Cognitive interventions post acquired brain injury

Rees, Laura; Marshall, Shawn; Hartridge, Cheryl; Mackie, David; Weiser, Margaret

doi:10.1080/02699050701201813

Cited by 102 publications

(88 citation statements)

References 69 publications

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“…Although the effectiveness of cognitive rehabilitation is documented within some domains following ABI, there is still a paucity of empirical evidence for the efficacy of interventions for rehabilitation of EF (Cicerone et al, 2011;Rees, Marshall, Hartridge, Mackie & Weiser, 2007; Wilson, 2008). Reviews recommend metacognitive strategy training including self-monitoring and self-regulation as practice standard following ED due to traumatic brain injury (TBI) (Cicerone et al, 2011;Kennedy et al, 2008).…”

Section: Tornås-goal Management Training In Abimentioning

confidence: 99%

Rehabilitation of Executive Functions in Patients with Chronic Acquired Brain Injury with Goal Management Training, External Cuing, and Emotional Regulation: A Randomized Controlled Trial

Tornås

Løvstad

Solbakk

et al. 2016

J Int Neuropsychol Soc

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Methods: Seventy patients with a verified ABI and executive dysfunction were randomly allocated to GMT (n = 33) or a psycho-educative active control condition, Brain Health Workshop (BHW) (n = 37). In addition, all participants received external cueing by text messages. Neuropsychological tests and self-reported questionnaires of executive functioning were administered pre-intervention, immediately after intervention, and at 6 months followup. Assessors were blinded to group allocation.Results: Questionnaire measures indicated significant improvement of everyday executive functioning in the GMT group, with effects lasting at least 6 months post-treatment. Both groups improved on the majority of the applied neuropsychological tests. However, improved performance on tests demanding executive attention was most prominent in the GMT group. Conclusions:The results indicate that GMT combined with external cueing is an effective metacognitive strategy training method, ameliorating executive dysfunction in daily life for patients with chronic ABI. The strongest effects were seen on self-report measures of executive functions 6 months post-treatment, suggesting that strategies learned in GMT were applied and consolidated in everyday life after the end of training. Furthermore, these findingsshow that executive dysfunction can be improved years after the ABI. INTRODUCTIONExecutive functions (EF) are required for independent, purposive, self-directed behavior and include processes of initiation, planning, purposive action, volition, inhibition, flexibility, as well as self-monitoring and self-regulation (Lezak, 1995;Stuss, 2011). A division between "cold" and "hot" components of EF has been suggested, with "cold" EF corresponding closely to cognitive and logical processes, and the "hot" aspects of EF involving regulation of emotion and motivation (Chan, Shum, Toulopoulou & Chen, 2008).Thus, EF is an umbrella term for a set of interrelated capacities resulting from activity in anatomically and functionally independent, but interconnected networks subserved by widespread brain regions, the prefrontal cortex playing a central role (Stuss & Alexander, 2007).Executive dysfunction (ED) is common following acquired brain injury (ABI) (Stuss & Levine, 2002;Novakovic-Agopian et al, 2011), and may disrupt the ability to effectively use intact functions or compensatory strategies, undermine efficient self-management (Lewis, Babbage & Leathem, 2011), hamper the rehabilitation process (Robertson & Murre, 1999), and is also associated with long-term negative psychosocial and vocational outcome (Draper & Ponsford, 2008; Ylvisaker & Feeney, 2000). Thus, techniques for reducing ED might significantly impact functional outcome (Manly & Murphy, 2012).Most theories describe EF as top-down controlled processes involved in the control and direction of self-regulatory cognition, emotion and behavior (Cicerone et al., 2006;Stuss, 2011). Current theories of cognitive EF bear close resemblance to dominant models of attention (Norman & Shalli...

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Section: Tornås-goal Management Training In Abimentioning

confidence: 99%

Rehabilitation of Executive Functions in Patients with Chronic Acquired Brain Injury with Goal Management Training, External Cuing, and Emotional Regulation: A Randomized Controlled Trial

Tornås

Løvstad

Solbakk

et al. 2016

J Int Neuropsychol Soc

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“…A wristwatch with a total of 6 alarms (sound and vibrations) was programmed to remind medication twice a day (9). The participant needed to take the medication at once when the watch alarmed and, therefore, was the most appropriate to use.…”

Section: Taking Medication Punctually By the Use Of A Wristwatch Withmentioning

confidence: 99%

“…In reviewing the literature about the use and efficency of AT or ET in the form of electronic aids in people with ABI, it was found that a variety of AT, such as palmtop computer, paging system, voice organizer, can reduce memory problems [9,[15][16][17][18][19]. To the best of our knowledge, only one study has used unmodified handheld computers off-the-shelf to compensate for disabilities in people with ABI [20].…”

