Research Reports - The application of Goal Management Training to aspects of financial management in individuals with traumatic brain injury

Neuropsychol Rehabil. 2012 Dec;22(6):852-73

Grant M, Ponsford J, Bennett PC

Executive functions encompass planning, problem-solving and self-monitoring
abilities, abilities that are implicit in goal attainment and often compromised
in individuals with traumatic brain injury (TBI). Goal Management Training (GMT)
is a theoretically based rehabilitation protocol that was developed to improve
goal-directed behaviour. To date, there is evidence to support the efficacy of
GMT in healthy older adults and in one previously high functioning individual
with acquired brain injury. However, there is no evidence that, in individuals
with TBI and severe cognitive impairments, GMT leads to sustained improvement on
everyday tasks requiring planning and organisation. The current study was
conducted to explore the efficacy of GMT in helping individuals with TBI to
improve aspects of their day-to-day financial management. Four participants with
severe TBI completed a modified GMT module. Outcomes were assessed using Goal
Attainment Scaling. Five control participants were also recruited as a comparison
group for the Multiple Errands Task which was used to measure generalisation. The
outcomes in each case were variable. Overall the results showed that the
structured GMT intervention assisted some TBI individuals to improve their
performance on financial management tasks, with evidence of generalisation in
some cases.

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