PRIMARY OBJECTIVE:The aim of this pilot study was to explore possible correlations between measures of functional communication skills in the first year post-injury and later employment outcome. DESIGN:A preliminary observational study employing a prospective longitudinal design. METHODS:Fourteen adults with traumatic brain injury completed an assessment involving two functional communication measures: an objective test of cognitive communication skills (Functional Assessment of Verbal Reasoning and Executive Strategies, FAVRES) and self-ratings of communication impairment (LaTrobe Communication Questionnaire, LCQ). Follow-up of participants' employment outcome was conducted 9-18 months after the initial assessment. RESULTS:At follow-up, eight participants had returned to employment (working a similar number of hours to their pre-injury status), five were unemployed and one was lost to follow-up. Employment status at follow-up was strongly correlated with both FAVRES Total Accuracy scores (r = 0.833) and Total Rationale scores (r = 0.837), but there were no correlations with FAVRES Time and Reasoning scores or with the LCQ. CONCLUSIONS:The FAVRES shows initial promise as an assessment that may be associated with successful employment outcome following traumatic brain injury. Further research with larger samples is required to provide further information on the prognostic utility of measures such as the FAVRES and the LCQ.

译文

主要目标:这项初步研究的目的是探讨受伤后第一年的功能性沟通技巧与以后的就业结局之间的可能相关性。
设计:采用前瞻性纵向设计的初步观察性研究。
方法:十四名患有颅脑外伤的成年人完成了一项涉及两种功能性交流措施的评估:一项认知交流技能的客观测试(言语推理和执行策略的功能评估,FAVRES)和交流障碍的自我评估(LaTrobe交流问卷,LCQ) 。在初步评估后的9-18个月内对参与者的就业结果进行随访。
结果:在随访中,有八名参与者重返工作岗位(工作时间与受伤前的状态相似),有五名失业者,一名失踪。随访时的就业状况与FAVRES总准确度得分(r = 0.833)和总基本原理得分(r = 0.837)都密切相关,但与FAVRES时间和推理得分或LCQ均不相关。
结论:FAVRES显示出最初的希望,作为一项评估,可能与脑外伤后成功的就业结果有关。需要对较大样本进行进一步研究,以提供有关FAVRES和LCQ等措施的预后效用的进一步信息。

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