Acquired Brain Injury, Cerebrovascular Accident (CVA), Traumatic Brain Injury
Conditions
Keywords
participation, activities of daily living, brain injuries, executive function
Brief summary
Successful community participation following acquired brain injury (ABI) continues to be an elusive goal for patients, clinicians and researchers. Our pilot work shows that community dwelling survivors of ABI can significantly improve performance on self-identified real- world performance problems and that they can transfer this learning to improve goals not trained in the treatment sessions. We will compare two types of rehabilitation intervention using a randomized controlled trial. We will also interview survivors, their significant others and clinicians regarding their experiences with each intervention to help us discover what works best.
Detailed description
Executive dysfunction is endemic after severe acquired brain injuries (ABIs) and is highly associated with long-lasting psychosocial distress, problems in a multiplicity of everyday activities and overall reduced quality of life. There is increasing evidence to suggest that a novel behavioral intervention is a treatment of choice for executive dysfunction. However few studies have addressed ecological relevance: failing to take into account the significant impact of the complex settings of real life on executive function. More data are desperately needed in this area given the devastating consequences of ABI. We propose to investigate the benefits of two community- based interventions.
Interventions
BEHAVIORALConventional rehabilitation.
1 hour / 2x / week for up to 15 sessions
BEHAVIORALNovel rehabilitation approach
1 hr, 2x/week for up to 15 sessions
Sponsors
Baycrest
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* fluent in written and spoken English, * have sustained (1) a moderate to severe TBI as defined by a 6-hour GCS of 12 or less OR (2) complicated mild TBI with GCS 13-15 and associated abnormal findings on CT or MRI scan OR (3) other form of acquired brain injury (ABI) that is not related to a congenital, developmental or degenerative disorder but which occurred through a medical problem or disease process including stroke,
Exclusion criteria
other significant neurological or psychiatric history such as multiple sclerosis or psychiatric illness requiring hospitalization, concurrent moderate to severe depression.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in performance on COPM | pre, post, 3 month follow-up | Canadian Occupational Performance Measure: standardized interview |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| DEX, IADL profile | pre, post, 3 month follow-up | Perceived and observed impact of dysexecutive syndrome in everyday life |
Countries
Canada
Outcome results
None listed