Research Reports - Goal intention reminding in traumatic brain injury: A feasibility study using implementation intentions and text messaging
Brain Inj. 2017 Jan 19:1-7. doi: 10.1080/02699052.2016.1251612. [Epub ahead of
Hart T(1), Vaccaro MJ(1).
OBJECTIVE: To examine feasibility of participant-created implementation
intentions, delivered as text message reminders, to enhance goal-related activity
in persons with chronic, moderate/severe traumatic brain injury (TBI).
DESIGN: Pilot randomized controlled trial on effects of 8 weeks receiving
goal-related implementation intentions (GI) compared to control condition,
educational review regarding goals (GR).
PARTICIPANTS: Eight persons with moderate/severe TBI nearing discharge from
intensive outpatient brain injury treatment.
MEASURES: Neuropsychological tests to characterize cognitive status;
Participation with Recombined Tools-Objective (PART-O) assessing community
activity, social relations and productivity; Brief Symptom Inventory-18 (BSI-18)
assessing depression, anxiety and overall distress; Goal Attainment Scales (GAS).
PART-O, BSI-18 and GAS were completed at baseline and 8 weeks; significant others
provided ratings on PART-O and GAS.
RESULTS: Participants replied to SMS messages at high rates. Statistically
significant group × time interactions with medium-to-large effect sizes favouring
the GI group were observed on PART-O community activity and social relations.
Neither BSI-18 nor GAS revealed differences or trends by group. Qualitative
results suggested overall acceptance and success of SMS reminders.
CONCLUSIONS: Given positive preliminary findings, implementation intentions
delivered by text holds promise as a simple, low-cost intervention to help people
with moderate/severe TBI to implement goal-relevant behaviours.