Section: Introductionmentioning

confidence: 99%

“…A compensatory approach to reduce remaining disabilities are therefore commonly applied, in rehabilitation in general [4,8,9] as well in occupational therapy [10,11]. In occupational therapy [11], adapted methods of doing, adaptive equipment and assistive technology (AT) are used to compensate for ineffective actions to improve the performance of daily life tasks that people with an ABI need and want to do to enhance their roles and participation in society.…”

Section: Introductionmentioning

confidence: 99%

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Improvements of task performance in daily life after acquired brain injury using commonly available everyday technology

Lindén¹,

Lexell²,

Lund³

2010

Disability and Rehabilitation: Assistive Technology

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Purpose: To investigate how individualized occupation-based interventions with commonly available everyday technology (ET) can compensate for perceived difficulties with daily life tasks after an aquired brain injury (ABI) and improve satisfaction with occupational performance. Method: This intervention study was designed as a multiple case study according to Yin. Ten men and women with an ABI (traumatic or non-traumatic) participated. Data were collected through interviews, observations and field notes before and after the intervention and at follow-up (on average 11 weeks afterwards). The interventions focused on enabling each participant's prioritized goals related to task performance in daily life. Results: All participants achieved all their goals by learning to use both new functions in their own familiar ET and new ET. The participants perceived difficulties in occupational performance decreased and their satisfaction with occupational performance increased with the use of ET. Conclusions: An individualised intervention process, involving the use of own familiar ET or ET off-the-shelf, has the potential to compensate for perceived difficulties following an ABI and improve satisfaction with occupational performance in daily life.Key words: activities of daily living; assistive technology; brain injury; occupational therapy; rehabilitation INTRODUCTIONPeople with an acquired brain injury (ABI) can experience a wide range of difficulties with daily life tasks, such as self-care, productivity and leisure [1,2], as well as restrictions of participation and decreased quality of life [3][4][5][6][7]. A compensatory approach to reduce remaining disabilities are therefore commonly applied, in rehabilitation in general [4,8,9] as well in occupational therapy [10,11]. In occupational therapy [11], adapted methods of doing, adaptive equipment and assistive technology (AT) are used to compensate for ineffective actions to improve the performance of daily life tasks that people with an ABI need and want to do to enhance their roles and participation in society.AT comprises low-tech (mechanical) and high-tech (electro-mechanical or computerized) devices [12] and is defind as "any item, piece of equipment, or product system, (acquired commercially off-the-shelf, modified, or customized), that is used to increase, maintain, or improve functional capabilities of individuals with disabilities" [13]. However, it can be difficult to differentiate AT from everyday technology (ET) objects [14], such as mobile phones and computers, that already exist in peoples' lives and may be used to reduce difficulties in occupational performance.In reviewing the literature about the use and efficency of AT or ET in the form of electronic aids in people with ABI, it was found that a variety of AT, such as palmtop computer, paging system, voice organizer, can reduce memory problems [9,[15][16][17][18][19]. To the best of our knowledge, only one study has used unmodified handheld computers off-the-shelf to compensate for disabilities ...

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“…Many studies have attempted to develop strategies for improvement of memory impairment in patients with TBI 2) . These strategies include computerbased memory training programs, therapist-assisted memory training, cholinergic drugs, and memory aids including a notebook, appointment diary, or to-do-list [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Memory Training Application for a Patient with Traumatic Brain Injury

et al. 2013

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Abstract.[Purpose] Memory impairment is a common sequela in patients with traumatic brain injury (TBI). Little is known about applications for memory training for patients with TBI. We investigated the effect of a memory training application in a patient with TBI. [Subjects and Methods] A 37 year-old male patient presented with memory impairment since onset of TBI resulting from a traffic accident. We developed a memory training application for use with a tablet PC. It consists of six stages. Each stage is composed of visual and auditory memory training parts. Two training sessions were conducted per day, five days per week, for a period of three months from nine months after onset to 11 months after onset.[Results] The patient's scores on the Memory Assessment Scale showed improvement after participating in the memory training program for a period of three months: global memory, 56.6%; short-term memory, 13.2%; visual memory, 75.0%; and verbal memory, 37.9%. [Conclusions] We observed significant improvement of memory function of this patient after memory training using this application. As a result of these findings, we believe that this application could be useful for improving memory impairment of patients with TBI.

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Cognitive interventions post acquired brain injury

Abstract: Future research should explore functional outcome measures and long-term effects of treatment interventions through follow-up.

Cited by 102 publications

References 69 publications

Rehabilitation of Executive Functions in Patients with Chronic Acquired Brain Injury with Goal Management Training, External Cuing, and Emotional Regulation: A Randomized Controlled Trial

Rehabilitation of Executive Functions in Patients with Chronic Acquired Brain Injury with Goal Management Training, External Cuing, and Emotional Regulation: A Randomized Controlled Trial

Improvements of task performance in daily life after acquired brain injury using commonly available everyday technology

The Effect of a Memory Training Application for a Patient with Traumatic Brain Injury

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