Computer-based cognitive interventions in acquired brain injury: A systematic review and meta-analysis of randomized controlled trials

López, Rodrigo Fernández; Antolí, Adoración

doi:10.1371/journal.pone.0235510

Cited by 18 publications

(12 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…But early forays into machine- (i.e., computer) based clinical activities extend decades, for example, in administration, scoring, and interpretation of psychological testing (e.g., Rozensky et al, 1986). In addition to testing, computer-assisted treatment has an extensive pedigree as well, such as in acquired cognitive dysfunction (Fernández López & Antolí, 2020).…”

Section: Solutions For Thriving In the Futurementioning

confidence: 99%

The future of independent psychology practice is here now: Thriving in the era of disruption.

Herz¹

2023

Practice Innovations

View full text Add to dashboard Cite

Psychologists in independent practice (PIs) have never been fully independent. Practice occurs in the context of multiple systems, and interdependence is a fact of successful practice life. Often understood in terms of local practice contexts such as patients/client groups and referrers, other systems in which PIs are embedded are relatively hidden. Some are potentially more malleable, some are relatively fixed, and some will disrupt "practice as we know it." Unseen contexts affect current practice and must be taken into account for future practice development and health. This article identifies some of the more influential, potentially less obvious but unavoidable contexts, provides a glimpse into how these came to be, attempts to illuminate current and likely future disruptions, and offers suggestions for proaction. Systems and contexts addressed include how prices for psychological services are established both for and by PIs, the health care insurance industrial complex, and legal guardrails that support health care delivery and appear to limit PIs' freedom of group action. Recommendations are offered for thriving in the context of disruptions to service delivery, practice, and payment structures. Clinical Impact StatementIndependent psychology practice is embedded in many systems, some of which may be less obvious and relatively stable. Economic factors, population needs, reduced stigma, technology, cost transparency, and other major influences will force substantial changes in practice. This article describes some of the foreseeable risks and identifies opportunities for independently practicing psychologists to adapt and thrive in the future.

show abstract

Section: Solutions For Thriving In the Futurementioning

confidence: 99%

The future of independent psychology practice is here now: Thriving in the era of disruption.

Herz¹

2023

Practice Innovations

View full text Add to dashboard Cite

show abstract

“…Impairments that occur postinjury can vary depending on a number of injury and patient-specific variables (Rabinowitz & Levin, 2014), and thus individual neuropsychological presentations can be diverse. Impairments often occur across multiple domains, and can include deficits related to attention, memory, visuospatial function, executive function, or language (Cicerone et al, 2000; Fernández López & Antolí, 2020; Sohlberg & Mateer, 2001).…”

Section: Acquired Brain Injurymentioning

confidence: 99%

Evaluating the effectiveness of compensatory memory interventions in adults with acquired brain injury: A systematic review and meta-analysis of memory and everyday outcomes.

Hudes¹,

Baptist-Mohseni²,

Dimech³

et al. 2022

Neuropsychology

View full text Add to dashboard Cite

Objective: Adults with acquired brain injury (ABI) often experience memory impairments that are persistent and difficult to treat. Although evidence has shown that rehabilitation programs may improve cognitive performance in persons with ABI, there is an opportunity to look more closely at the benefits provided by specific interventions. We conducted a systematic review and meta-analysis to evaluate whether compensation-based memory programs improve memory or everyday outcomes (e.g., mood, quality of life, community integration, everyday functioning). Method: The review was limited to published, Englishlanguage controlled trials that evaluated compensatory memory interventions for adults (18+) with ABI using at least one memory or everyday outcome. The final search was conducted in April 2021 using PsychINFO, Medline, EMBASE, the Cochrane Review database, Google Scholar, and the reference lists of relevant articles. Results: Of 2,817 identified articles, 22 controlled trials met inclusion criteria, of which 12 provided sufficient data to include in the meta-analyses. Risk of bias assessment identified problems with recruitment and masking procedures. Results indicate that compared to controls, these interventions produce positive effects on outcomes of immediate verbal recall (g = 0.43), participant-reported memory (g = 0.28), and strategy use (g = 0.39) and that these improvements are maintained at follow-up. Conclusions: Compensatory memory programs produce meaningful memory improvements and are a promising avenue for reducing ABI-related memory impairment. Future research focusing on specific subsets of ABI populations and a broader range of participant-reported outcomes is needed. This review was preregistered in the PROSPERO database (Registration number: CRD42020197592).

show abstract

“…111 Indeed, there is growing evidence for the use of computer-based cognitive interventions that can be completed from home. 112 113 In a recent meta-analysis of such interventions applied toward a general acquired brain injury population, 113 these programs generally ranged from 10 to 20 hours of instruction spread over 20 to 30 sessions of 30- to 45-minute duration. However, compared with the manualized cognitive programs described previously, 93 94 95 the meta-analysis revealed less robust effects with significant improvements only in visual and verbal working memory, which also did not generalize to other aspects of cognition or daily living.…”

Section: Cognitive Rehabilitationmentioning

confidence: 99%

Neuropsychiatric Treatment for Mild Traumatic Brain Injury: Nonpharmacological Approaches

et al. 2022

View full text Add to dashboard Cite

Postconcussive symptoms following mild traumatic brain injury (mTBI)/concussion are common, disabling, and challenging to manage. Patients can experience a range of symptoms (e.g., mood disturbance, headaches, insomnia, vestibular symptoms, and cognitive dysfunction), and neuropsychiatric management relies heavily on nonpharmacological and multidisciplinary approaches. This article presents an overview of current nonpharmacological strategies for postconcussive symptoms including psychoeducation; psychotherapy; vestibular, visual, and physical therapies; cognitive rehabilitation; as well as more novel approaches, such as neuromodulation. Ultimately, treatment and management of mTBI should begin early with appropriate psychoeducation/counseling, and be tailored based on core symptoms and individual goals.

show abstract

Computer-based cognitive interventions in acquired brain injury: A systematic review and meta-analysis of randomized controlled trials

Cited by 18 publications

References 47 publications

The future of independent psychology practice is here now: Thriving in the era of disruption.

The future of independent psychology practice is here now: Thriving in the era of disruption.

Evaluating the effectiveness of compensatory memory interventions in adults with acquired brain injury: A systematic review and meta-analysis of memory and everyday outcomes.

Neuropsychiatric Treatment for Mild Traumatic Brain Injury: Nonpharmacological Approaches

Contact Info

Product

Resources

About