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Narrative after traumatic brain injury: A comparison of monologic and jointly-produced discourse
Brain Injury, 07/30/09

Jorgensen M et al. – The natural scaffolding provided by the friends of participants with traumatic brain injury (TBI) in a meaningful narrative task facilitated competent participation in and production of narrative. These findings indicate an avenue for training everyday communication partners in supporting narrative skills after TBI, and for use of jointly produced narrative as an additional assessment tool to create a holistic view of everyday skills.

• Study of the effects of a familiar communication partner on the production of narrative after TBI
• Match of 10 TBI pts with 10 controls for sex, age, and education
• Pts independently retold a story from a picture sequence
• Pts retold a video segment with a friend to a researcher
• Analysis of resulting discourse for productivity, cohesion, story grammar, informational content, and exchange structure

• Significant difference between pts with/without TBI for all measures in monologic narrative
• No significant difference in performance and participation between TBI pts vs controls in jointly produced narrative
• TBI pts showed significant improvement between monologic and jointly produced task in story grammar and informational content

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