Occurrence and measurement of transfer in cognitive rehabilitation: A critical review

Geusgens, Chantal; Winkens, Ieke; Heugten, Caroline van; Jolles, J.; Heuvel, W.J.A. van den

doi:10.2340/16501977-0092

Cited by 88 publications

(58 citation statements)

References 53 publications

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“…In the first place, it is known from studies in rehabilitation settings that in order to facilitate generalisation, training locations and materials should bear as close a resemblance to the person's experience and daily life as possible (Geusgens et al, 2007). For example, a recent review by Krasny-Pacini, Chevignard, and Evans (2014) found that the effectiveness of goal management training in people with ABI was greater when it was combined with other interventions such as personal homework and daily life training activities rather than with paper-and-pencil, office-type tasks.…”

Section: Discussionmentioning

confidence: 99%

“…Offering a more explicit link between the clinical and home setting may result in more pronounced treatment effects. After all, earlier studies on the effects of cognitive rehabilitation have shown that generalisation does not occur automatically and should be discussed explicitly during learning (Geusgens, Winkens, van Heugten, Jolles, & van den Heuvel, 2007). Practising a strategy or skill while varying the practice situation as much as possible is a prerequisite for the occurrence of generalisation.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of a community-based treatment programme for people with acquired brain injury in the chronic phase: a pilot study

Spanje¹,

Smeets

Haastregt

et al. 2017

Neuropsychological Rehabilitation

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The objective of the study was to evaluate the outcomes of Brainz, a low intensity community-based treatment programme for people with acquired brain injury (ABI). Participants were 62 people with sustained ABI (5.2 years post-injury, SD = 4.5) and 35 family caregivers. Participants attended two to five cognitive and physical group modules and received two hours of individual home treatment every two weeks. Primary outcomes for people with ABI were participation, perceived difficulties in daily life and need of care, level of goal attainment, and self-esteem. Primary family caregiver outcome was perceived burden of care. Attrition rate of people with ABI was 24% (n = 15), and of family caregivers was 31% (n = 11). People with ABI were more satisfied with the level of their participation after completing Brainz (p < .01), but showed no change in participation frequency or in restrictions (both ps > .01). They perceived fewer difficulties in daily life and less need of care (both ps < .01). Also, in two cognitive modules people improved on their goal achievement (p < .01). However, their self-esteem was reduced (p < .01). Caregiver burden was reduced (p < .01). This study has provided preliminary evidence of the effectiveness of a combined group-based clinical and individual home-based treatment programme, but more research is needed, preferably in larger controlled studies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Outcomes of a community-based treatment programme for people with acquired brain injury in the chronic phase: a pilot study

Spanje¹,

Smeets

Haastregt

et al. 2017

Neuropsychological Rehabilitation

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“…For patients to function as independently as possible in their own home, tasks taught in the rehabilitation setting should be transferred to the home setting. Transfer of treatment effects is crucial for a rehabilitation program's clinical success (Cicerone et al, 2005;Geusgens et al, 2007).…”

Section: Implications For Occupational Therapy Practicementioning

confidence: 99%

“…It has often been stated that transfer is essential for new learning and that transfer should be the main goal of rehabilitation programs (Byrnes, 1996;Cicerone et al, 2005;Geusgens, Winkens, van Heugten, Jolles, & van den Heuvel, 2007;Haskell, 2001;Marini & Genereux, 1995;Parente & Herrmann, 2003;Singley & Anderson, 1989).…”

mentioning

confidence: 99%

Environmental Effects in the Performance of Daily Tasks in Healthy Adults

Geusgens

Heugten²,

Hagedoren³

et al. 2010

The American Journal of Occupational Therapy

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KEY WORDSactivities of daily living cognition environment task performance and analysis transfer (psychology) OBJECTIVE. We examined the effect of switching from a familiar to an unfamiliar setting on household task performance in healthy adults. We also examined the influence of the cognitive functions abstract reasoning and memory on the ability to adapt to different environments.METHOD. Thirty healthy adults were observed in two different settings while they performed two daily tasks. We evaluated process skill abilities in task performance, time needed to perform each task, memory functioning, and abstract reasoning.RESULTS. Performance of both tasks required significantly more time in the unfamiliar kitchen. Scores on process skill abilities were significantly lower in the unfamiliar kitchen. We found no associations between environmental effects and abstract reasoning or memory.CONCLUSION. We found environmental effects on task performance in healthy adults. These findings have important implications for rehabilitation practice. Addressing facilitation of transfer of training effects to familiar environments is of great importance to rehabilitation programs.

