Bridging Person-Centered Outcomes and Therapeutic Processes for College Students With Traumatic Brain Injury Speech-language pathologists (SLPs) weigh at least three factors when engaging in evidence-based practice: client perspectives, external scientific evidence, and clinical expertise (American Speech-Language-Hearing Association, 2012). First, SLPs evaluate clients’ abilities and disabilities, and also assist clients in determining realistic and functional outcomes—that is, person-centered outcomes (PCOs). These goals are typically ... Article
Article  |   December 01, 2012
Bridging Person-Centered Outcomes and Therapeutic Processes for College Students With Traumatic Brain Injury
Author Affiliations & Notes
  • Mary R. T. Kennedy
    Department of Speech-Language-Hearing Sciences, University of Minnesota–Twin Cities, Minneapolis, MN
  • Katy H. O’Brien
    Department of Speech-Language-Hearing Sciences, University of Minnesota–Twin Cities, Minneapolis, MN
  • Miriam O. Krause
    Department of Communication Sciences and Disorders, Bowling Green State University, Bowling Green, OH
  • Authors
    Authors×
    Mary Kennedy is an associate professor in speech-language-hearing sciences at the University of Minnesota. She has many years of clinical and research experience working with individuals with cognitive and communication disorders after brain injury. She currently researches and runs a college program for students with TBI.
    Mary Kennedy is an associate professor in speech-language-hearing sciences at the University of Minnesota. She has many years of clinical and research experience working with individuals with cognitive and communication disorders after brain injury. She currently researches and runs a college program for students with TBI.×
    Katy O’Brien is a doctoral student in speech-language-hearing sciences at the University of Minnesota. She has worked in both acute and inpatient rehabilitation care with individuals with neurological communication disorders. She is a research assistant and works with college students with TBI.
    Katy O’Brien is a doctoral student in speech-language-hearing sciences at the University of Minnesota. She has worked in both acute and inpatient rehabilitation care with individuals with neurological communication disorders. She is a research assistant and works with college students with TBI.×
    Miriam Krause is an assistant professor in the Department of Communication Sciences and Disorders at Bowling Green State University, OH. Krause's clinical experience includes a clinical fellowship year at Walter Reed Army Medical Center in Washington, DC. Her research focuses on how complex speech processing and self-regulation are affected in adults with TBI.
    Miriam Krause is an assistant professor in the Department of Communication Sciences and Disorders at Bowling Green State University, OH. Krause's clinical experience includes a clinical fellowship year at Walter Reed Army Medical Center in Washington, DC. Her research focuses on how complex speech processing and self-regulation are affected in adults with TBI.×
  • Disclosure: Mary R. T. Kennedy, Katy H. O’Brien, and Miriam O. Krause have no financial or nonfinancial relationships related to the content of this article.
    Disclosure: Mary R. T. Kennedy, Katy H. O’Brien, and Miriam O. Krause have no financial or nonfinancial relationships related to the content of this article.×
Article Information
Language Disorders / Social Communication & Pragmatics Disorders / Attention, Memory & Executive Functions / Traumatic Brain Injury / Articles
Article   |   December 01, 2012
Bridging Person-Centered Outcomes and Therapeutic Processes for College Students With Traumatic Brain Injury
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, December 2012, Vol. 22, 143-151. doi:10.1044/nnsld22.4.143
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, December 2012, Vol. 22, 143-151. doi:10.1044/nnsld22.4.143

Speech-language pathologists (SLPs) weigh at least three factors when engaging in evidence-based practice: client perspectives, external scientific evidence, and clinical expertise (American Speech-Language-Hearing Association, 2012). First, SLPs evaluate clients’ abilities and disabilities, and also assist clients in determining realistic and functional outcomes—that is, person-centered outcomes (PCOs). These goals are typically influenced by clients’ cultures, values, roles in society, and individualized aspirations. Second, this client-centered information is then compared and contrasted with the scientific evidence that has documented the benefits of intervention approaches used with clients who are similar and used to obtain these outcomes. Finally, SLPs’ expertise plays an integral role here too, including their prior experience with the intervention approach. The purpose of this article is to describe PCOs of individuals who are attending college during the chronic recovery phase of traumatic brain injury (TBI), and describe relationships between PCOs and therapeutic processes in a coaching approach with college students that includes the emerging evidence.

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