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/ [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
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;
CONCLUSIONS: These findings indicate positive support for combined
process-specific and metacognitive strategy training for attention and executive

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