Maintenance of treatment effects of an occupation-based intervention with video feedback for adults with TBI

Schmidt, Julia, Fleming, Jennifer, Ownsworth, Tamara and Lannin, Natasha A. (2015) Maintenance of treatment effects of an occupation-based intervention with video feedback for adults with TBI. NeuroRehabilitation, 36 2: 175-186. doi:10.3233/NRE-151205


Author Schmidt, Julia
Fleming, Jennifer
Ownsworth, Tamara
Lannin, Natasha A.
Title Maintenance of treatment effects of an occupation-based intervention with video feedback for adults with TBI
Journal name NeuroRehabilitation   Check publisher's open access policy
ISSN 1878-6448
1053-8135
Publication date 2015-06-17
Year available 2015
Sub-type Article (original research)
DOI 10.3233/NRE-151205
Open Access Status
Volume 36
Issue 2
Start page 175
End page 186
Total pages 12
Place of publication Amsterdam, Netherlands
Publisher I O S Press
Collection year 2016
Language eng
Formatted abstract
Background: Video feedback interventions have been found to improve self-awareness and occupational performance to a greater extent than other feedback interventions after traumatic brain injury (TBI). However, it is unclear whether the effects of video feedback are maintained over time.

Objective: To evaluate the maintenance of gains in self-awareness achieved with a video feedback intervention in people with TBI.

Methods: There were 32 participants with TBI and impaired self-awareness who had completed a randomized controlled trial with three feedback conditions (video plus verbal, verbal and experiential). Eight to ten weeks after the final feedback intervention session, a follow-up assessment was conducted. The primary outcome was maintenance of gains in online awareness measured by the number of errors made during a meal preparation task. Group outcomes were compared using an unstructured linear mixed regression model.

Results: The video plus verbal feedback group continued to demonstrate significantly greater gains in online awareness compared to the verbal feedback group (mean difference 20.6, 95% CI 8.8 to 32.3) and the experiential feedback group (mean difference 14.4, 95% CI 3.1 to 25.6). There was no significant impact of the interventions on participants' emotional status at the 8 to 10 week follow-up.

Conclusions: A combination of video plus verbal feedback is an effective technique for achieving maintained gains in self-awareness in people with TBI.
Keyword Cognition
Feedback
Neuropsychology
Occupational therapy
Rehabilitation
Self-awareness
Traumatic brain injury
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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