Research Reports - The effect of occupation-based cognitive rehabilitation for traumatic brain injury

Occup Ther Int. 2015 Jun;22(2):104-16

Park HY(1), Maitra K, Martinez KM

Traumatic brain injury (TBI) is the leading cause of death and disability among
people younger than 35 years in the United States. Cognitive difficulty is a
common consequence of TBI. To address cognitive deficits of patients with TBI,
various cognitive rehabilitation approaches have been used for the clinical
setting. The purpose of this study was to investigate the overall effect of
occupation-based cognitive rehabilitation on patients' improvement in cognitive
performance components, activity of daily living (ADL) performance, and values,
beliefs and spirituality functions of patients with TBI. The papers used in this
study were retrieved from the Cochrane Database, EBSCO (CINAHL), PsycINFO, PubMed
and Web of Science published between 1997 and 2014. The keywords for searching
were cognitive, rehabilitation, occupation, memory, attention, problem-solving,
executive function, ADL, values, beliefs, spirituality, randomized controlled
trials and TBI. For the meta-analysis, we examined 60 effect sizes from nine
studies that are related to the occupation-based cognitive rehabilitation on
persons with TBI. In persons with TBI, overall mental functions, ADL, and values,
beliefs and spirituality were significantly improved in the groups that received
occupation-based cognitive rehabilitation compared with comparison groups (mean d
= 0.19, p < .05). Evidence from the present meta-analytic study suggests that
occupation-based cognitive rehabilitation would be beneficial for individuals
with TBI for improving daily functioning and positively be able to affect their
psychosocial functions. Collecting many outcome measures in studies with
relatively few participants and the final data are less reliable than the whole
instrument itself. Future research should evaluate the effectiveness of specific
occupation-based cognitive rehabilitations programmes in order to improve
consistency among rehabilitation providers.

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