The development of awareness and the use of compensatory strategies for cognitive deficits

Dirette, Diane Powers

doi:10.1080/02699050210131902

Cited by 57 publications

(42 citation statements)

References 18 publications

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“…However, the significant correlation between EF and metacognitive SA strongly suggests the importance of integrating an overall assessment of cognitive functions with a specific evaluation of self-awareness and of treating selfawareness contextually in a structured comprehensive rehabilitation program (Port et al, 2002). In fact, the inclusion of self-awareness in a multi-disciplinary rehabilitation program (Dirette, 2002) might enhance patients' self-awareness and participation in cognitive and functional tasks.…”

Section: Discussionmentioning

confidence: 99%

Executive function and metacognitive self-awareness after Severe Traumatic Brain Injury

Bivona

Ciurli

Barba

et al. 2008

J Int Neuropsychol Soc

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The objective of this study is to identify the clinical, neuropsychological, neuropsychiatric, and functional variables that correlate with metacognitive self-awareness (SA) in severe traumatic brain injury (TBI) outpatients and to assess the influence of the same variables on the sensory-motor, cognitive, and behavioral-affective indicators of SA. This cross-sectional observational study evaluated 37 outpatients from May 2006 to June 2007 in a neurorehabilitation hospital on the basis of the following inclusion criteria: (1) age Ն 15 years; (2) diagnosis of severe TBI (Glasgow Coma Scale, GCS Յ 8); (3) posttraumatic amnesia (PTA) resolution; (4) capacity to undergo formal psychometric evaluation despite cognitive and sensory-motor deficits; (5) absence of aphasia; (6) availability of informed consent. A neuropsychological battery was used to evaluate attention, memory, and executive functions. SA was assessed by the awareness questionnaire (AQ), administered to both patients and relatives. Decreased metacognitive self-awareness is significantly correlated with increased problems in some components of executive system, even when the AQ subscales were considered separately. The significant correlation found between some components of executive system and metacognitive self-awareness confirmed the importance of addressing this issue to treat SA contextually in the rehabilitation of executive functions. (JINS, 2008, 14, 862-868.)

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Section: Discussionmentioning

confidence: 99%

Executive function and metacognitive self-awareness after Severe Traumatic Brain Injury

Bivona

Ciurli

Barba

et al. 2008

J Int Neuropsychol Soc

View full text Add to dashboard Cite

show abstract

“…Whether they were attentive to their difficulties and able to identify errors in their actions also appeared to be conditions of great importance for many of the response actions. Dirette and others (16,44) have also emphasized that the ability of people with ABI to accurately recognize problems caused by the brain injury is linked to their ability to compensate. In addition, Ekstam et al (45) found that awareness of disabilities in people with stroke is related to their efficiency in the performance of tasks in daily life.…”

Section: Discussionmentioning

confidence: 99%

“…For example, those with mild or severe impairments are less likely to compensate than those with moderate impairments, but people with pronounced amnesia but no other cognitive impairments are more likely to compensate than those with less pronounced amnesia and additional cognitive impairments (9). Awareness of deficits (16,19,20) and perceived self-efficacy (21) are also important for peoples' compensatory response actions. In addition, age, length of time postinjury and rehabilitation are likely to influence whether the compensatory response actions are successful or not (7,9).…”

Section: Introductionmentioning

confidence: 99%

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Response actions to difficulties in using everyday technology after acquired brain injury

Lund

Engström

Lexell

2011

Scandinavian Journal of Occupational Therapy

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Purpose: People with acquired brain injury (ABI) have difficulties using everyday technology (ET) in daily tasks at home and in the society. To support them managing the demands imposed by using ET, knowledge is needed about their response actions to the difficulties that occur during task performance, their conditions and efficiency. The aim of this study was to explore and describe what characterizes response actions to difficulties using ET, their conditions and how they influence the experiences of tasks in daily life among people with ABI.Methods: Interviews and observations were undertaken with thirteen men and women with an ABI. Data were analyzed qualitatively using the constant comparative method. Results:The participants' response actions were categorized as (i) deliberately and organized planning, (ii) random and inflexible repeating (iii), re-evaluating tasks, (iv) explaining difficulties related to others, and (iv) proving and protecting capability. Certain conditions were decisive for the different response actions to be applied and also for their effectiveness in enabling engagement in tasks in daily life. Each participant used several type of response actions and the same action could be applied in several situations. Conclusion:To support people with an ABI to manage the demands imposed by using ET, it is important to identify the uniqueness of each client and his or her response actions to difficulties using ET and thereafter adjust the interventions accordingly.

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“…Given that awareness of deficits, including the nature of psychosocial and physical problems, influences ones perception of their severity, the relationship between this and life satisfaction requires further exploration. Dirette (2002) explains that attaining awareness following TBI is a slow process that involves comparing performance on functional tasks in a familiar setting with their pre-morbid functional level. If participation in treatment raises awareness of problems previously not perceived as present by the individual, it is reasonable to presume a negative impact on life satisfaction despite functional treatment gain.…”

Section: Satisfaction With Lifementioning

confidence: 99%

The Impact of Intensive Community Based Rehabilitation on Community Participation and Life Satisfaction Following Severe Traumatic Brain Injury

Wheeler¹

2012

Brain Injury - Functional Aspects, Rehabilitation and Prevention

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The development of awareness and the use of compensatory strategies for cognitive deficits

Abstract: In-depth qualitative exploration of the experiences of clients has the potential to provide guidance for more effective cognitive rehabilitation interventions.

Cited by 57 publications

References 18 publications

Executive function and metacognitive self-awareness after Severe Traumatic Brain Injury

Executive function and metacognitive self-awareness after Severe Traumatic Brain Injury

Response actions to difficulties in using everyday technology after acquired brain injury

The Impact of Intensive Community Based Rehabilitation on Community Participation and Life Satisfaction Following Severe Traumatic Brain Injury

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