Does Generalization Occur Following Computer-Based Cognitive Retraining?—An Exploratory Study

Li, Kitsum; Alonso, Jonathan; Chadha, Nisha; Pulido, Jennifer

doi:10.3109/07380577.2015.1010246

Cited by 13 publications

(28 citation statements)

References 31 publications

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“…However, current practice statements regarding effectiveness of computer program interventions for TBI draw upon one randomised controlled trial (RCT) conducted in 1994 as evidence [90], and the associated computer software is no longer available for scrutiny [123]. Recent research further supports the notion that computer programs for cognitive training may lead to better outcomes for people with cognitive-communicative difficulties after TBI -when used in conjunction with other methods [42,73]. Indeed, Fraas and colleagues (2008) noted positive patient-reported outcomes following an electronic journal-writing intervention, including improved communication, a new awareness of writing ability, personal fulfilment, and empowerment [49].…”

Section: Augmentative and Alternative Communication (Aac) Technologiesmentioning

confidence: 99%

“…The use of computer programs in cognitive-communicative rehabilitation for people with TBI appeared in eight of the included papers (see Table 2), consisting of three systematic reviews [38,91,96], three group comparison trials [42,43,90], and two case series studies [49,73]. Authors of systematic reviews recommend that computer programs be considered and used in conjunction with clinician-guided treatment [38,91,96].…”

Section: Computer Program Interventionsmentioning

confidence: 99%

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Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

et al. 2017

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distinct from motor speech impairments or primary language impairments (e.g. aphasia), in that the impairments arise from the diffuse axonal injuries which occur in frontal and prefrontal areas of the brain [6]. These impairments can be defined as any aspect of communication that result from underlying deficits in cognition [4,5,7].Communication difficulties after a TBI can affect how a person hears, listens, understands, speaks, reads, writes, and how they engage in conversation and social communication [5]. The underlying deficits of cognition that affect these communicative functions can include slowed information processing; impaired working memory and attention; disorientation and disorganisation; executive function problems including rigidity, poor conceptualization, planning, and problem solving; and poor self-control or selfregulation of cognition or behaviour [4,5]. As a result of these changes in cognitivecommunicative processes, people with TBI have been described as 'overtalkative, inefficient, tangential or drifting from topic to topic, or lacking in language output. ' [4] (p.354). These cognitive-communication impairments can restrict a person's ability to communicate, live independently, return to work or education, participate in society, and build or maintain relationships after their TBI [8].The International Cognitive (INCOG) guidelines for the management of a person's cognitive rehabilitation following TBI highlight that assessment of cognitive-communication skills should incorporate performance in everyday social activities [4]. Adolescents and young adults, the group most at risk of TBI, use digital and online communication MANUSCRIPT ACCEPTED -BRAIN INJURY: 02 FEBRUARY 2017 4 technologies from a young age [9] and, following TBI, involvement in social, academic, and societal situations may be reduced with difficulties using technology and social media [5]. As a result, people with cognitive-communication impairments resulting from a TBI face challenges in accessing information independently and engaging effectively in social networks [8]. However, little is known about how people with cognitive-communication impairments after TBI use and experience digital communication and the internet.Furthermore, clinical guidelines for the assessment of cognitive-communication skills following a TBI do not provide guidance on the use of social media, or of assistive technologies (AT) to support cognitive-communication rehabilitation [4,5].In order to review the existing literature on technology it is essential to consider which types of technology appear in relation to TBI and cognitive-communication. In this study, we considered three major categories of technology: (i) Assistive Technology (AT), being 'any item, piece of equipment, or product, whether it is acquired commercially, includes technology such as email, the internet, and mobile phones [13] which enable users to access, store, transmit, and manipulate information [14]. The multiple purposes of the different types of technology selected ...

