Article

OBJECTIVE: To identify moderators, mediators, and predictors of everyday task
performance after 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 nonprogressive nature with a
minimal postonset 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 intelligence quotient (IQ) (P=.02) emerged
as moderators. Higher age was associated with better everyday task performance
after conventional goal management training, whereas higher IQ was associated
with better performance after errorless goal management training. Higher
executive function scores after training predicted improved everyday task
performance across the 2 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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS