title: Environmental accommodations for a child with traumatic brain injury.
abstract: OBJECTIVE
  Children with severe TBI frequently demonstrate language and cognition challenges and require accommodations to succeed academically. However, minimal research exists about accommodation efficacy for this population. This study examined the effect of environmental accommodations (reduced visual and auditory distractions) on the redirections, task variability and accuracy of a child with severe TBI when performing cognitive-linguistic activities.
  
  
  OBJECTIVE
  The researchers hypothesized no differences in variability between accommodation conditions; poorest task performance and most frequent task redirections given no environmental accommodations; comparable task performance and redirections with visual accommodation and auditory accommodation; and highest task performance and fewest redirections with combined visual and auditory accommodations.
  
  
  METHODS
  The researchers used an alternating treatment, single case design to compare task performance, variability and redirection averages across conditions. They used visual inspection, linear growth curve analyses and repeated measure analyses for data interpretation.
  
  
  METHODS
  Data collection occurred during label-object association, oral directions and divided attention tasks over 22 sessions varying in accommodation provision.
  
  
  RESULTS
  Findings showed visual plus auditory accommodations resulted in fewer redirections and superior average performance on all tasks although substantial variability persisted. Significant differences emerged across conditions only for the oral directions task.
authors.affiliation: Barkley Memorial Center, University of Nebraska-Lincoln, NE 68583, USA. carrie.childers@huskers.unl.edu
authors.forename: Carrie
authors.initials: C
authors.lastname: Childers
authors.forename: Karen
authors.initials: K
authors.lastname: Hux
mesh_terms: D001072:Apraxias / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D001930:Brain Injuries / Q000150:complications* / Q000503:physiopathology / Q000534:rehabilitation*; D002547:Cerebral Palsy / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D002675:Child, Preschool; D003072:Cognition Disorders / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D004779:Environment Design; D004780:Environment, Controlled; D005260:Female; D006801:Humans; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D009483:Neuropsychological Tests; D011597:Psychomotor Performance; D012720:Severity of Illness Index; D013647:Task Performance and Analysis; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation