Category: Brain Injury; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development); Stroke
Objective : To explore theexperiences of participants with social communication difficulties (SCD) and acquired brain injury (ABI) after Group Interactive Structured Treatment (GIST).
Design : Data from a pilot study and first phase of a randomized controlled trial (RCT), examining results from two GIST versions (standard GIST and Intensive GIST)
Setting : Standard GIST was delivered in an outpatient setting and intensive GIST in an inpatient setting at Sunnaas Rehabilitation Hospital (Norway).
Participants (or Animals, Specimens, Cadavers) : Eleven subjects with ABI (73 % male, age 40±65 years). Inclusion was based upon the presence of social communication difficulties.
Interventions : GIST is a group-based intervention targeting social communication skills and consists of 12 modules. Standard GIST (n=5) was delivered in 2.5 hour sessions once a week for 12 weeks. Intensive GIST (n=6) was delivered over a period of four weeks with three sessions a week.
Main Outcome Measure(s) : Post-treatment, all participants evaluated the treatments through a semi-structured evaluation form, with questions concerning GIST content.
Results : Preliminary results from the participation evaluation post-treatment showed that all GIST (n=11) subjects reported an overall satisfaction with the treatment. In particular, all subjects reported video feedback as very useful. Modules that where highlighted as especially useful in both groups were "self-assessment and goal setting". One participant in intensive GIST expressed: "a good balance between the treatment discussions and the social parts".
Conclusions : The participants experienced an overall satisfaction with standard GIST and intensive GIST. However, there is a need for more research exploring the participants experience and the effects of GIST for persons with SCD.