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“…These deficits can cause significant long-term distress and affect quality of life [2]. In a recent study using the rat model to examine the biological basis of these deficits, basic fibroblast growth factor (bFGF) was shown to increase cognitive abilities that had been decreased in a rat model of traumatic brain injury [3].…”

mentioning

confidence: 99%

Effect of Basic Fibroblast Growth Factor on Hippocampal Cholinergic Neurons in a Rodent Model of Ischaemic Encephalopathy

Ye¹,

Lin²,

Jun-shan³

et al. 2010

Basic Clin Pharma Tox

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Ischaemic encephalopathy (IE) is a debilitating condition resulting from stroke that can lead to impaired learning and memory related to damage of cholinergic neurons in the hippocampus. The present study used an animal model of IE to test the hypothesis that treatment with basic fibroblast growth factor (bFGF) can reduce cognitive symptoms of IE by increasing the number of cholinergic neurons in the CA region of the hippocampus. The animal model of IE was created surgically by double ligation of the bilateral common carotid arteries. Three groups of Sprague-Dawley rats: sham, IE and IE with bFGF treatment group, were measured for changes in learning and memory using the Morris water maze test. Microscopic and immunohistochemical techniques were used to identify cells that bind bFGF and cholinergic neurons. IE rats treated with bFGF had better scores in the Morris water maze test than the untreated IE group, indicating improved learning and memory in the treated group. Microscopy showed that bFGF crossed the blood-brain barrier, was taken up by neurons in the hippocampus, and that the number of cholinergic neurons in the treated group was significantly increased. These results may provide an experimental basis for the treatment of IE by subcutaneous injection of bFGF.Patients suffering from stroke have been found to have cognitive deficits related to learning and memory [1]. These deficits can cause significant long-term distress and affect quality of life [2]. In a recent study using the rat model to examine the biological basis of these deficits, basic fibroblast growth factor (bFGF) was shown to increase cognitive abilities that had been decreased in a rat model of traumatic brain injury [3]. The current study was designed to further examine the effect of ischaemic encephalopathy (IE) on cognitive abilities in rats and determine the efficacy of basic fibroblast growth factor (bFGF) as a treatment for those suffering from IE-induced cognitive deficits. To examine this, we used both behavioural (Morris water maze) and biological (choline acetyltransferase immunohistochemistry) assays.Previously, both focal [4,5] and global [6] cerebral ischaemia have been shown to cause cognitive deficits in rodent models. In the present experiment, we employed a double common carotid artery ligation method (2-VO) to induce IE. The 2-VO is a permanent occlusion of bilateral internal carotid arteries, which markedly reduces the cerebral blood supply, produces incomplete ischaemia in the anterior part of the brain, and is similar to the pathophysiological processes that occur in chronic cerebrovascular insufficiency. In this model, the blood supply to the supratentorial brain is reduced, whereas blood supply in the brainstem is not affected, thus maintaining the basic functions of the central nervous system. This model is commonly used in research on chronic brain injury [7]. Recent studies have found that 2-VO induces significant learning and memory impairments in rats [8,9] making it a very good model for this study.T...

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Occurrence and measurement of transfer in cognitive rehabilitation: A critical review

Cited by 88 publications

References 53 publications

Outcomes of a community-based treatment programme for people with acquired brain injury in the chronic phase: a pilot study

Outcomes of a community-based treatment programme for people with acquired brain injury in the chronic phase: a pilot study

Environmental Effects in the Performance of Daily Tasks in Healthy Adults

Effect of Basic Fibroblast Growth Factor on Hippocampal Cholinergic Neurons in a Rodent Model of Ischaemic Encephalopathy

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