Article

PURPOSE: To determine if Goal Management Training (GMT) is effective for the
rehabilitation of executive functions following brain injury when administered
alone or in combination with other interventions. METHOD: Systematic review, with
quality appraisal specific to executive functions research and calculation of
effect sizes. RESULTS: Twelve studies were included. Four studies were
"Proof-of-principle" studies, testing the potential effectiveness of GMT and
eight were rehabilitation studies. Effectiveness was greater when GMT was
combined with other interventions. The most effective interventions appeared to
be those combing GMT with: Problem Solving Therapy; personal goal setting;
external cueing or prompting apply GMT to the current task; personal homework to
increase patients' commitment and training intensity; ecological and daily life
training activities rather than paper-and-pencil, office-type tasks. Level of
support for GMT was higher for studies measuring outcome in terms of increases in
participation in everyday activities rather than on measures of executive
impairment. CONCLUSION: Comprehensive rehabilitation programs incorporating GMT,
but integrating other approaches, are effective in executive function
rehabilitation following brain injury in adults. There is insufficient evidence
to support use of GMT as a stand-alone intervention.

Langue : ANGLAIS