title: Factors Influencing Choices of Contextualized Versus Traditional Practices With Children and Adolescents Who Have Traumatic Brain Injury.
abstract: OBJECTIVE
  This preliminary investigation examined speech-language pathologists' (SLPs') use of contextualized practices (i.e., functional, personally relevant, nonhierarchical, and collaborative) compared with traditional practices (i.e., clinical, generic, hierarchical, and expert driven) with school-age children and adolescents with traumatic brain injury (TBI).
  
  
  METHODS
  An electronic survey asked SLPs about their use of clinical activities described as more or less contextualized. Research questions focused on frequency of using contextualized practices and factors associated with their use or nonuse.
  
  
  RESULTS
  Seventy responses met criteria for analysis; 98% of these participants reported using at least 1 contextualized practice. Higher use of contextualized practices was associated with working in schools compared to health care settings, access to experts, and greater experience with TBI. Most frequently cited reasons for not using contextualized practices included not fitting the student and scheduling issues.
  
  
  CONCLUSIONS
  Factors associated with using contextualized practices suggest that access to experts and experience with TBI are critical components for facilitating contextualized practice recommendations. Reasons for not using certain contextualized practices highlight the need to address scheduling issues and to increase education about practices that may best meet the unique needs of students with TBI.
authors.forename: Heather
authors.initials: H
authors.lastname: Koole
authors.forename: Nickola W
authors.initials: NW
authors.lastname: Nelson
authors.forename: Amy B
authors.initials: AB
authors.lastname: Curtis
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D001930:Brain Injuries / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D002755:Choice Behavior; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D007806:Language Disorders / Q000209:etiology / Q000534:rehabilitation; D012044:Regression Analysis; D013064:Speech Disorders / Q000209:etiology / Q000534:rehabilitation; D013066:Speech-Language Pathology / Q000193:education / Q000592:standards*; D011795:Surveys and Questionnaires