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Moderators, Mediators, and Nonspecific Predictors of Treatment Outcome in an Intervention for Everyday Task Improvement in Persons With Executive Deficits After Brain Injury.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2016 Jan; Vol. 97 (1), pp. 97-103. Date of Electronic Publication: 2015 Aug 14. - Publication Year :
- 2016
-
Abstract
- Objective: To identify moderators, mediators, and predictors of everyday task performance after an experimental combination of errorless learning and goal management training.<br />Design: Predictor analysis of a randomized controlled intervention trial.<br />Setting: Outpatient rehabilitation centers.<br />Participants: Patients (N=60) with acquired brain injury of nonprogressive nature with a minimal postonset time of 3 months.<br />Interventions: Participants were randomly allocated to 8 sessions of errorless or conventional goal management training.<br />Main Outcome Measure: Everyday task performance, assessed at baseline and after treatment by evaluating correct, ineffective, and missing task steps.<br />Results: Demographic variables, neuropsychological test performance, subjective cognitive function, and quality of life were selected as candidate predictors. The results showed that age (P=.03) and estimated intelligence quotient (IQ) (P=.02) emerged as moderators. Higher age was associated with better everyday task performance after conventional goal management training, whereas higher IQ was associated with better performance after errorless goal management training. Higher executive function scores after training predicted improved everyday task performance across the 2 treatment conditions (P=.04).<br />Conclusions: The identified predictors may contribute to a more tailored cognitive rehabilitation approach in which treatments and patients are better matched when clinicians decide to train everyday tasks.<br /> (Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Age Factors
Aged
Brain Injuries psychology
Cognition Disorders etiology
Female
Goals
Humans
Intelligence
Learning
Male
Middle Aged
Neuropsychological Tests
Quality of Life
Treatment Outcome
Young Adult
Activities of Daily Living
Brain Injuries rehabilitation
Cognition Disorders rehabilitation
Executive Function
Subjects
Details
- Language :
- English
- ISSN :
- 1532-821X
- Volume :
- 97
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 26281955
- Full Text :
- https://doi.org/10.1016/j.apmr.2015.07.021