scholarly journals Paediatric goal management training in patients with acquired brain injury: study protocol for a randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029273
Author(s):  
Ruth Elizabeth Hypher ◽  
Anne Elisabeth Brandt ◽  
Kari Risnes ◽  
Torstein Baade Rø ◽  
Eva Skovlund ◽  
...  
Keyword(s):  
Executive Function ◽  
Brain Injury ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Acquired Brain Injury ◽  
Executive Dysfunction ◽  
Management Training ◽  
Goal Management ◽  
Randomised Controlled ◽  
Goal Management Training

IntroductionCompromised integrity of the brain due to paediatric acquired brain injury (pABI) has been associated with cognitive impairment, particularly executive dysfunction, in addition to somatic and emotional symptoms and reduced everyday function. Goal Management Training (GMT) is a cognitive rehabilitation intervention for improving executive function (EF) that has received empirical support in studies of adults with ABI. The purpose of the present study is to determine the efficacy of a recently developed paediatric version of GMT (pGMT) for children and adolescents with ABI and reported executive dysfunction.Methods and analysisThis study protocol describes a parallel randomised controlled trial including allocation concealment and assessor blinding. Eighty survivors after pABI, aged 10–17 years at the time of intervention, will be recruited. Participants will be randomly allocated to either pGMT (n=40) or a psychoeducative control intervention (n=40; paediatric Brain Health Workshop). Both interventions consist of seven group sessions for participants and parents, followed by external cueing and telephone counselling. The study also includes involvement of teachers. Assessments will be performed at baseline, immediately postintervention and at 6 months’ follow-up. Primary outcome measure will be changes in daily life EF as reported by parents (The Behavior Rating Inventory of Executive Function). Secondary outcomes include other assessments of EF (neuropsychological tests and questionnaires). Furthermore, we aim to assess generalisation effects of pGMT on other cognitive functions, as well as emotional, behavioural, adaptive and family function, academic performance, fatigue and quality of life.Ethics and disseminationResults from this study will be disseminated to relevant research, clinical, health service and patient communities through publications in peer-reviewed and popular science journals, in addition to presentations at scientific conferences. The study will be conducted in accordance with the Helsinki declaration and the Ethical Research Involving Children (ChildWatch International and Unicef). In accordance to Good Clinical Practice our study includes safety and quality monitoring guarantees in compliance with research ethics and safety. The trial will be reported in accordance with the Consolidated Standards of Reporting Trials 2010 statement and Standard Protocol Items for Reporting in Trials recommendations, in addition to being registered at ClinicalTrials.gov. The study has been approved by the Regional Committees for Medical and Health Research Ethics Norway (2017/772).Trial registration numberNCT03215342.

scholarly journals Rehabilitation of Executive Functions in Patients with Chronic Acquired Brain Injury with Goal Management Training, External Cuing, and Emotional Regulation: A Randomized Controlled Trial

2016 ◽  
Vol 22 (4) ◽  
pp. 436-452 ◽  
Author(s):  
Sveinung Tornås ◽  
Marianne Løvstad ◽  
Anne-Kristin Solbakk ◽  
Jonathan Evans ◽  
Tor Endestad ◽  
...  
Keyword(s):  
Executive Functioning ◽  
Neuropsychological Tests ◽  
Daily Life ◽  
Controlled Trial ◽  
Acquired Brain Injury ◽  
Executive Dysfunction ◽  
Management Training ◽  
Goal Management ◽  
Randomized Controlled ◽  
Goal Management Training