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Section: Augmentative and Alternative Communication (Aac) Technologiesmentioning

confidence: 99%

Section: Computer Program Interventionsmentioning

confidence: 99%

Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

et al. 2017

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“…In the second study, they tested the relationship between global cognition and a performance-based task using the medication-box sorting test. 16 In this study, there were 5 participants with TBI. Although global cognition scores were significantly increased (p=.03), the changes in attention and memory were not statistically significant, and there was no change in the medication-box sorting test.…”

Section: Methodsmentioning

confidence: 98%

“…Li et al 15-16 carried out two pilot studies on the effectiveness of Parrott software. The first study examined the effectiveness on attention and memory in a mixed sample of participants with acquired brain injury including TBI with memory and attention deficits.…”

Section: Methodsmentioning

confidence: 99%

Computer-Based Cognitive Rehabilitation Interventions for Traumatic Brain Injury: A Critical Review of the Literature

Fetta

Starkweather

Gill

2017

Journal of Neuroscience Nursing

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Background Computer-based interventions have been developed to improve cognitive performance after mild traumatic brain injury, however, a thorough evaluation of this body of research has not been addressed in the literature. Objectives To provide a synthesis and critical review of current research studies that have tested the efficacy of computer-based interventions on cognitive performance after mild traumatic brain injury. Methods A critical review was conducted by identifying relevant studies in the electronic databases PubMed/Medline, PsycInfo and CINAHL from 2011 to the present. Due to the limited number of publications focused exclusively on mild traumatic brain injury, research studies that assessed the impact of computer-based interventions on cognitive outcomes in populations with acquired brain injury were included. Results Of the 58 studies identified, only 10 publications included participants with mild traumatic brain injury. Overall, the identified studies did not use a standard method for assessing the severity of traumatic brain injury, many studies included participants with a wide variety of etiologies for acquired brain injury and used multiple measures of cognitive performance, which made comparisons difficult across studies. In addition to small sample sizes, the study samples were heterogeneous in regard to the number of prior traumatic brain injuries, time elapsed since injury, as well as age and gender distributions. Pre-injury comorbidities that may affect cognitive performance, such as depression, anxiety or learning disabilities, were often not assessed. Discussion There is weak evidence that computer-based interventions can improve working memory and cognitive function in individuals following mild traumatic brain injury. Due to the low-quality evidence, seminal questions remain regarding the optimal format, dosage, timing and duration of computer-based intervention for improving cognitive performance. Future studies should focus on using a strong research design, such as a prospective longitudinal, repeated measures study, with an adequate number of participants that meet mild traumatic brain injury criteria. Pre-injury comorbidities, cognitive reserve, time since injury, age and gender, should be addressed in the design as there may be differences in recovery time and mechanisms of cognitive plasticity among populations. Conclusions Overall, computer-based interventions appear promising as an approach to improve working memory in individuals with acquired brain injury. There is no evidence that currently available interventions are specific to mild traumatic brain injury. Well-designed research studies with adequate sample sizes are needed to assess the effect of computer-based interventions on cognitive performance after mild traumatic brain injury.

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“…Upon their admission, a cognitive skill evaluation was performed in the patients of both groups based on the Montreal Cognitive Assessment (MoCA) psychometric screening test which is validated for Greek population (Figure 2) [5,6]. The MoCA test is a short in duration (10-15 min) 30-point screening test that measures a number of cognitive domains such as visuospatial abilities, executive function, short-term memory, attention/concentration, language, abstract thinking, and orientation [7][8][9].…”

Section: Methods Of the Studymentioning

confidence: 99%

Rehacom software application is effective in cognitive rehabilitation of patients with brain injuries

Pantzartzidou¹,

Dionyssiotis²,

Stefas³

et al. 2017

Phys Med Rehabil Res

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Does Generalization Occur Following Computer-Based Cognitive Retraining?—An Exploratory Study

Cited by 13 publications

References 31 publications

Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

Computer-Based Cognitive Rehabilitation Interventions for Traumatic Brain Injury: A Critical Review of the Literature

Rehacom software application is effective in cognitive rehabilitation of patients with brain injuries

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