Knowledge translation in ABI rehabilitation: A model for consolidating and applying the evidence for cognitive-communication interventions.
OBJECTIVE
(1) To propose a model for consolidating and disseminating existing evidence relevant to cognitive-communication interventions after ABI. (2) To present the Cognitive-Communication Intervention Review Framework (CCIRF). (3) To outline future considerations for applying evidence to clinical practice.


METHODS
Employment of a model for knowledge translation.


METHODS
Application of evidence requires synthesis and dissemination of information in an accessible format for end users. A literature search identified 20 systematic reviews (1997-2007) with a complex array of 72 practice recommendations relevant to cognitive-communication interventions. The CCIRF was used to synthesize the evidence within 11 intervention categories. Reviews were analysed according to: organization, population, intervention, comparison and outcome, with a focus on communication outcomes.


RESULTS
Consolidated evidence revealed support for interventions relating to: social communication, behavioural regulation, verbal formulation, attention, external memory aids, executive functions and communication partner training. Research gaps were noted in the areas of comprehension (auditory/reading), written expression and vocational communication interventions. Similar recommendations emerge across reviews.


CONCLUSIONS
Implementation of the growing body of evidence for cognitive-communication interventions is challenged by variability in study populations, interventions, and research focus on communication. The CCIRF provides a means of promoting consistency in knowledge translation and application.
MacDonald
Sheila
S
Sheila MacDonald & Associates, Guelph, Ontario, Canada. sheilamacdonald@rogers.com
Wiseman-Hakes
Catherine
C
D001930:Brain Injuries / Q000503:physiopathology / Q000534:rehabilitation*; D003072:Cognition Disorders / Q000503:physiopathology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy; D003142:Communication; D019317:Evidence-Based Medicine; D056344:Executive Function / Q000502:physiology; D006801:Humans; D033181:Information Dissemination