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

Published online by Cambridge University Press:  24 June 2019

Sveinung Tornås ,
Marianne Løvstad ,
Anne-Kristin Solbakk ,
Anne-Kristine Schanke  and
Jan Stubberud
Sveinung Tornås*
Affiliation:
Department of Research, Sunnaas Rehabilitation Hospital, Nesodden, Norway
Marianne Løvstad
Affiliation:
Department of Research, Sunnaas Rehabilitation Hospital, Nesodden, Norway Department of Psychology, University of Oslo, Oslo, Norway
Anne-Kristin Solbakk
Affiliation:
Department of Psychology, University of Oslo, Oslo, Norway Department of Neuropsychology, Helgeland Hospital, Mosjøen, Norway Department of Neurosurgery, Oslo University Hospital, Oslo, Norway
Anne-Kristine Schanke
Affiliation:
Department of Research, Sunnaas Rehabilitation Hospital, Nesodden, Norway Department of Psychology, University of Oslo, Oslo, Norway
Jan Stubberud
Affiliation:
Department of Psychology, University of Oslo, Oslo, Norway Lovisenberg Diaconal Hospital, Oslo, Norway
*
* Correspondence and reprint requests to: Sveinung Tornås, Sunnaas Rehabilitation Hospital, Bjørnemyrveien, 1450 Nesoddtangen, Norway. E-mail: [email protected]
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Abstract

Objectives:

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.

Keywords

Cognitive rehabilitationGoal managementExecutive functioningBrain injuryFollow-upRandomized controlled trial
Type
Brief Communication
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 10 , November 2019 , pp. 1082 - 1087
Copyright
Copyright © INS. Published by Cambridge University Press, 2019 

