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Title: INCOG Recommendations for management of cognition following traumatic brain injury. Part III Executive function and self awareness.
Epworth Authors: Ponsford, Jennie
Other Authors: Tate, Robyn
Douglas, Jacinta
Velikonja, Diana
Stergiou-Kita, Mary
Kennedy, Mary
Keywords: Traumatic Brain Injury
Executive Function
Self Awareness
Reasoning Skills
Monash-Epworth Rehabilitation Research Centre, Richmond, Victoria, Australia.
Issue Date: Jul-2014
Citation: J Head Trauma Rehabil. 2014 Jul-Aug;29(4):338-52.
Abstract: Traumatic brain injury (TBI) results in complex cognitive (and other) sequelae. Impairments in executive function and self-awareness are among the most characteristic neuropsychological sequelae and can exert a profound effect on resuming previous life roles. An international group of researchers and clinicians (known as INCOG) convened to develop recommendations for interventions to improve impairments in executive functioning and self-awareness after TBI. Methods: The team reviewed the available literature and ensured the recommendations were current. To promote implementation, the team developed decision algorithms incorporating the recommendations based on inclusion and exclusion criteria of published trials. The team then prioritized the recommendations for implementation and developed audit criteria to evaluate the adherence to the best practice recommendations. Results: Intervention programs incorporating metacognitive strategy instruction for planning, problem-solving, and other cognitive-executive impairments have a solid evidence base. New evidence supports the use of strategies to specifically improve reasoning skills. Substantial support exists for use of direct corrective feedback to improve self-awareness. Conclusions: An increasing number of scientifically well-designed studies are available that demonstrate the effectiveness of a variety of interventions for the remediation of impairments in executive function and self-awareness after TBI.
DOI: 10.1097/HTR.0000000000000068
ISSN: 0885-9701
Journal Title: Journal of Head Trauma Rehabilitation
Type: Journal Article
Appears in Collections:Neurosciences

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