Citation

Bertens D, Fasotti L, Boelen DH, Kessels RP. Arch. Phys. Med. Rehabil. 2015; 97(1): 97-103.

Affiliation

Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands; Radboud University Medical Center, Department of Medical Psychology, Nijmegen, The Netherlands; Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.apmr.2015.07.021

PMID

26281955

Abstract

OBJECTIVE: To identify moderators, mediators and predictors of everyday task performance following an experimental combination of errorless learning and Goal Management Training.

DESIGN: Predictor analysis of a randomized controlled intervention trial. SETTING: Outpatient rehabilitation centers. PARTICIPANTS: Patients (n=60) with acquired brain injury of non-progressive nature with a minimal post-onset time of 3 months. INTERVENTIONS: Participants were randomly allocated to 8 sessions of errorless or conventional Goal Management Training. MAIN OUTCOME MEASURE: Everyday task performance, assessed at baseline and after treatment by evaluating correct, ineffective and missing task steps.

RESULTS: Demographic variables, neuropsychological test performance, subjective cognitive function and quality of life were selected as candidate predictors. The results showed that age (P=.03) and estimated IQ (P=.02) emerged as moderators. Higher age was associated with better everyday task performance following conventional Goal Management Training whereas higher IQ was associated with better performance following errorless Goal Management Training. Higher executive function scores after training predicted improved everyday task performance across the two treatment conditions (P=.04).

CONCLUSIONS: The identified predictors may contribute to a more tailored cognitive rehabilitation approach in which treatments and patients are better matched when clinicians decide to train everyday tasks.

Language: en