A randomized controlled trial of prospective memory rehabilitation in adults with traumatic brain injury

Shum, David; Fleming, Jennifer; Gill, Hannah; Gullo, Matthew J.; Strong, Jenny

doi:10.2340/16501977-0647

Cited by 58 publications

(57 citation statements)

References 25 publications

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“…Manualized treatment protocols have been developed for the COMP and COMP-MST training programs based on previous research conducted by the research team [9]. The COMP treatment manual has been amended for use in the current study to incorporate electronic devices used as compensatory aides (i.e., mobile phones).…”

Section: Methodsmentioning

confidence: 99%

“…To determine the required sample size, a power calculation was conducted using the primary outcome variable with the most conservative effect size from our previous RCT (i.e., the change score between pre-and post-SPRS-2 scores) [9]. Comparison between the group that received compensatory plus self-awareness training and the group that received compensatory training alone produced an effect size of 0.70 (Cohen’s d ).…”

Section: Methodsmentioning

confidence: 99%

“…Research has shown that people with TBI experience debilitating PM deficits [4–6] which impact on independent living (e.g., requiring a carer at home), social participation (e.g., failure to keep engagements), and employability (e.g., workers are seen as unreliable) [7]. Therefore, PM impairment is a target for rehabilitation efforts which often focus on the use of compensatory strategies to minimize the impact of PM impairment in everyday life [8, 9]. …”

Section: Introductionmentioning

confidence: 99%

“…The promising findings of this pilot led to a larger-scale randomized controlled trial (RCT) of PM rehabilitation strategies [9], which demonstrated that the six-session compensatory rehabilitation program was more effective than a control intervention in improving PM in people with TBI, as measured by the Cambridge Prospective Memory Test (CAMPROMPT). The control intervention involved a remedial approach of repetitive practice of PM activities over six weekly sessions.…”

Section: Introductionmentioning

confidence: 99%

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The efficacy of prospective memory rehabilitation plus metacognitive skills training for adults with traumatic brain injury: study protocol for a randomized controlled trial

Fleming

Ownsworth

Doig

et al. 2017

Trials

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BackgroundImpairment of prospective memory (PM) is common following traumatic brain injury (TBI) and negatively impacts on independent living. Compensatory approaches to PM rehabilitation have been found to minimize the impact of PM impairment in adults with TBI; however, poor self-awareness after TBI poses a major barrier to the generalization of compensatory strategies in daily life. Metacognitive skills training (MST) is a cognitive rehabilitation approach that aims to facilitate the development of self-awareness in adults with TBI. This paper describes the protocol of a study that aims to evaluate the efficacy of a MST approach to compensatory PM rehabilitation for improving everyday PM performance and psychosocial outcomes after TBI.Methods/designThis randomized controlled trial has three treatment groups: compensatory training plus metacognitive skills training (COMP-MST), compensatory training only (COMP), and waitlist control. Participants in the COMP-MST and COMP groups will complete a 6-week intervention consisting of six 2-h weekly training sessions. Each 1.5-h session will involve compensatory strategy training and 0.5 h will incorporate either MST (COMP-MST group) or filler activity as an active control (COMP group). Participants in the waitlist group receive care as usual for 6 weeks, followed by the COMP-MST intervention. Based on the sample size estimate, 90 participants with moderate to severe TBI will be randomized into the three groups using a stratified sampling approach. The primary outcomes include measures of PM performance in everyday life and level of psychosocial reintegration. Secondary outcomes include measures of PM function on psychometric testing, strategy use, self-awareness, and level of support needs following TBI. Blinded assessments will be conducted pre and post intervention, and at 3-month and 6-month follow-ups.DiscussionThis study seeks to determine the efficacy of COMP-MST for improving and maintaining everyday PM performance and level of psychosocial integration in adults with moderate to severe TBI. The findings will advance theoretical understanding of the role of self-awareness in compensatory PM rehabilitation and skills generalization. COMP-MST has the potential to reduce the cost of rehabilitation and lifestyle support following TBI because the intervention could enhance generalization success and lifelong application of PM compensatory strategies.Trial registrationNew Zealand Clinical Trials Registry, ACTRN12615000996561. Registered on 23 September 2015; retrospectively registered 2 months after commencement.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-016-1758-6) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The efficacy of prospective memory rehabilitation plus metacognitive skills training for adults with traumatic brain injury: study protocol for a randomized controlled trial

Fleming

Ownsworth

Doig

et al. 2017

Trials

View full text Add to dashboard Cite

show abstract

“…Failures of PM are common and impact daily life, so rehabilitation is likely relevant to many people with brain injury (Fish, Wilson & Manly, 2010;Shum, Levin & Chan, 2011). Controlled intervention studies, particularly on readily applicable compensatory strategies, are needed to inform rehabilitation practice (Fish et al;Shum, Fleming, Gill, Gullo & Strong, 2011).…”

mentioning

confidence: 99%

Eight weeks of individual compensatory memory training improved memory performance and diary use in people with severe traumatic brain injury

Swanton

Brentnall

2013

Aus Occup Therapy J

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Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes

Kumar

Samuelkamaleshkumar

Viswanathan

et al. 2017

Cochrane Database of Systematic Reviews

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Cognitive rehabilitation' is the term used to refer to the training given to people with brain injury to address and improve the specific mental abilities that are impaired. This is usually done to improve return to work, independence in managing daily routines, and quality of life. Review question Does cognitive rehabilitation for people with traumatic brain injury improve their return to work, independence in daily activities, community integration and quality of life? Study characteristics We included nine studies with 790 participants. Seven of the studies were conducted in the US, and one each in Australia and China. Followup (monitoring) duration in the studies ranged between two weeks and two years. Key findings Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes (Review)

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A randomized controlled trial of prospective memory rehabilitation in adults with traumatic brain injury

Abstract: The results provide evidence that prospective memory can be improved in patients with traumatic brain injury using a compensatory approach in a relatively short duration and low intensity intervention.

Cited by 58 publications

References 25 publications

The efficacy of prospective memory rehabilitation plus metacognitive skills training for adults with traumatic brain injury: study protocol for a randomized controlled trial

The efficacy of prospective memory rehabilitation plus metacognitive skills training for adults with traumatic brain injury: study protocol for a randomized controlled trial

Eight weeks of individual compensatory memory training improved memory performance and diary use in people with severe traumatic brain injury

Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes

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