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Improving Self-Awareness in Chronic Moderate-Severe Acquired Brain Injury: The Social Cognitive Communication Intervention Combined With Transcranial Direct Current Stimulation.

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Title: Improving Self-Awareness in Chronic Moderate-Severe Acquired Brain Injury: The Social Cognitive Communication Intervention Combined With Transcranial Direct Current Stimulation.
Authors: Pettemeridou, Eva1,2 eva.pettemeridou@uol.ac.cy, Lofitou, Kalia1,3, Solomou, Ioulia1,3, Charalambous, Marina4,5, Ioannou, Melanie6, Lori, Andria7, Papacostas, Savvas S.8,9, Pantzaris, Marios10, Constantinidou, Fofi1,3
Source: American Journal of Speech-Language Pathology. Jul2025, Vol. 34 Issue 4, p2228-2243. 16p.
Subject Terms: *Chronic diseases, *Communication, *Quality of life, *Memory, *Comparative studies, Brain physiology, Rehabilitation for brain injury patients, Wounds & injuries, Outpatient services in hospitals, Research funding, Executive function, Pilot projects, Statistical sampling, Functional assessment, Cognitive processing speed, Questionnaires, Social perception, Treatment effectiveness, Near infrared spectroscopy, Descriptive statistics, Mann Whitney U Test, Combined modality therapy, Neuropsychological tests, Latent semantic analysis, Self-consciousness (Awareness), Transcranial direct current stimulation, Epidemiology, Brain injuries, Data analysis software, Cognitive rehabilitation, Nonparametric statistics
Abstract: Purpose: This pilot study aimed to evaluate the feasibility of an integrated rehabilitation intervention combining the social cognitive-communication (SocCom) training with transcranial direct current stimulation (tDCS) for individuals with chronic moderate-severe acquired brain injury (MS-ABI), focusing on enhancing self-awareness and executive functions in an outpatient setting. Method: Twenty-five individuals with MS-ABI (Mage = 39.64, SD = 14.78; Mdntimesinceinjury = 6.00 years). Participants were randomly assigned to either the combined intervention (n = 12) or the SocCom group (n = 13). The intervention was delivered over an 11-week period. A comprehensive neuropsychological and psychosocial assessment, along with functional near-infrared spectroscopy (fNIRS), were conducted pre and post intervention implementation to assess its impact on self-awareness, executive functions, and quality of life. Nonparametric tests were conducted to examine within- and between-group differences. Results: Participants of both groups showed significant within-group improvements (p < .05) in memory, executive functions, semantic knowledge, and quality of life, demonstrating the interventions' broad impact. Furthermore, neurophysiological changes measured via the fNIRS indicated significant brain function alterations (p < .05) in the combined intervention group, suggesting a synergistic effect of SocCom and tDCS. Between-groups comparisons revealed superior improvements in the combined intervention group in tasks requiring visual memory, executive function, and processing speed, underscoring the added value of tDCS in cognitive rehabilitation outcomes for individuals with chronic MS-ABI. Conclusion: The integrated SocCom and tDCS intervention offers a promising strategy for enhancing cognitive and psychosocial outcomes in individuals with chronic MS-ABI, suggesting a valuable addition to existing rehabilitation efforts and supporting a more personalized, holistic approach to recovery. Supplemental Material: https://doi.org/10.23641/asha.29385503 [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Improving Self-Awareness in Chronic Moderate-Severe Acquired Brain Injury: The Social Cognitive Communication Intervention Combined With Transcranial Direct Current Stimulation.
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– Name: Abstract
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  Data: Purpose: This pilot study aimed to evaluate the feasibility of an integrated rehabilitation intervention combining the social cognitive-communication (SocCom) training with transcranial direct current stimulation (tDCS) for individuals with chronic moderate-severe acquired brain injury (MS-ABI), focusing on enhancing self-awareness and executive functions in an outpatient setting. Method: Twenty-five individuals with MS-ABI (Mage = 39.64, SD = 14.78; Mdntimesinceinjury = 6.00 years). Participants were randomly assigned to either the combined intervention (n = 12) or the SocCom group (n = 13). The intervention was delivered over an 11-week period. A comprehensive neuropsychological and psychosocial assessment, along with functional near-infrared spectroscopy (fNIRS), were conducted pre and post intervention implementation to assess its impact on self-awareness, executive functions, and quality of life. Nonparametric tests were conducted to examine within- and between-group differences. Results: Participants of both groups showed significant within-group improvements (p &lt; .05) in memory, executive functions, semantic knowledge, and quality of life, demonstrating the interventions&#39; broad impact. Furthermore, neurophysiological changes measured via the fNIRS indicated significant brain function alterations (p &lt; .05) in the combined intervention group, suggesting a synergistic effect of SocCom and tDCS. Between-groups comparisons revealed superior improvements in the combined intervention group in tasks requiring visual memory, executive function, and processing speed, underscoring the added value of tDCS in cognitive rehabilitation outcomes for individuals with chronic MS-ABI. Conclusion: The integrated SocCom and tDCS intervention offers a promising strategy for enhancing cognitive and psychosocial outcomes in individuals with chronic MS-ABI, suggesting a valuable addition to existing rehabilitation efforts and supporting a more personalized, holistic approach to recovery. Supplemental Material: https://doi.org/10.23641/asha.29385503 [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=186535591
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    Identifiers:
      – Type: doi
        Value: 10.1044/2025_AJSLP-24-00326
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      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 2228
    Subjects:
      – SubjectFull: Chronic diseases
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Memory
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      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Brain physiology
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      – SubjectFull: Rehabilitation for brain injury patients
        Type: general
      – SubjectFull: Wounds & injuries
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      – SubjectFull: Outpatient services in hospitals
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Executive function
        Type: general
      – SubjectFull: Pilot projects
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Functional assessment
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      – SubjectFull: Cognitive processing speed
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      – SubjectFull: Questionnaires
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      – SubjectFull: Social perception
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Near infrared spectroscopy
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Combined modality therapy
        Type: general
      – SubjectFull: Neuropsychological tests
        Type: general
      – SubjectFull: Latent semantic analysis
        Type: general
      – SubjectFull: Self-consciousness (Awareness)
        Type: general
      – SubjectFull: Transcranial direct current stimulation
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      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: Brain injuries
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      – SubjectFull: Data analysis software
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      – SubjectFull: Cognitive rehabilitation
        Type: general
      – SubjectFull: Nonparametric statistics
        Type: general
    Titles:
      – TitleFull: Improving Self-Awareness in Chronic Moderate-Severe Acquired Brain Injury: The Social Cognitive Communication Intervention Combined With Transcranial Direct Current Stimulation.
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              M: 07
              Text: Jul2025
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