Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

In-Person Versus Telehealth Assessment of Discourse Ability in Adults With Traumatic Brain Injury

Turkstra, Lyn S. PhD; Quinn-Padron, Maura MS; Johnson, Jacqueline E. MS; Workinger, Marilyn S. PhD; Antoniotti, Nina PhD

Section Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP

Journal of Head Trauma Rehabilitation: November/December 2012 - Volume 27 - Issue 6 - p 424–432
doi: 10.1097/HTR.0b013e31823346fc
Original Articles

Objectives: To compare in-person versus telehealth (TH) assessment of discourse ability in adults with chronic traumatic brain injury (TBI).

Design: Repeated-measures design with random order of conditions.

Participants: Twenty adults with moderate-to-severe TBI.

Method: Participants completed conversation, picture description, story-generation, and procedural description tasks. Sessions were video-recorded and transcribed.

Measures: Measures of productivity and quality of discourse.

Results: Significant differences between conditions were not detected in this sample, and feedback from participants was positive.

Conclusions: These preliminary results support the use of TH for the assessment of discourse ability in adults with TBI, at least for individuals with sufficient cognitive skills to follow TH procedures.

Supplemental Digital Content is Available in the Text.

Department of Communicative Disorders, University of Wisconsin-Madison, Madison (Dr Turkstra and Ms Johnson) and Marshfield Clinic, Marshfield (Ms Quinn-Padron and Drs Workinger and Antoniotti), Wisconsin.

Correspondence: Lyn S. Turkstra, PhD, Department of Communicative Disorders, University of Wisconsin-Madison, 1975 Willow Drive, Madison WI 53706 (

This work was supported by Grant 1UL1RR025011 from the Clinical and Translational Science Award program of the National Center for Research Resources, National Institutes of Health.

The authors thank Gloria Cornelius, Laura Mork, Lindsey Byom, Kendra Schmitt, Sue Johnson, and Missy Disbrow for their assistance with data collection and analysis and preparation of this manuscript; Andrea Dearlove at the Institute for Clinical and Translational Research at UW-Madison for her assistance and support; Pauline Mashima for her review of an earlier version of the manuscript; and Scott Hetzel and Dr Erwin Montgomery for statistical consultation.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.