INCOG Recommendations for Management of Cognition Following Traumatic Brain Injury, Part II

Ponsford, Jennie Louise; Bayley, Mark; Wiseman-Hakes, Catherine; Togher, Leanne; Velikonja, Diana; McIntyre, Amanda; Janzen, Shannon; Tate, Robyn

doi:10.1097/htr.0000000000000072

Cited by 106 publications

(65 citation statements)

References 109 publications

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“…Survey questions were developed in three stages. Stage one involved review of the previous three surveys in Australia (Koh et al, ), Canada (Korner‐Bitensky et al, ) and Sweden (Holmqvist et al, ), to identify questions that could be re‐used for the purpose of collecting longitudinal data on practice patterns over time. Stage two involved identifying current cognitive intervention approaches and available evidence, using recently published systematic reviews.…”

Section: Methodsmentioning

confidence: 99%

“…These surveys collectively point to the need for increased awareness of existing research evidence and facilitation of knowledge translation into practice. With the growing body of evidence supporting specific cognitive intervention approaches in cognitive rehabilitation (Ponsford et al, ; Tate et al, ; Velikonja et al, ), occupational therapists need to explore, evaluate and document how these cognitive approaches can be embedded in occupation‐based clinical practice. The extent to which evidence implementation is occurring in contemporary practice is not well‐understood and is the primary driver for this research.…”

Section: Introductionmentioning

confidence: 99%

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Evidence based practice and knowledge translation: A survey of Australian occupational therapy practice with clients experiencing neurocognitive impairments

Nott

Barden

Chapparo

et al. 2019

Aus Occup Therapy J

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Introduction:The clinical practice patterns and use of research evidence by Australian occupational therapists working with clients experiencing neurocognitive impairments has not been surveyed for nearly 10 years. This survey aimed to evaluate the current status of occupational therapy practice and evidence use and provide recommendations for ongoing evidence translation. Methods: An online survey of occupational therapists working in Australia was conducted over four months targeting registered clinicians working with adults experiencing neurocognitive impairments. Results: 191 occupational therapists from a wide range of clinical practice areas, with a significant level of experience completed the survey. Functional retraining (n = 180, 94%), compensatory training (n = 173, 91%) and task/environmental modifications (n = 161, 84%) were the most commonly reported intervention techniques, while more targeted interventions such as context-sensitive training (n = 54, 28%), positive behaviour supports (n = 42, 22%) and metacognitive strategy training (n = 37, 19%) were used less frequently. Half the respondents were aware of current research evidence and suggested a wide range of strategies supporting evidence translation. Traditional barriers of limited time, access and skills to interpret research were also reported. Conclusion: Consistent with earlier surveys most occupational therapists continue to use a functional/compensatory approach to cognitive rehabilitation, with an increasing number of therapists using specialist cognitive interventions. The current challenge for occupational therapists is embedding specialist techniques into occupation-based intervention. Knowledge translation and implementation strategies will be a critical component to achieving this. K E Y W O R D S acquired brain injury , evidence based practice, knowledge translation , metacognitive strategy training, occupational therapy | 75 NOTT eT al.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evidence based practice and knowledge translation: A survey of Australian occupational therapy practice with clients experiencing neurocognitive impairments

Nott

Barden

Chapparo

et al. 2019

Aus Occup Therapy J

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“…14,35,36 MPH has been associated with improvements in motor speed, attention, memory, processing speed, and mental fatigue in clinical patients with TBI. [37][38][39][40][41][42] In addition, MPH is currently regarded as the first-line treatment for attention and processing speed deficits in patients with TBI. 43 The hypothesis to be tested was that combining MPH and EE after CCI injury would produce greater benefits on behavioral recovery than either treatment individually.…”

Section: Introductionmentioning

confidence: 99%

The Therapeutic Efficacy of Environmental Enrichment and Methylphenidate Alone and in Combination after Controlled Cortical Impact Injury

LearyJacob

Bondi

LaPorteMegan

et al. 2017

Journal of Neurotrauma

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Environmental enrichment (EE) and methylphenidate (MPH) independently confer significant benefit to behavioral recovery after controlled cortical impact (CCI) injury. Given that combinational therapies may be more clinically translatable than monotherapies, the aim of the current study was to test the hypothesis that a combined treatment regimen of EE and MPH would provide greater therapeutic efficacy than either one alone. Anesthetized adult male rats received either a CCI of moderate severity or sham injury and were then randomly assigned to EE or standard (STD) housing where they received either intraperitoneal (ip) MPH (5 mg/kg) or vehicle (VEH; 1.0 mL/kg; ip) beginning 24 h after injury and once daily for 19 days. Motor and cognitive assessments were conducted on post-injury days 1-5 and 14-19, respectively. No differences were observed in sham controls regardless of treatments, and thus their data were pooled. The traumatic brain injury (TBI)+EE+VEH and TBI+EE+MPH groups exhibited enhanced beam balance and beam walk performance relative to the TBI+STD+VEH group ( p < 0.05), but did not differ from one another ( p > 0.05). No effect of MPH treatment alone was observed in either motor task. In contrast, MPH improved spatial learning and memory when presented alone and also when combined with EE relative to VEH-treated STD controls ( p < 0.05). In addition, both EE groups performed significantly better than the TBI+STD+MPH group ( p < 0.05), but did not differ from one another ( p > 0.05). These data replicate previous findings that both EE and MPH confer cognitive benefits after TBI and extend the findings by revealing that combining EE and MPH does not produce effects greater than either treatment alone, which does not support the hypothesis. The lack of an additive effect may be because of the robustness of the EE.

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“…Given that there is agreement as to the value of interdisciplinary approaches and eHealth for the provision of care to people with TBI, there appears to be limited research exploring the interdisciplinary use of eHealth for TBI rehabilitation [13][14][15][16]. As yet, research in the use of technology for rehabilitation after TBI is predominantly limited to the context of a single discipline and/or technology [17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review

et al. 2017

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INCOG Recommendations for Management of Cognition Following Traumatic Brain Injury, Part II

Abstract: The INCOG recommendations for rehabilitation of attention provide up-to-date guidance for clinicians treating people with traumatic brain injury.

Cited by 106 publications

References 109 publications

Evidence based practice and knowledge translation: A survey of Australian occupational therapy practice with clients experiencing neurocognitive impairments

Evidence based practice and knowledge translation: A survey of Australian occupational therapy practice with clients experiencing neurocognitive impairments

The Therapeutic Efficacy of Environmental Enrichment and Methylphenidate Alone and in Combination after Controlled Cortical Impact Injury

Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review

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