Moderators, mediators and nonspecific predictors of outcome after cognitive rehabilitation of executive functions in a randomised controlled trial

Tornås, Sveinung; Stubberud, Jan; Solbakk, Anne‐Kristin; Evans, Jonathan J.; Schanke, Anne‐Kristine; Løvstad, Marianne

doi:10.1080/09602011.2017.1338587

Cited by 4 publications

(4 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Identifying more precisely who are at relatively greater risk for relapse and targeting those individuals with maintenance intervention would be a cost-effective strategy. For the time being, we have limited knowledge about which interventions and intervention mechanisms work best for whom, when in the course of recovery, and under what conditions (Tornås et al, 2017).…”

Section: Maintenance Interventionmentioning

confidence: 99%

Use It or Lose It? A 5-Year Follow-up Study of Goal Management Training in Patients with Acquired Brain Injury

Tornås

Løvstad

Solbakk

et al. 2019

J Int Neuropsychol Soc

Self Cite

View full text Add to dashboard Cite

Objectives:To determine the perceived 5-year outcome of Goal Management Training (GMT) for individuals with chronic acquired brain injury and executive dysfunction, when compared to a nonspecific psychoeducational intervention (Brain Health Workshop, BHW).Methods:Of the 67 subjects in the initial randomized controlled trial [Tornås et al. (2016). Journal of the International Neuropsychological Society, 1–17], 50 (GMT, n = 21; BHW, n = 29) subjects returned written consent and questionnaires (54% male, age 45.8 ± 10.9 years). The 5-year follow-up consisted of two questionnaires, including the Behavior Rating Inventory of Executive Function for daily life executive function (EF) and Quality of Life after Brain Injury to assess health-related quality of life (HRQoL). Changes related to daily life EF and HRQoL were assessed pre-treatment, post-treatment, 6-month follow-up, and 5-year follow-up. Data were analyzed using a 2 × 4 mixed-design ANOVA.Results:The findings indicate that GMT is efficacious in improving EF and HRQoL 6-month post-treatment. However, these changes failed to remain significant at 5-year follow-up.Conclusions:Data from 50 participants receiving either GMT or BHW suggested that the significant GMT-related improvements on perceived EF and HRQoL observed at 6-month follow-up were no longer present at 5-year follow-up. These findings indicate a need to promote maintenance of interventions post-treatment.

show abstract

Section: Maintenance Interventionmentioning

confidence: 99%

Use It or Lose It? A 5-Year Follow-up Study of Goal Management Training in Patients with Acquired Brain Injury

Tornås

Løvstad

Solbakk

et al. 2019

J Int Neuropsychol Soc

Self Cite

View full text Add to dashboard Cite

show abstract

“…Although our sample was larger than that of other rehabilitation studies (e.g. Giummarra et al, 2018;Stamenova & Levine, 2019;Tornås et al, 2019), it was still rather modest considering that we conducted moderation analyses in a multilevel setting. Therefore, our results should be considered as hypothesis-generating findings that can be further investigated in future studies.…”

Section: Limitations and Strengthsmentioning

confidence: 98%

“…Due to this overall rather limited effect, we decided to investigate possible moderators of the treatment. In addition to examining an intervention's effectiveness, the question of potential moderators, that is, what works best for whom, is a key aspect of intervention research (Grawe, 1997(Grawe, , 2004Kraemer et al, 2002;Tornås et al, 2019). Knowledge of patient characteristics that moderate treatment outcomes could help personalise psychosocial rehabilitation treatment.…”

Section: Introductionmentioning

confidence: 99%

Coping styles and optimism predict different aspects of well‐being in a randomised controlled trial of a tailored counselling intervention for injured workers

Abegglen¹,

Hegy²,

Schade³

et al. 2021

Couns and Psychother Res

View full text Add to dashboard Cite

Objective Many injured people suffer from reduced well‐being and emotional distress even with mild‐to‐moderate accident‐related injuries. This study aimed to identify moderators of treatment efficacy of a highly tailored multidisciplinary counselling intervention for injured workers. Methods We conducted exploratory moderator analyses of a prospective randomised controlled trial with 192 mild to moderately injured workers (71.9% men; Mage = 50) who were randomised to either a control group with case management only, or an intervention group with case management plus tailored counselling intervention. Seven moderators, including five coping styles, as well as dispositional optimism and pessimism, were assessed at baseline. The outcome measures, assessed at baseline and 12 months (post‐measure) and 18 months (follow‐up measure) post‐injury, concerned five aspects of well‐being: job and life satisfaction, negative feelings, well‐being related to family and personal health. Results We found differential treatment effects, as participants low in social diversion (d = 0.26), high in emotion‐oriented coping (d = 0.64) and low in optimism (d = 0.48) benefited from the tailored counselling intervention and showed enhanced well‐being in different aspects of life. No other effects were significant. Conclusion The results suggest that our tailored counselling intervention has a modest effect on negative feelings for mild to moderately injured workers. Generally, dispositional optimism and coping styles should be considered in rehabilitation interventions of injured workers.

show abstract

“…We performed a PubMed literature search (predictor, prognosis, cognitive rehabilitation, cognitive training, and brain injury), yielding only 16 studies, of which two were relevant ( Rosti-Otajärvi et al, 2013 ; Tornås et al, 2019 ). There are no studies on predictive factors on attention training.…”

Section: Introductionmentioning

confidence: 99%

Predicting Outcome for Early Attention Training After Acquired Brain Injury

Bartfai

Elg

Schult

et al. 2022

Front. Hum. Neurosci.

View full text Add to dashboard Cite

BackgroundThe training of impaired attention after acquired brain injury is central for successful reintegration in daily living, social, and working life. Using statistical process control, we found different improvement trajectories following attention training in a group of relatively homogeneous patients early after acquired brain injury (ABI).ObjectiveTo examine the contribution of pre-injury factors and clinical characteristics to differences in outcome after early attention training.Materials and MethodsData collected in a clinical trial comparing systematic attention training (APT) with activity-based attention training (ABAT) early after brain injury were reanalyzed.ResultsStroke patients (p = 0.004) with unifocal (p = 0.002) and right hemisphere lesions (p = 0.045), and those with higher mental flexibility (TMT 4) (p = 0.048) benefitted most from APT training. Cognitive reserve (p = 0.030) was associated with CHANGE and APT as the sole pre-injury factor. For TBI patients, there was no statistical difference between the two treatments.ConclusionOur study identifies indiscernible factors predicting improvement after early attention training. APT is beneficial for patients with right-hemispheric stroke in an early recovery phase. Knowledge of prognostic factors, including the level of attention deficit, diagnosis, and injury characteristics, is vital to maximizing the efficiency of resource allocation and the effectiveness of rehabilitative interventions to enhance outcomes following stroke and TBI.

show abstract

Moderators, mediators and nonspecific predictors of outcome after cognitive rehabilitation of executive functions in a randomised controlled trial

Cited by 4 publications

References 55 publications

Use It or Lose It? A 5-Year Follow-up Study of Goal Management Training in Patients with Acquired Brain Injury

Use It or Lose It? A 5-Year Follow-up Study of Goal Management Training in Patients with Acquired Brain Injury

Coping styles and optimism predict different aspects of well‐being in a randomised controlled trial of a tailored counselling intervention for injured workers

Predicting Outcome for Early Attention Training After Acquired Brain Injury

Contact Info

Product

Resources

About