2020
DOI: 10.1080/09602011.2020.1810710
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Feasibility and acceptability of the multicontext approach for individuals with acquired brain injury in acute inpatient rehabilitation: A single case series

Abstract: The Multicontext (MC) approach, a metacognitive intervention designed to improve awareness, strategy use, and executive functioning, may be beneficial for individuals with acquired brain injury (ABI) undergoing acute inpatient rehabilitation. The goal of this study was to provide evidence of feasibility and acceptability of the MC approach and to explore clinical outcomes. A case series of eight individuals with acquired brain injury and at least mild executive functioning impairment were recruited from an acu… Show more

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Cited by 16 publications
(11 citation statements)
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References 33 publications
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“…The lower use of these external strategies likely increased demands on working memory and cognitive load, thereby contributing to worse performance. This supports literature suggesting that strategy training may be an important ingredient in enhancing functional cognitive abilities following a stroke or acquired brain injury (7,23). Further, limited use of self-checking strategies implies that some participants may not have been aware of performance challenges or the need to evaluate, monitor, and adjust task methods.…”
Section: Discussionsupporting
confidence: 90%
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“…The lower use of these external strategies likely increased demands on working memory and cognitive load, thereby contributing to worse performance. This supports literature suggesting that strategy training may be an important ingredient in enhancing functional cognitive abilities following a stroke or acquired brain injury (7,23). Further, limited use of self-checking strategies implies that some participants may not have been aware of performance challenges or the need to evaluate, monitor, and adjust task methods.…”
Section: Discussionsupporting
confidence: 90%
“…The WCPA is an objective, performance-based C-IADL measure of working memory, planning, shifting, inhibition, and self-monitoring. It has demonstrated validity, reliability, and sensitivity to executive dysfunction and sensitivity to change (7,10,11,20). The WCPA requires the examinee to input a series of appointments into a mock weekly calendar/schedule while following a set of specific rules and guidelines (Figure 1).…”
Section: Methodsmentioning
confidence: 99%
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“…Since use of lists and schedules is an inherent aspect of many everyday tasks, identification of difficulties in these areas provides important targets for rehabilitation intervention. For example, functional cognitive rehabilitation activities that involve managing use of lists in a wide variety of contexts have been described by others ( 28 , 38 ). The WCPA-10 may also provide more general information on underlying performance deficits, error patterns and deficiencies in strategies that are likely to influence functioning across multiple step activities.…”
Section: Discussionmentioning
confidence: 99%
“…The WCPA-10 is an objective measure of C-IADL performance. The original 17 item version has demonstrated validity, reliability, and sensitivity to executive dysfunction and sensitivity to change ( 17 , 18 , 28 , 29 ). The WCPA-10 requires the examinee to input a series of appointments into a mock weekly calendar/schedule while following a set of specific rules and guidelines ( Figure 1 ).…”
Section: Methodsmentioning
confidence: 99%