<\/jats:title>\n                    <jats:p>Reflexive thematic analysis revealed an overarching theme of \u2018The pervasive and unyielding impacts of cognitive\u2010communication changes on daily life following TBI\u2019. Within this overarching theme, three subthemes were identified: (1) self\u2010awareness of communication changes; (2) fatigue; and (3) self\u2010identity and life roles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion &amp; Implications<\/jats:title>\n                    <jats:p>The findings from this study highlight the long\u2010term negative impacts of reduced cognitive\u2010communication functioning on daily life. Health professionals supporting this population should consider ways to reduce the significant impact CCDs have on the lives of adults following TBI and their significant others. In addition, the findings highlight the importance of long\u2010term rehabilitation services following TBI, with further research needed that explores how these services can be optimised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What this paper adds<\/jats:title>\n                    <jats:sec>\n                      <jats:title>What is already known on this subject<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>Cognitive\u2010communication disorders (CCDs) affect the majority of adults who experience moderate to severe traumatic brain injury (TBI) and encompass any component of communication that is affected by cognition. The hallmark characteristic of CCDs are breakdowns that affect social communication skills as well as cognitive\u2010linguistic deficits. Combined, these can have dramatic implications for a person's quality of life, their level of independence, employment opportunities and social participation. There has been limited research to date that explores the long\u2010term impacts of CCDs on the lives of adults following TBI. Further research that explores these impacts is needed to improve the support services and rehabilitation models of care available for this population.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>What this study adds<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>The overarching theme was \u2018The pervasive and unyielding impacts of communication changes on daily life following TBI\u2019 with subthemes including changed communication, self\u2010awareness of communication changes, fatigue and self\u2010identity and life roles. The findings from this study highlight the long\u2010term negative impacts of reduced cognitive\u2010communication functioning on everyday functioning and quality of life as well as the importance of long\u2010term rehabilitation services following TBI.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>What are the clinical implications of this work?<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>Speech\u2010language therapists and other health professionals working with this clinical population should consider how to address the significant and long\u2010lasting impacts of CCDs. Due to the complex nature of the barriers experienced by this clinical population, an interdisciplinary targeted approach is advised wherever possible when providing rehabilitation services.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.12923","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T03:59:46Z","timestamp":1688961586000},"page":"2131-2143","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The pervasive and unyielding impacts of cognitive\u2010communication changes following traumatic brain injury"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1669-5137","authenticated-orcid":false,"given":"Crystal","family":"Kelly","sequence":"first","affiliation":[{"name":"School of Health Sciences and Social Work Griffith University Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petrea","family":"Cornwell","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Social Work Griffith University Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronelle","family":"Hewetson","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Social Work Griffith University Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Copley","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000158"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1802660"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794107085301"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2022.2034044"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/2050571X.2020.1816403"},{"key":"e_1_2_10_10_1","volume-title":"Research design: qualitative, quantitative, and mixed methods approaches","author":"Creswell J.W.","year":"2009"},{"key":"e_1_2_10_11_1","volume-title":"Research design: qualitative, quantitative, and mixed methods approaches","author":"Creswell J.","year":"2018"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2014.948067"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.07.033"},{"key":"e_1_2_10_14_1","unstructured":"DeRuyter F. &Kennedy M.(1991).Management of augmentative communication following traumatic brain injury. 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