Goals and self regulation skills in brain injury rehabilitation: a Randomised Clinical Trial

Randomised clinical trial to determine the inpact on health and functionning of a novel intervention to improve goal related activity and self regulation compared with use of the Goal Attainment Scaling measurement tool and usual practice in people with moderate to severe traumatic brain injury.

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12609000433202

Acronym

Goals -TBI

Enrollment

110

Registered

2009-06-10

Start date

2009-02-24

Completion date

2011-12-15

Last updated

2021-02-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Our objective is to determine effective strategies to improve goal related activity for people with traumatic brain injury (TBI). Goal setting is a key rehabilitation strategy for promoting recovery and adaptation. However, clinical practice is variable, outcomes uncertain, and both patients and professionals find the process frustrating. We recently completed an HRC-funded feasibility study examining two novel approaches to goal setting. Practical and methodological factors were identified and are addressed in the definitive trial proposed here. This Randomised Clinical Trial will determine the impact on health and functioning of: a) a novel intervention aiming to improve goal related activity and self regulation skills (Goals-SR) compared with b) use of Goal Attainment Scaling (GAS), a measurement tool and c) usual practice This study will identify strategies that are most successful at improving goal related activity. This outcome will benefit the person with TBI (improved functioning, motivation, mood) and reduce carer burden.

Interventions

a) a novel intervention aiming to improve goal related activity and self regulation skills (goals-SR). The intervention uses components of both Identity Oriented Goal Training and Goal Management Training. Deliverred weekly for 8 weeks during intervention sessions lasting aproximately one hour. b) Goal Attainment Scaling (GAS) measurement tool, administerred weekly over an 8 week period during intervention sessions lasting aproximately one hour. c) usual practice (ie participants will recieve no additional intervention from the researchers. They will continue with their planned rehabilitation process, details of which will be collected at the end of the study period. There is currently no standard practice)

Study design

Allocation

Randomised controlled trial

Intervention model

Factorial

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

All patients/clients on the Accident Compensation Corporation (ACC) national database who have had moderate or severe traumatic brain injury (TBI) in the Auckland and Wellington regions will be eligible for recruitment if they meet the following inclusion criteria: a) a history of Post Traumatic Amnesia = 1 hour b) moderate disability on the Extended Glasgow Outcome Scale c) received compensation for 12 weeks (indicating resultant disability) d) are 6 to 18 months post injury.

Exclusion criteria

a) Persistent coma (Glasogow Coma Score (GCS) on screening of = 8 and/or persistent post traumatic amnesia) b) not able to demonstrate a basic level of intellectual awareness on screening c) are unable to communicate with the researcher and/or intervention team involved in the study (all efforts will be made to offer interpreter services) d) unstable medical health precluding participation in rehabilitation.

Outcome results