Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/821
Title: Cognitive training approaches to remediate attention and executive dysfunction after traumatic brain injury: A single-case series.
Epworth Authors: Ponsford, Jennie
Willmott, Catherine
Other Authors: Dymowski, Alicia Rhian
Keywords: Traumatic Brain Injury
TBI
Attention
Computer Training
Rehabilitation
Strategy Training
Attention Process Training 3
APT-3
Symbol Digit Modalities Test
SDMT
Test of Everyday Attention
TEA
Rating Scale of Attentional Behaviour
RSAB
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Issue Date: Oct-2016
Publisher: Taylor & Francis
Citation: Neuropsychol Rehabil. 2016 Oct;26(5-6):866-94.
Abstract: Attentional deficits are common following traumatic brain injury (TBI) and interfere with daily functioning. This study employed a single-case design to examine the effects of individualised strategy training on attention beyond the effects of computerised training using Attention Process Training 3 (APT-3), and to examine the participants' subjective experience of these approaches. An ABCA (baseline, APT-3, strategy training, follow-up) design was repeated across three participants with severe TBI. Outcomes were measured on alternate versions of the oral Symbol Digit Modalities Test (SDMT) and cancellation tasks; generalisation with the Test of Everyday Attention (TEA) and self and significant other (SO) ratings on the Rating Scale of Attentional Behaviour (RSAB); and participant experiences with semi-structured interviews. Planned Tau-U analyses revealed improvements in speed of processing on the SDMT and the automatic condition of the cancellation task after APT-3 and at follow-up, but with most improvement after strategy training. Limited generalisation was evident on TEA subtests and self-RSAB ratings. SO-RSAB ratings were mixed after APT-3, but demonstrated improvement after strategy training. Variability in attentional deficits and everyday attentional requirements between patients required individualised goals and approaches to rehabilitation. This study highlights the need for individualised rehabilitation of attention to improve everyday functioning after TBI.
URI: http://hdl.handle.net/11434/821
DOI: 10.1080/09602011.2015.1102746
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/26493353
ISSN: 0960-2011
1464-0694
Journal Title: Neuropsychological Rehabilitation
Type: Journal Article
Affiliated Organisations: School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.
Centre of Excellence in Traumatic Brain Injury Rehabilitation, National Trauma Research Institute, Alfred Hospital, Prahran, Victoria, Australia.
Type of Clinical Study or Trial: Case Control Studies
Appears in Collections:Neurosciences
Rehabilitation

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