2026.
"I Can't Do It All, Even Though I Want To”: A Qualitative Investigation of Implementation Barriers and Facilitators for School-Based Speech-Language Pathologists in Concussion Management
The purpose of this study was to examine implementation barriers and facilitators related to evidence-based concussion management among school-based speech-language pathologists (SLPs). Using the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, we explored how innovation, recipient, context, and facilitation factors influence SLPs' ability to bridge the know–do gap in return-to-learn (RTL) care for students with concussion.
Katy H O’Brien, Amy M Kemp, Yalian Pei, Jennifer P Lundine. (2026). I Can’t Do It All, Even Though I Want To”: A Qualitative Investigation of Implementation Barriers and Facilitators for School-Based Speech-Language Pathologists in Concussion Management. Language, Speech, and Hearing Services in Schools, 1–18.
Refinement and validation of sources of reading self-efficacy scale for college and university students (SOURSES-C) in college students with concussion
This study aimed to refine and validate the Sources of Reading Self-Efficacy Scale for College and University Students (SOURSES-C). Using an iterative, user-informed approach grounded in Bandura’s Sources of Self-Efficacy theory, the study proceeded in two phases. Phase 1 involved distributing the original scale via an online survey to college students with and without concussion, followed by interviews with students with concussion to guide item refinement. Phase 2 tested the revised SOURSES-C with new samples to evaluate its structural validity, convergent validity, and reliability.
Pei, Y., & O’Brien, K. H. (2026). Refinement and validation of sources of reading self-efficacy scale for college and university students (SOURSES-C) in college students with concussion. Brain Injury, 1–12. https://doi.org/10.1080/02699052.2026.2625367
2025.
Exploring Person-Centered Goals in Speech-Language Pathology Services for Mild Traumatic Brain Injury
Person-centered goals represent meaningful and motivating aspirations of patients and help rehabilitation professionals shape treatment plans to meet individual needs. The purpose of this research note is to describe person-centered goals identified among individuals receiving speech-language pathology services after mild traumatic brain injury (mTBI) and to consider how goals might be informed by existing self-report measures and guide treatment planning.
Wallace, T., Pei, Y., Kemp, A. M., Gartell, R., Appleberry, C., Gore, R. K., & O’Brien, K. H. (2025). Exploring Person-Centered Goals in Speech-Language Pathology Services for Mild Traumatic Brain Injury. American Journal of Speech-Language Pathology, 34(3S), 1807–1817. doi:10.1044/2025_AJSLP-24-00117
Factors Influencing Speech-Language Pathology Referral and Utilization in Mild Traumatic Brain Injury: An Exploratory Analysis
Speech-language pathologists provide important services to people recovering from mild traumatic brain injury (mTBI), also called concussion, although they may be underutilized in outpatient care. Because health care providers face challenges in selecting assessments to efficiently describe patient needs, the purpose of this study was to describe factors related to patients receiving speech-language pathology services after mTBI, as well as how assessments predict amount of services received.
O’Brien, K. H., Messina, A., Pei, Y., Kemp, A. M., Gartell, R., Brown, G., … Wallace, T. (2025). Factors Influencing Speech-Language Pathology Referral and Utilization in Mild Traumatic Brain Injury: An Exploratory Analysis. American Journal of Speech-Language Pathology, 34(3S), 1700–1720. doi:10.1044/2024_AJSLP-24-00116
The Importance of Identifying Children With Brain Injury in Schools: Speech-Language Pathologists as Crucial Partners
The purpose of this article is to describe the importance of and strategies to identify traumatic brain injury (TBI) and associated cognitive-communication disorders (CCDs) in children, a priority identified by the attendees at the Fourth International Cognitive-Communication Disorders Conference. Childhood TBI is associated with a range of difficulties, including CCDs, that can adversely impact functioning and participation into adulthood. Identifying a history of TBI in children in schools is the crucial first step to then monitor, assess, and provide evidence-based intervention and accommodations in collaboration with families and medical and educational professionals.
Riccardi, J. S., D’Angelo, E., Hagen, E. B., Pei, Y., Ciccia, A., Haarbauer-Krupa, J., … Lundine, J. P. (2025). The Importance of Identifying Children With Brain Injury in Schools: Speech-Language Pathologists as Crucial Partners. American Journal of Speech-Language Pathology, 34(3S), 1839–1842. doi:10.1044/2024_AJSLP-24-00107
2024.
Consumer views of functional electrical stimulation and robotic exoskeleton in SCI rehabilitation: A mini review
Functional electrical stimulation (FES) and robotic exoskeletons represent emerging technologies with significant potential for restoring critical physical functions such as standing and walking—functions that are most susceptible after spinal cord injury (SCI). However, the further development and successful integration of these technologies into clinical practice and daily life require a deep understanding of consumer perspectives.
Pei, Y., Tobita, M., Dirlikov, B., Arnold, D., Tefertiller, C., & Gorgey, A. (2025). Consumer views of functional electrical stimulation and robotic exoskeleton in SCI rehabilitation: A mini review. Artificial Organs, 49(5), 729–748. doi:10.1111/aor.14925
Use of Social Media Data Mining to Examine Needs, Concerns, and Experiences of People With Traumatic Brain Injury
Given the limited availability of topic-specific resources, many people turn to anonymous social media platforms such as Reddit to seek information and connect to others with similar experiences and needs. Mining of such data can therefore identify unmet needs within the community and allow speech-language pathologists to incorporate clients' real-life insights into clinical practices.
