Abstract
AbstractThis paper investigates the utility and efficacy of a novel eight-week cognitive rehabilitation programme developed to remediate attention deficits in adults who have sustained a traumatic brain injury (TBI), incorporating the use of both action video game playing and a compensatory skills programme. Thirty-one male TBI patients, aged 18–65 years, were recruited from 2 Australian brain injury units and allocated to either a treatment or waitlist (treatment as usual) control group. Results showed improvements in the treatment group, but not the waitlist control group, for performance on the immediate trained task (i.e. the video game) and in non-trained measures of attention and quality of life. Neither group showed changes to executive behaviours or self-efficacy. The strengths and limitations of the study are discussed, as are the potential applications and future implications of the research.
Highlights
Traumatic brain injury (TBI) often results in cognitive impairments that cause significant ongoing impediments to work, study, daily living and social relationships
Of the initial 16 treatment as usual (TAU) participants, five dropped out prior to the second assessment, leaving 11 in the post-treatment assessment comparison group. Of these 11, only 5 went on to complete attention-training, which was offered to all TAU participants
Baseline group comparison Baseline data were examined in three ways: (1) all 31 participants (the intent-to-treat groups of 16 TAU and 15 attention-training participants; (2) the 26 participants who completed post-treatment assessment; and (3) the 5 participants who dropped out before the post-treatment assessment compared to the 26 who completed the protocol
Summary
Traumatic brain injury (TBI) often results in cognitive impairments that cause significant ongoing impediments to work, study, daily living and social relationships. An examination of clinically significant cognitive impairments following TBI, found a high frequency of impairments in attention, memory and executive functioning at time of admission, and at 18 months, 3 years and 5 years post trauma. The author is currently building cognitive rehabilitation programmes for use with Psychiatric inpatients with a particular focus on executive functioning. Topics Having a positive approach to rehabilitation Short and long term effects of TBI How to play Medal of Honor What is attention? Encoding strategies Storage strategies Retrieval strategies Becoming motivated Recognising anger before onset Strategies for coping with anger The goal-plan-predict-do-review framework What is fatigue and what causes it?
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