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Original Articles

Conversational turn-taking in adults with acquired brain injury

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Pages 151-168 | Received 29 Mar 2014, Accepted 26 Aug 2014, Published online: 30 Sep 2014
 

Abstract

Background: Social communication problems are a major contributor to negative life outcomes for adults with brain injury, yet the basic skill deficits underlying these problems are poorly understood.

Aim: To examine one aspect of social communication that may have a negative impact on social interactions: the ability to successfully take turns in a conversation.

Methods & Procedures: Seventeen adults with traumatic brain injury and two with bilateral strokes, and their typical peers matched for age and sex, viewed video-recorded conversations and indicated when they could join in the conversation. Turn timing was compared between groups using a novel statistical method designed for this study.

Outcomes & Results: There was a significant between-groups difference in timing of turn-taking but no significant difference in number of turns. The novel analysis method revealed between-groups differences in responding to specific conversational cues.

Conclusions: Adults with brain injury may miss or misinterpret verbal and non-verbal cues to turn-taking, which could contribute to conversation partners’ perceptions of impaired conversation skills in adults in this population.

Acknowledgements

The authors thank Maggie Flynn for her assistance with data scoring, Katie Peterangelo and Andrea Kettler for assistance with data collection.

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