Pei, Y., & O’Brien, K. H. (2024). Use of Social Media Data Mining to Examine Needs, Concerns, and Experiences of People With Traumatic Brain Injury. American Journal of Speech-Language Pathology, 33(2), 831–847. doi:10.1044/2023_AJSLP-23-00297
2023.
A theory-based exploration of psychosocial factors influencing concussion health seeking intentions in college students
Objective: This mixed method study examined how psychosocial factors from the Theory of Planned Behavior and Reasoned Action (TPB/RA) influence health-seeking behaviors after concussion, expanding from student-athlete TPB/RA research to assess the influence of psychosocial factors within a general college population. Participants: Two hundred and forty-four students participated from a large Southeastern public university. Methods: A concurrent nested mixed-methods approach involving closed- and constructed- response survey questions.
Kemp, A. M., Norton, G., Neese, M., Pei, Y., & O’Brien, K. H. (2025). A theory-based exploration of psychosocial factors influencing concussion health seeking intentions in college students. Journal of American College Health, 73(2), 723–732. https://doi.org/10.1080/07448481.2023.2237582
Pilot testing the SUCCESS peer mentoring program for students with concussion: the role of personas in mobile technology development
College students with concussion experience academic, cognitive and psychosocial challenges, yet frequently lack supports necessary for successful reintegration into school. Success in College after Concussion with Effective Student Supports (SUCCESS) is a virtual peer mentoring program designed to provide education, support and connection through a mobile application. The purpose of this study was to describe use of personas as components of mobile app development and conduct preliminary testing of SUCCESS using personas.
O’Brien, K. H., Pei, Y., Kemp, A. M., Gartell, R., & Wallace, T. (2024). Pilot testing the SUCCESS peer mentoring program for students with concussion: the role of personas in mobile technology development. Disability and Rehabilitation: Assistive Technology, 19(5), 1964–1979. https://doi.org/10.1080/17483107.2023.2239293
Development and initial validation of the Sources of Reading Self‐Efficacy Scale for College and University Students (SOURSES‐C)
To examine levels of reading self-efficacy in college students and further understand sources that foster reading self-efficacy at the postsecondary level, there is a need for a valid scale that can be used for college student populations.
Pei, Y., & O’Brien, K. H. (2023). Development and initial validation of the Sources of Reading Self-Efficacy Scale for College and University Students (SOURSES-C). Journal of Research in Reading, 46(3), 225–246. doi:10.1111/1467-9817.12422
Investigating the Student in Returning to Learn After Concussion: A Systematic Review and Meta‐Analysis
Examine concussion effects on academic outcomes, including student perspectives.
Pei, Y., Kemp, A. M., & O’Brien, K. H. (2023). Investigating the Student in Returning to Learn After Concussion: A Systematic Review and Meta-Analysis. Journal of School Health, 93(7), 594–620. doi:10.1111/josh.13307
2022.
The school-based speech-language pathologist and students with concussion: An examination of evolving knowledge and confidence
This study examines school-based speech-language pathologists' (SLPs’) experience, knowledge, and confidence in supporting students as they return to the classroom following concussion, with a particular focus on knowledge of new management guidelines over the last decade.
O’Brien, K. H., Lundine, J. P., Pei, Y., & Kemp, A. M. (2022). The School-Based Speech-Language Pathologist and Students With Concussion: An Examination of Evolving Knowledge and Confidence. American Journal of Speech-Language Pathology, 31(5), 1992–2003. doi:10.1044/2022_AJSLP-21-00315
Cognitive-Communication Complaints and Referrals for Speech-Language Pathology Services Following Concussion
Speech-language pathologists are increasingly being recognized as key members of concussion management teams. This study investigates whether self-report of communication problems postconcussion may be useful in identifying clients who could benefit from speech-language pathology services.
O’Brien, K. H., Wallace, T., Kemp, A. M., & Pei, Y. (2022). Cognitive-Communication Complaints and Referrals for Speech-Language Pathology Services Following Concussion. American Journal of Speech-Language Pathology, 31(2), 790–807. doi:10.1044/2021_AJSLP-21-00254
2021.
A Retrospective Chart Review of Referrals for Speech-Language Pathology Services after Concussion
To preliminarily evaluate a screening tool developed to identify cognitive and communication complaints post-concussion and guide referrals to speech-language pathology (SLP) rehabilitation services.
Pei, Y., Gartell, R., Kemp, A., O’Brien, K., & Wallace, T. (2021). A Retrospective Chart Review of Referrals for Speech-Language Pathology Services after Concussion. Archives of Physical Medicine and Rehabilitation, 102(10), e55–e56. doi:10.1016/j.apmr.2021.07.631
Reading abilities post traumatic brain injury in adolescents and adults: A systematic review and meta-analysis
People with traumatic brain injury (TBI) often struggle with complex reading, limiting participation in work and educational settings. This systematic review and meta-analysis examined studies of reading conducted with adolescents and adults with TBI to describe reading problems post TBI and investigate underlying factors for the effects of TBI on reading abilities.
Pei, Y., & O’Brien, K. H. (2021). Reading Abilities Post Traumatic Brain Injury in Adolescents and Adults: A Systematic Review and Meta-Analysis. American Journal of Speech-Language Pathology, 30(2), 789–816. doi:10.1044/2020_AJSLP-20-00213