Research Reports - Feasibility of an intensive attention training program and its beneficial effect after childhood traumatic brain injury

Ann Phys Rehabil Med. 2017 Jun 30. pii: S1877-0657(17)30074-X. doi:
10.1016/j.rehab.2017.05.001. [Epub ahead of print]

Séguin M(1), Lahaie A(2), Matte-Gagné C(3), Beauchamp MH(4).

BACKGROUND: Attention deficits are common after pediatric Traumatic Brain Injury
(TBI); they complicate return to activities of daily living and disrupt
socioacademic reintegration. Yet, clinicians in rehabilitation settings have
limited access to cognitive remediation protocols for which feasibility has been
demonstrated.
OBJECTIVE: The aim of this study was to evaluate the feasibility of intensive
attention process training program Ready! Set? Let's Train! (RST), based on an
adaptation of the Attention Process Training-I program.
MATERIALS AND METHODS: In a randomized controlled trial, participants with
attention deficits were assigned to receive the attention process training
intervention (RST) or Homework Assistance (HWA). Pre- and post-intervention
assessments consisted of standardized attentional and executive tests and a
behavior checklist.
RESULTS: Analyses conducted for 17 participants (RST, n=8; HWA, n=9; mean age
14.70±2.17 years, 11 males) indicated the study was successful in that it showed
improvements in working memory (F(14)=5.44, P=0.04; η(2)=0.19), inhibition
(F(14)=10.18, P=0.007; η(2)=0.75) and cognitive flexibility (F(14)=5.36, P=0.04;
η(2)=0.57).
CONCLUSIONS: These findings indicate positive support for combined
process-specific and metacognitive strategy training for attention and executive
functions.
 

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