Abstract
Aim: To examine the effects of an awareness training protocol embedded within the practice of instrumental activities of daily living (IADLs) in participants with acquired brain injury on levels of self-awareness and functional performance. Methods: This study used a randomized control trial design: 10 participants with moderate-to-severe brain injury received six sessions of the self-awareness training while they performed IADLs (experimental group) and 10 participants performed the same IADLs but received conventional therapeutic practice (control group). In the experimental group, participants were asked to predict their performance before each task performance and to estimate their performance level after the performance. Outcome measures: Pre- and post-intervention outcome measures taken from the two groups were compared. Instruments were standardized measures of 'general' self-awareness with collateral reports by informants (e.g. Awareness Questionnaire); 'task-specific' self-awareness (e.g. Assessment of Awareness of Disability) and Self-Regulation Skills Inventory (SRSI). Performance on IADLs was assessed using the Assessment of Motor and Process Skills (AMPS). Results: Compared to the control group, the intervention significantly improved IADL performances and self-regulation. No significant treatment effect was observed for task-specific self-awareness, general self-awareness or community integration. Conclusions: The self-awareness intervention significantly but selectively improved self-awareness during IADL task performance as well as functional performance. The need for a larger study with more treatment sessions is discussed.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 913-923 |
| Number of pages | 11 |
| Journal | Brain Injury |
| Volume | 21 |
| Issue number | 9 |
| DOIs | |
| State | Published - Aug 2007 |
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Keywords
- Activities of daily living
- Brain injury
- Rehabilitation
- Self-awareness
ASJC Scopus subject areas
- Clinical Neurology
Cite this
Treatment to improve self-awareness in persons with acquired brain injury. / Goverover, Yael; Johnston, Mark V.; Toglia, Joan; DeLuca, John.
In: Brain Injury, Vol. 21, No. 9, 08.2007, p. 913-923.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Treatment to improve self-awareness in persons with acquired brain injury
AU - Goverover, Yael
AU - Johnston, Mark V.
AU - Toglia, Joan
AU - DeLuca, John
PY - 2007/8
Y1 - 2007/8
N2 - Aim: To examine the effects of an awareness training protocol embedded within the practice of instrumental activities of daily living (IADLs) in participants with acquired brain injury on levels of self-awareness and functional performance. Methods: This study used a randomized control trial design: 10 participants with moderate-to-severe brain injury received six sessions of the self-awareness training while they performed IADLs (experimental group) and 10 participants performed the same IADLs but received conventional therapeutic practice (control group). In the experimental group, participants were asked to predict their performance before each task performance and to estimate their performance level after the performance. Outcome measures: Pre- and post-intervention outcome measures taken from the two groups were compared. Instruments were standardized measures of 'general' self-awareness with collateral reports by informants (e.g. Awareness Questionnaire); 'task-specific' self-awareness (e.g. Assessment of Awareness of Disability) and Self-Regulation Skills Inventory (SRSI). Performance on IADLs was assessed using the Assessment of Motor and Process Skills (AMPS). Results: Compared to the control group, the intervention significantly improved IADL performances and self-regulation. No significant treatment effect was observed for task-specific self-awareness, general self-awareness or community integration. Conclusions: The self-awareness intervention significantly but selectively improved self-awareness during IADL task performance as well as functional performance. The need for a larger study with more treatment sessions is discussed.
AB - Aim: To examine the effects of an awareness training protocol embedded within the practice of instrumental activities of daily living (IADLs) in participants with acquired brain injury on levels of self-awareness and functional performance. Methods: This study used a randomized control trial design: 10 participants with moderate-to-severe brain injury received six sessions of the self-awareness training while they performed IADLs (experimental group) and 10 participants performed the same IADLs but received conventional therapeutic practice (control group). In the experimental group, participants were asked to predict their performance before each task performance and to estimate their performance level after the performance. Outcome measures: Pre- and post-intervention outcome measures taken from the two groups were compared. Instruments were standardized measures of 'general' self-awareness with collateral reports by informants (e.g. Awareness Questionnaire); 'task-specific' self-awareness (e.g. Assessment of Awareness of Disability) and Self-Regulation Skills Inventory (SRSI). Performance on IADLs was assessed using the Assessment of Motor and Process Skills (AMPS). Results: Compared to the control group, the intervention significantly improved IADL performances and self-regulation. No significant treatment effect was observed for task-specific self-awareness, general self-awareness or community integration. Conclusions: The self-awareness intervention significantly but selectively improved self-awareness during IADL task performance as well as functional performance. The need for a larger study with more treatment sessions is discussed.
KW - Activities of daily living
KW - Brain injury
KW - Rehabilitation
KW - Self-awareness
UR - http://www.scopus.com/inward/record.url?scp=34548358858&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34548358858&partnerID=8YFLogxK
U2 - 10.1080/02699050701553205
DO - 10.1080/02699050701553205
M3 - Article
VL - 21
SP - 913
EP - 923
JO - Brain Injury
JF - Brain Injury
SN - 0269-9052
IS - 9
ER -