title: Evaluating communication training for paid carers of people with traumatic brain injury.
abstract: OBJECTIVE
  To evaluate the effectiveness of a communication training programme for paid carers to improve their conversational interactions with people with TBI.
  
  
  METHODS
  Single blinded randomized controlled study.
  
  
  METHODS
  Ten paid carers were randomly selected from a post-acute residential rehabilitation programme and allocated to either a training or control group. Training comprised a 17-hour programme (across 8 weeks) with conversational interactions (i.e. structured and casual) between paid carers and people with TBI videotaped pre-training, post-training and at 6-months follow-up. Interactions were rated on the Adapted Measure of Support in Conversation (MSC), Adapted Measure of Participation in Conversation (MPC) and Global Impression Scales of conversation.
  
  
  RESULTS
  Trained paid carers were more able to acknowledge and reveal the competence of people with TBI. Conversations were perceived as more appropriate, interesting and rewarding compared to the control group. Improvements were confined to the structured conversation and were maintained for 6 months.
  
  
  CONCLUSIONS
  Training paid carers has a positive effect on improving conversational interactions with people with TBI in a long-term care facility. These improvements can help to foster increased independence for the person with TBI in the home and community.
authors.affiliation: Speech Pathology, Faculty of Health Sciences, The University of Sydney, Lidcombe, NSW, Australia.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Behn
authors.forename: Leanne
authors.initials: L
authors.lastname: Togher
authors.forename: Emma
authors.initials: E
authors.lastname: Power
authors.forename: Rob
authors.initials: R
authors.lastname: Heard
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000451:nursing* / Q000534:rehabilitation*; D017028:Caregivers / Q000191:economics* / Q000523:psychology / Q000592:standards*; D003142:Communication; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D018574:Home Care Agencies; D006801:Humans; D007318:Inservice Training; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D011788:Quality of Life; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D006113:United Kingdom; D055815:Young Adult