Article

Traumatic brain injury (TBI) results in complex cognitive (and
other) sequelae. Impairments in executive function and self-awareness are among
the most characteristic neuropsychological sequelae and can exert a profound
effect on resuming previous life roles. An international group of researchers and
clinicians (known as INCOG) convened to develop recommendations for interventions
to improve impairments in executive functioning and self-awareness after TBI.
METHODS: The team reviewed the available literature and ensured the
recommendations were current. To promote implementation, the team developed
decision algorithms incorporating the recommendations based on inclusion and
exclusion criteria of published trials. The team then prioritized the
recommendations for implementation and developed audit criteria to evaluate the
adherence to the best practice recommendations. RESULTS: Intervention programs
incorporating metacognitive strategy instruction for planning, problem-solving,
and other cognitive-executive impairments have a solid evidence base. New
evidence supports the use of strategies to specifically improve reasoning skills.
Substantial support exists for use of direct corrective feedback to improve
self-awareness. CONCLUSIONS: An increasing number of scientifically well-designed
studies are available that demonstrate the effectiveness of a variety of
interventions for the remediation of impairments in executive function and
self-awareness after TBI.

Langue : ANGLAIS