AbstractExecutive dysfunction is a common consequence of acquired brain injury (ABI), causing significant disability in daily life. This randomized controlled trial investigated the efficacy of Goal Management TrainingTM(GMT) in improving executive functioning in patients with chronic ABI. Seventy patients with a verified ABI and executive dysfunction were randomly allocated to GMT (n=33) or a psycho-educative active control condition, Brain Health Workshop (BHW) (n=37). In addition, all participants received external cueing by text messages. Neuropsychological tests and self-reported questionnaires of executive functioning were administered pre-intervention, immediately after intervention, and at 6 months follow-up. Assessors were blinded to group allocation. Questionnaire measures indicated significant improvement of everyday executive functioning in the GMT group, with effects lasting at least 6 months post-treatment. Both groups improved on the majority of the applied neuropsychological tests. However, improved performance on tests demanding executive attention was most prominent in the GMT group. The results indicate that GMT combined with external cueing is an effective metacognitive strategy training method, ameliorating executive dysfunction in daily life for patients with chronic ABI. The strongest effects were seen on self-report measures of executive functions 6 months post-treatment, suggesting that strategies learned in GMT were applied and consolidated in everyday life after the end of training. Furthermore, these findings show that executive dysfunction can be improved years after the ABI. (JINS, 2016,22, 436–452)

scholarly journals Effect of a structured course involving goal management training in older adults: A randomised controlled trial

2007 ◽  
Vol 65 (2) ◽  
pp. 205-213 ◽  
Author(s):  
Susan A.H. van Hooren ◽  
Susanne A.M. Valentijn ◽  
Hans Bosma ◽  
Rudolf W.H.M. Ponds ◽  
Martin P.J. van Boxtel ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Management Training ◽  
Goal Management ◽  
Randomised Controlled ◽  
Goal Management Training

scholarly journals Systematic instruction for individuals with acquired brain injury: Results of a randomised controlled trial

2012 ◽  
Vol 22 (1) ◽  
pp. 85-112 ◽  
Author(s):  
Laurie Ehlhardt Powell ◽  
Ann Glang ◽  
Deborah Ettel ◽  
Bonnie Todis ◽  
McKay Moore Sohlberg ◽  
...  
Keyword(s):  
Brain Injury ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Acquired Brain Injury ◽  
Systematic Instruction ◽  
Randomised Controlled

Use It or Lose It? A 5-Year Follow-up Study of Goal Management Training in Patients with Acquired Brain Injury

2019 ◽  
Vol 25 (10) ◽  
pp. 1082-1087
Author(s):  
Sveinung Tornås ◽  
Marianne Løvstad ◽  
Anne-Kristin Solbakk ◽  
Anne-Kristine Schanke ◽  
Jan Stubberud
Keyword(s):  
Quality Of Life ◽  
Brain Injury ◽  
Daily Life ◽  
Acquired Brain Injury ◽  
Management Training ◽  
Post Treatment ◽  
Goal Management ◽  
Goal Management Training

AbstractObjectives:To determine the perceived 5-year outcome of Goal Management Training (GMT) for individuals with chronic acquired brain injury and executive dysfunction, when compared to a nonspecific psychoeducational intervention (Brain Health Workshop, BHW).Methods:Of the 67 subjects in the initial randomized controlled trial [Tornås et al. (2016). Journal of the International Neuropsychological Society, 1–17], 50 (GMT, n = 21; BHW, n = 29) subjects returned written consent and questionnaires (54% male, age 45.8 ± 10.9 years). The 5-year follow-up consisted of two questionnaires, including the Behavior Rating Inventory of Executive Function for daily life executive function (EF) and Quality of Life after Brain Injury to assess health-related quality of life (HRQoL). Changes related to daily life EF and HRQoL were assessed pre-treatment, post-treatment, 6-month follow-up, and 5-year follow-up. Data were analyzed using a 2 × 4 mixed-design ANOVA.Results:The findings indicate that GMT is efficacious in improving EF and HRQoL 6-month post-treatment. However, these changes failed to remain significant at 5-year follow-up.Conclusions:Data from 50 participants receiving either GMT or BHW suggested that the significant GMT-related improvements on perceived EF and HRQoL observed at 6-month follow-up were no longer present at 5-year follow-up. These findings indicate a need to promote maintenance of interventions post-treatment.

Sign in / Sign up

Export Citation Format

Share Document