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Title: INCOG Recommendations for management of cognition following traumatic brain injury. Part II: Attention and information processing speed
Epworth Authors: Ponsford, Jennie
Other Authors: Bayley, Mark
Wiseman-Hakes, Catherine
Togher, Leanne
Velikonja, Diana
McIntyre, Amanda
Janzen, Shannon
Tate, Robyn
Keywords: Attention and information processing speed
Dual Task Training
Cognitive Behavioural Therapy
Traumatic Brain Injury
Monash-Epworth Rehabilitation Research Centre, Richmond, Victoria, Australia.
Issue Date: Jul-2014
Citation: J Head Trauma Rehabil. 2014 Jul-Aug;29(4):321-37
Abstract: Traumatic brain injury, due to its diffuse nature and high frequency of injury to frontotemporal and midbrain reticular activating systems, may cause disruption in many aspects of attention: arousal, selective attention, speed of information processing, and strategic control of attention, including sustained attention, shifting and dividing of attention, and working memory. An international team of researchers and clinicians (known as INCOG) convened to develop recommendations for the management of attentional problems. Methods: The experts selected recommendations from published guidelines and then reviewed literature to ensure that recommendations were current. Decision algorithms incorporating the recommendations based on inclusion and exclusion criteria of published trials were developed. The team then prioritized recommendations for implementation and developed audit criteria to evaluate adherence to these best practices. Results: The recommendations and discussion highlight that metacognitive strategy training focused on functional everyday activities is appropriate. Appropriate use of dual task training, environmental modifications, and cognitive behavioral therapy is also discussed. There is insufficient evidence to support mindfulness meditation and practice on de-contextualized computer-based tasks for attention. Administration of the medication methylphenidate should be considered to improve information-processing speed. Conclusion: The INCOG recommendations for rehabilitation of attention provide up-to-date guidance for clinicians treating people with traumatic brain injury.
DOI: 10.1097/HTR.0000000000000072
ISSN: 0885-9701
Journal Title: Journal of Head Trauma Rehabilitation
Type: Journal Article
Appears in Collections:Neurosciences

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