Evaluation of an occupation-based metacognitive intervention targeting awareness, executive function and goal-related outcomes after traumatic brain injury using single-case experimental design methodology.

Neuropsychological Rehabilitation
Emmah DoigTamara Ownsworth

Abstract

Self-awareness is commonly impaired after traumatic brain injury and impacts on rehabilitation engagement and community re-integration outcomes. Interventions which incorporate metacognitive strategy instruction have the potential to improve rehabilitation engagement and outcomes. This study aimed to determine whether an occupation-based intervention incorporating metacognitive strategy instruction resulted in goal achievement and improved online awareness and executive function performance during goal-related tasks. A single-case experimental design using a multiple-baseline design across behaviours was used with two participants with severe traumatic brain injury to evaluate the effectiveness of the 6-week intervention. Repeated measures of goal-related performance, percentage of self-corrected errors and executive function were made via independent analysis of video footage and documentation logs. Data analysis involved 2SD bandwidth analysis and overlap data, reliable change index and evaluation of goal achievement across phases. There were improvements in self-corrected errors for one participant, which were maintained. Significant reductions in anxiety (RCI = ±5.98) were evident for both participants, with a significant r...Continue Reading

References

Jul 1, 1988·Brain Injury : [BI]·C S LamA Gehred-Schultz
Jan 1, 1995·Journal of Applied Behavior Analysis·A Pfadt, D J Wheeler
Sep 30, 1998·The Journal of Head Trauma Rehabilitation·M ShererT G Nick
Feb 2, 2002·Occupational Therapy International·BELKIS Landa-Gonzalez
Apr 30, 2002·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Paula Gaudet
Feb 26, 2003·Archives of Physical Medicine and Rehabilitation·Mark ShererStuart A Yablon
Mar 15, 2003·Brain Injury : [BI]·Melina Simmond, Jennifer Fleming
Jun 28, 2003·The British Journal of Clinical Psychology·John R Crawford, Julie D Henry
Nov 1, 2003·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·T N TombaughL Rees
Mar 11, 2004·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Tom N Tombaugh
Jan 26, 2006·Journal of the International Neuropsychological Society : JINS·Tamara OwnsworthPim Kuipers
Mar 31, 2006·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Jennifer M FlemingSue Lightbody
Jun 7, 2006·Brain Injury : [BI]·S K W Cheng, D W K Man
Jun 7, 2006·Disability and Rehabilitation·William M M LevackKath M McPherson
Dec 8, 2006·Neuropsychology Review·Pélagie M Beeson, Randall R Robey
Aug 31, 2007·Brain Injury : [BI]·Yael GoveroverJohn Deluca
Aug 21, 2008·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Carolyn M BaumDorothy F Edwards
Jan 12, 2011·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Emmah DoigPetrea L Cornwell
Mar 18, 2011·Behavior Modification·Richard I ParkerJohn L Davis
Apr 19, 2011·Journal of Public Health Dentistry·Belinda Borrelli
Jun 1, 2012·The Journal of Head Trauma Rehabilitation·Robyn L TateVanessa Aird
Dec 26, 2013·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Tanya Rihtman, Shula Parush
Jun 9, 2016·Journal of School Psychology·Robyn L TateBarbara Wilson
Sep 14, 2016·Australian Occupational Therapy Journal·Emmah DoigStephanie Fletcher

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Brain Injury & Trauma

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