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The effect of internet-based cognitive rehabilitation in persons with memory impairments after severe traumatic brain injury

BERGQUIST T; GEHL RS; MANDREKAR J; LEPORE S; HANNA S; OSTEN P; BEAULIEU W
BRAIN INJ , 2009, vol. 23, n° 10, p. 790-799
Doc n°: 145875
Localisation : Accès réservé

D.O.I. : http://dx.doi.org/DOI:10.1080/02699050903196688
Descripteurs : AF3 - TRAUMATISME CRANIEN, AD671 TROUBLES DE LA MEMOIRE

The current study examined whether cognitive rehabilitation
delivered over the Internet was associated with improvements in functioning.
RESEARCH DESIGN: A total of 14 individuals with medically documented traumatic
brain injury completed this study. Participants completed 30 sessions of an
active calendar acquisition intervention and 30 sessions of a control diary
intervention in a cross-over study design for a total of 60 online sessions. All
sessions were completed using an instant messaging system via the Internet.
Measures of cognitive functioning, ratings of memory and mood and frequency of
use of common memory and cognitive compensation techniques were gathered from
participants and family members. MAIN OUTCOMES AND RESULTS: There were no
significant differences between the active and control conditions on the primary
outcome measure of memory functioning. However, significant improvements in use
of compensatory strategies as well as family reports of improved memory and mood
were observed following completion of all sessions. Individuals with less use of
compensatory strategies at baseline were significantly less likely to complete
the study. CONCLUSIONS: These results suggest that the Internet may be an
effective delivering mechanism for compensatory cognitive rehabilitation,
particularly among individuals who are already utilizing some basic compensatory
strategies.

Langue : ANGLAIS

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