Managing executive dysfunction following acquired brain injury and stroke using an ecologically valid rehabilitation approach: a study protocol for a randomized, controlled trial

Trials

Merrick Zwarenstein¹  Helene J Polatajko⁵  Anne Hunt⁵  Thecla Damianakis⁴  Carolina Bottari²  Malcolm A Binns³  Nicole D Anderson³  Deirdre R Dawson⁵ 

[1] Schulich School of Medicine and Dentistry, University of Western Ontario, 245-100 Collip Circle, Research Park, London, ON N6G 4X8, Canada;Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, 2275 avenue Laurier Est, Montreal, Quebec H2H 2N8, Canada;Rotman Research Institute, Baycrest, 3560 Bathurst Street, Toronto, ON M6A 2E1, Canada;Kunin-Lunenfeld Applied and Evaluative Research Unit, Baycrest, 3560 Bathurst Street, Toronto, ON M6A 2E1, Canada;Graduate Department of Rehabilitation Sciences, University of Toronto, Suite 160-500 University Avenue, Toronto, ON M5G 1V7, Canada

关键词: Traumatic brain injury;    Stroke;    Strategy-training;    Rehabilitation;    Occupational therapy;    Executive dysfunction;    Cognitive orientation to daily occupational performance;   

Others  :  1093015
DOI  :  10.1186/1745-6215-14-306

 received in 2013-07-04, accepted in 2013-09-02,  发布年份 2013

【 摘 要 】

Background

We have been investigating an ecologically valid strategy-training approach to enable adults with executive dysfunction to attain everyday life goals. Here, we report the protocol of a randomized controlled trial of the effects of this training compared to conventional therapy in a sample of community-dwelling adults with acquired brain injury and/or stroke.

Methods/design

We will recruit 100 community-dwelling survivors at least six months post-acquired brain injury or stroke who report executive dysfunction during a telephone interview, confirmed in pre-training testing. Following pre-training testing, participants will be randomized to the ecologically valid strategy training or conventional therapy and receive two one-hour sessions for eight weeks (maximum of 15 hours of therapy). Post-testing will occur immediately following the training and three months later. The primary outcome is self-reported change in performance on everyday life activities measured using the Canadian Occupational Performance Measure, a standardized, semi-structured interview. Secondary outcomes are objective measurement of performance change from videotapes of treatment session, Performance Quality Rating Scale; executive dysfunction symptoms, Behavioural Rating Inventory of Executive Function – Adult; participation in everyday life, Mayo-Portland Adaptability Inventory Participation Index; and ability to solve novel problems, Instrumental Activities of Daily Living Profile.

Discussion

This study is of a novel approach to promoting improvements in attainment of everyday life goals through managing executive dysfunction using an ecologically valid strategy training approach, the Cognitive Orientation to daily Occupational Performance. This study compares the efficacy of this approach with that of conventional therapy. The approach has the potential to be a valuable treatment for people with chronic acquired brain injury and/or stroke.

Trial registration

clinicaltrials.gov, Trial Identification Number:NCT01414348

【 授权许可】

   
2013 Dawson et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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