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References

REFERENCES

Adnan, A., Chen, A.J.W., Novakovic-Agopian, T., D’Esposito, M., & Turner, G.R. (2017). Brain changes following executive control training in older adults. Neurorehabilitation and Neural Repair, 31(10–11), 910–922. doi: 10.1177/1545968317728580 CrossRefGoogle ScholarPubMed
Cicerone, K., Levin, H., Malec, J., Stuss, D., & Whyte, J. (2006). Cognitive rehabilitation interventions for executive function: moving from bench to bedside in patients with traumatic brain injury. Journal of Cognitive Neuroscience, 18(7), 1212–1222. doi: 10.1162/jocn.2006.18.7.1212 CrossRefGoogle ScholarPubMed
Cicerone, K.D., Langenbahn, D.M., Braden, C., Malec, J.F., Kalmar, K., Fraas, M., Felicetti, T., Laatsch, L., Harley, J.P., Bergqvist, T., Azulay, J., Cantor, J., & Ashman, T. (2011). Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation, 92(4), 519–530. doi: 10.1016/j.apmr.2010.11.015 CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: L. Erlbaum Associates.Google Scholar
Fish, J., Evans, J.J., Nimmo, M., Martin, E., Kersel, D., Bateman, A., …Manly, T. (2007). Rehabilitation of executive dysfunction following brain injury: “content-free” cueing improves everyday prospective memory performance. Neuropsychologia, 45(6), 1318–1330. doi: 10.1016/j.neuropsychologia.2006.09.015 CrossRefGoogle ScholarPubMed
Friedman, R.B., Sullivan, K.L., Snider, S.F., Luta, G., & Jones, K.T. (2017). Leveraging the test effect to improve maintenance of the gains achieved through cognitive rehabilitation. Neuropsychology, 31(2), 220–228. doi: 10.1037/neu0000318 CrossRefGoogle ScholarPubMed
Gioia, G.A., Isquith, P.K., Guy, S.C., & Kenworthy, L. (2000). Behavior Rating Inventory of Executive Function: Professional Manual. Lutz, FL: Psychological Assessment Resources, Inc.Google Scholar
Konrad, C., Geburek, A.J., Rist, F., Blumenroth, H., Fischer, B., Husstedt, I., Arolt, V., Schiffbauer, H., & Lohmann, H. (2011). Long-term cognitive and emotional consequences of mild traumatic brain injury. Psychological Medicine, 41(6), 1197–1211. doi: 10.1017/S0033291710001728 CrossRefGoogle ScholarPubMed
Levaux, M.N., Laroi, F., Malmedier, M., Offerlin-Meyer, I., Danion, J.M., & Van der Linden, M. (2012). Rehabilitation of executive functions in a real-life setting: goal management training applied to a person with schizophrenia. Case Reports Psychiatry, 2012, 503023. doi: 10.1155/2012/503023 CrossRefGoogle Scholar
Levine, B., Robertson, I.H., Clare, L., Carter, G., Hong, J., Wilson, B.A., Duncan, J., & Stuss, D.T. (2000). Rehabilitation of executive functioning: an experimental-clinical validation of goal management training. Journal of the International Neuropsychological Society, 6(3), 299–312.CrossRefGoogle ScholarPubMed
Loya, F., Novakovic-Agopian, T., Binder, D., Rossi, A., Rome, S., Murphy, M., & Chen, A.J. (2017). Long-term use and perceived benefits of goal-oriented attentional self-regulation training in chronic brain injury. Rehabilitation Research and Practise, 2017, 8379347. doi: 10.1155/2017/8379347 Google ScholarPubMed
Ponsford, J.L., Downing, M.G., Olver, J., Ponsford, M., Acher, R., Carty, M., & Spitz, G. (2014). Longitudinal follow-up of patients with traumatic brain injury: outcome at two, five, and ten years post-injury. Journal of Neurotrauma, 31(1), 64–77. doi: 10.1089/neu.2013.2997 CrossRefGoogle ScholarPubMed
Sohlberg, M.M., & Mateer, C.A. (2001). Cognitive Rehabilitation : An Integrative Neuropsychological Approach. New York: Guilford Press.Google Scholar
Stamenova, V., & Levine, B. (2018). Effectiveness of goal management training(R) in improving executive functions: a meta-analysis. Neuropsychological Rehabilitation. Advance online publication. doi: 10.1080/09602011.2018.1438294 CrossRefGoogle Scholar
von Steinbuechel, N., Wilson, L., Gibbons, H., Muehlan, H., Schmidt, H., Schmidt, S., Schmidt, S., Sasse, N., Koskinen, S., Sarajuuri, J., Hofer, S., Bullinger, M., Maas, A., Neugebauer, E., Powell, J., von Wild, K., Zitnay, G., Bakx, W., Christensen, A.L., Formisano, R., Hawthorne, G., & Truelle, J.L. (2012). QOLIBRI overall scale: a brief index of health-related quality of life after traumatic brain injury. Journal of Neurology, Neurosurgery and Psychiatry, 83(11), 1041–1047. doi: 10.1136/jnnp-2012-302361 CrossRefGoogle ScholarPubMed
Stubberud, J., Langenbahn, D., Levine, B., Stanghelle, J., & Schanke, A.K. (2013). Goal management training of executive functions in patients with spina bifida: a randomized controlled trial. Journal of the International Neuropsychological Society, 19(6), 672–685. doi: 10.1017/S1355617713000209 CrossRefGoogle ScholarPubMed
Tornås, S., Løvstad, M., Solbakk, A.K., Evans, J., Endestad, T., Hol, P.K., …Stubberud, J. (2016). Rehabilitation of executive functions in patients with chronic acquired brain injury with goal management training, external cuing, and emotional regulation: a randomized controlled trial. Journal of the International Neuropsychological Society, 1–17. doi: 10.1017/S1355617715001344 CrossRefGoogle Scholar
Tornås, S., Løvstad, M., Solbakk, A.K., Schanke, A.K., & Stubberud, J. (2016). Goal management training combined with external cuing as a means to improve emotional regulation, psychological functioning, and quality of life in patients with acquired brain injury: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 97, 1841–1852. doi: 10.1016/j.apmr.2016.06.014 CrossRefGoogle ScholarPubMed
Tornås, S., Stubberud, J., Solbakk, A.K., Evans, J., Schanke, A.K., & Løvstad, M. (2017). Moderators, mediators and nonspecific predictors of outcome after cognitive rehabilitation of executive functions in a randomised controlled trial. Neuropsychological Rehabilitation, 29(6), 844–865. doi: 10.1080/09602011.2017.1338587 CrossRefGoogle Scholar
Wilson, B.A. (2008). Neuropsychological rehabilitation. Annual Reviews in Clinical Psychology, 4, 141–162. doi: 10.1146/annurev.clinpsy.4.022007.141212 CrossRefGoogle ScholarPubMed