A pilot investigation of the potential for incorporating lifelog technology into executive function rehabilitation for enhanced transfer of self-regulation skills to everyday life

Abstract

The objective of the study was to identify the potential target and effect size of goal management training (GMT) enhanced with life-logging technology compared with standard GMT on a range of possible primary outcomes reflecting cognitive and ecological aspects of executive functioning and quality of life. Sixteen patients with acquired brain injury involving executive dysfunction were randomly allocated to one of the two interventions: seven weeks of GMT (n = 8), or seven weeks of GMT+Lifelog (n = 8). Outcome measures included a battery of executive function tests, the Dysexecutive Questionnaire (DEX) and the Quality of Life after Brain Injury scale (QOLIBRI), measured pre- and post-interventions. Within-group changes were assessed with related-samples t-tests and estimation of effect sizes. GMT+Lifelog was associated with significant changes, of medium to large effect size, in response inhibition (Stroop), multitasking (Strategy Application and Multiple Errand tests), DEX Intentionality and Positive Affect subscales and QOLIBRI Daily Life and Autonomy, subscales. GMT alone was associated with significant changes of overall quality of life. It was concluded that GMT+Lifelog holds promise to optimise the impact of GMT on executive dysfunction and quality of life.

Usefulness of Wearable Cameras as a Tool to Enhance Chronic Disease Self-Management: Scoping Review (Preprint)

“…One study used a sample of older women to examine physical activity and sedentary time [32]. No studies identified in our review recruited participants with a chronic disease; however one study including participants with an acquired brain injury [37]. The majority of studies included convenience samples, often recruited through universities, thus participants were more likely to be well-educated with higher socio-economic status.…”

“…The majority of the studies were conducted in the United States of America (n = 7, 29%) [22,25,27,29,31,32,36], the United Kingdom (n = 6, 25%) [9][10][11][12][13][14], and Ireland (n = 4, 13%) [24,30,33,35]. Three studies [23,26,28] were international multicentre studies, while the remaining studies were from New Zealand [8,20,34] and Spain [37].…”

“…Eight had between 20 -50 participants [8,9,13,20,24,[29][30][31][32][33]36,37] and only three studies (13%) [26][27][28] had more than 50 participants (maximum = 84). Participants were predominantly healthy adults (n= 15, 65%) [8,[10][11][12][13]20,22,23,[25][26][27][28]33,35,36], with some studies including athletes (n = 4, 17%) [24,[29][30][31] and school children (n = 2, 9%) [9,34].…”

“…There was one randomised controlled trial [37] conducted with acquired brain injury patients where camera images formed part of a health intervention. The majority of the studies were conducted in the United States of America (n = 7, 29%) [22,25,27,29,31,32,36], the United Kingdom (n = 6, 25%) [9][10][11][12][13][14], and Ireland (n = 4, 13%) [24,30,33,35].…”

A Randomized Controlled Trial of Assisted Intention Monitoring for the Rehabilitation of Executive Impairments Following Acquired Brain Injury

“…The relatively brief two-session goal management training adopted here (in comparison with the 14 or more hours of face-to-face GMT training typically reported 16 ) might be considered insufficient for many with ABI. Future evaluation of clinical effectiveness, should consider a more extended and tailored period of strategy and self-regulation training 16,17,22 and inclusion in the intervention of additional components that enhance likelihood of transfer of strategies 16,22,[41][42][43] .…”