Video Feedback on Functional Task Performance Improves Self-awareness After Traumatic Brain Injury

Schmidt, Julia; Fleming, Jennifer; Ownsworth, Tamara; Lannin, Natasha A.

doi:10.1177/1545968312469838

Cited by 88 publications

(90 citation statements)

References 22 publications

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“…A recent well-conducted trial required TBI patients to learn how to prepare a meal while their competence was measured. The study compared three conditions: VSO combined with simple verbal feedback, verbal feedback alone and experiential feedback (Schmidt et al, 2012). The authors found that participants made on average 70.7% fewer mistakes following the condition with VSO versus the other conditions (approximately 20-40% reductions) which they interpret as evidence of improved "online awareness".…”

Section: Clinical Applicationsmentioning

confidence: 91%

Self-reflection in illness and health: literal and metaphorical?

David

2017

Palgrave Commun

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Self-reflection describes a series of processes whereby a person appraises, evaluates or judges themselves. This appraisal can be in terms of physical, psychological or moral attributes. A number of self-reflection tasks have been designed and applied in experimental psychology and clinical settings. What is not known is whether self-reflection is a valid construct for study and whether it has any clinical implications for psychiatric patients deemed to have impaired self-reflection or "insight". One design is to contrast the appraisal of another person with that of the self. Although it would be useful to measure this appraisal against a gold standard, that is not always possible. Similarly there may be doubt about what the person really thinks as opposed to what they may say. Nevertheless, the simple act of self-reflection can be studied using cognitive neuroscience methods. It appears that a certain brain network, the central midline system (CMS), is engaged in this task. People with mental disorders, especially those at the psychotic end of the spectrum, often see themselves differently from how others see them and the term lack of insight may be used to describe this situation. Recent neuroimaging research has shown that those whose self-appraisal accords most with others, especially their doctors', show greater activation in the CMS and may have a better clinical outcome. One potential therapeutic approach with such patients to encourage self-reflection has been to make use of literal self-reflection through photographs and video.

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Section: Clinical Applicationsmentioning

confidence: 91%

Self-reflection in illness and health: literal and metaphorical?

David

2017

Palgrave Commun

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“…Positive discrepancy scores (participant minus relative ratings) indicate impaired self-awareness. The AQ has sound psychometric properties [35] and has demonstrated sensitivity to change in the context of awareness interventions [18]. …”

Section: Methodsmentioning

confidence: 99%

“…In contrast, a third participant who received behavioral practice with errors corrected by the therapist showed a non-significant change in errors, and instead displayed greater reliance on the therapist over time to check and correct his actions during meal preparation [16]. In a recent RCT [18], we found that multimodal feedback (that is, audiovisual plus verbal feedback on task performance) was more effective for improving error self-regulation and awareness of deficits than verbal feedback or experiential feedback alone.…”

Section: Introductionmentioning

confidence: 99%

Comparison of error-based and errorless learning for people with severe traumatic brain injury: study protocol for a randomized control trial

Ownsworth

Fleming

Tate

et al. 2013

Trials

Self Cite

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BackgroundPoor skills generalization poses a major barrier to successful outcomes of rehabilitation after traumatic brain injury (TBI). Error-based learning (EBL) is a relatively new intervention approach that aims to promote skills generalization by teaching people internal self-regulation skills, or how to anticipate, monitor and correct their own errors. This paper describes the protocol of a study that aims to compare the efficacy of EBL and errorless learning (ELL) for improving error self-regulation, behavioral competency, awareness of deficits and long-term outcomes after TBI.Methods/DesignThis randomized, controlled trial (RCT) has two arms (EBL and ELL); each arm entails 8 × 2 h training sessions conducted within the participants’ homes. The first four sessions involve a meal preparation activity, and the final four sessions incorporate a multitasking errand activity. Based on a sample size estimate, 135 participants with severe TBI will be randomized into either the EBL or ELL condition. The primary outcome measure assesses error self-regulation skills on a task related to but distinct from training. Secondary outcomes include measures of self-monitoring and self-regulation, behavioral competency, awareness of deficits, role participation and supportive care needs. Assessments will be conducted at pre-intervention, post-intervention, and at 6-months post-intervention.DiscussionThis study seeks to determine the efficacy and long-term impact of EBL for training internal self-regulation strategies following severe TBI. In doing so, the study will advance theoretical understanding of the role of errors in task learning and skills generalization. EBL has the potential to reduce the length and costs of rehabilitation and lifestyle support because the techniques could enhance generalization success and lifelong application of strategies after TBI.Trial registrationACTRN12613000585729.

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“…While previous studies have shown promising results with incorporating video feedback in other patient populations, such as brain injury [16][17], research on the use of video feedback during rehabilitation for the SCI population is limited. Our study examined the effectiveness of using immediate video feedback (IVF) in a rehabilitation setting to train manual wheelchair users with SCI in learning three wheelchair skills: (1) propelling the wheelchair on an inclined surface, (2) stationary wheelies, and (3) ascending/ descending a curb.…”

Section: Introductionmentioning

confidence: 99%

Immediate video feedback on ramp, wheelie, and curb wheelchair skill training for persons with spinal cord injury

Wang

Limroongreungrat

Chang³

et al. 2015

J Rehabil Res Dev

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Abstract-We hypothesized that the effects of immediate video feedback (IVF) on training ramp, wheelie, and curb wheelchair skills for persons with spinal cord injury (SCI) would be equivalent to or better than the traditional wheelchair skill training. Participants were manual wheelchair users with recent SCI (thoracic 1-lumbar 1) who were matched (9 pairs) on motor function level, age, and sex and randomly assigned to a control group (conventional training) or an experimental group (IVF training). Participants learned three wheelchair skills and then went through the wheelchair skill competency test, retention test, and transfer test. Paired t-tests were used to examine the differences in training time (minutes), spotter intervention needed (counts), and successful rate in performance between the two groups. A 2 (groups) x 3 (skills) x 3 (tests) repeated-measures analysis of variance and Bonferroni adjustment test were used to examine differences between groups on wheelchair skills and tests. No differences were found between two groups in training times (minutes) on three wheelchair skills (experimental vs control: ramp 14.92 +/-5.80 vs 11.69 +/-7.85, wheelie 17.79 +/-6.03 vs 19.92 +/-13.42, and curb 38.35 +/-23.01 vs 48.59 +/-15.21). This study demonstrated that IVF for training manual wheelchair skills may produce similar results as the conventional training and may be an alternative training method for wheelchair skills.

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Video Feedback on Functional Task Performance Improves Self-awareness After Traumatic Brain Injury

Abstract: The results suggest that the video plus verbal feedback approach used in this study was effective in improving self-awareness in people with TBI. The results also provide evidence that improvement in self-awareness was not accompanied by deterioration in emotional status.

Cited by 88 publications

References 22 publications

Self-reflection in illness and health: literal and metaphorical?

Self-reflection in illness and health: literal and metaphorical?

Comparison of error-based and errorless learning for people with severe traumatic brain injury: study protocol for a randomized control trial

Immediate video feedback on ramp, wheelie, and curb wheelchair skill training for persons with spinal cord injury

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