Acquired Brain and Injury Psychiatric symptoms
Conditions
Interventions
During the regular Goal Management Training (GMT), a method (strategy) is 
learned to plan and execute behavior in a conscious and controlled manner. 
During GMT strategy is taught to (re)learn everyday activities in which 
planning and organization play a role. The treatment lasts 3 weeks, during 
which a treatment session takes place twice a week with an occupational 
therapist in the Winkler Clinic (in total: 6 treatment sessions of one hour). 
Between the treatment sessions, the participant is given homework to practice 
the GMT strategy at home in a digital environment (Brain Game)
Besides the GMT treatment sessions with the clinical neuropsychologist and 
cognitive trainer, the intervention includes the Plan (Brain) Game from the 
*Karman Line* game set. The *Karman Line* is the (first) set of games that is 
not aimed at improving cognitive functions (i.e. restorative treatment 
approach), but based on proven effective treatment-compensatory strategies, 
such as GMT. The *Karman Line* game set is developed by professionals from 
neuro-and rehabilitation psychology and in collaboration with three game 
companies. The Plan Game is used as support during (and after) the GMT 
treatment. The game is aimed at practicing and applying the learned GMT 
strategy during treatment in a digital and safe environment. By using the GMT 
strategy in a digital environment, patients learn to apply the strategies in a 
variety of activities and situations. However, the game is a motivational and 
interactive addition to the treatment and does not serve as a substitute for 
Sponsors
Pro Persona
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Age: 18 - 75 years Non-progressive acquired brain injury Minimal time post-onset of 3 months Receive inpatient neuropsychiatric care Executive deficits (neuropsychological assessment) Reasonable amount of awareness in their deficits, at least to the extent that they are motivated and capable to learn new skills with respect to their executive performance.
Exclusion criteria
Exclusion criteria: Inability to speak/understand the Dutch language Severe psychiatric disorders such as psychosis, manic episode, severe disruptive behavior Neurodegenerative disorders (i.e. dementia, Huntington, Parkinson Substance abuse (active) Severe cognitive comorbidity (i.e. Korsakov) Aphasia Neglect No access to a smartphone, and laptop or tablet Unable to look at a computer screen for 15 minutes Unable to operate a keyboard or computer mouse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter is the OxMET-NL, a computer-tablet based version of the Multiple Errands Test. The task requires patients to buy six items and to answer two questions. Participants are allowed to complete the tasks in any order. Participants perform different parallel versions of the OxMET-NL twice a week during the baseline and intervention phase (see study design for more details). | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary study parameters are the performance on two trained IADL tasks, goal achievement, subjective strategy use, subjective experience of reduction in depression and anxiety symptoms and objective amount of depression, anxiety and stress symptoms as measured by the DASS Dutch version. | — |
Countries
Netherlands
Contacts
Public ContactH.A. Anema
Pro Persona
Outcome results
None listed