Article

Self-awareness is a significant predictor of neurorehabilitation
process and outcome and encompasses metacognitive knowledge and online awareness.
The literature focuses primarily on intellectual awareness and research on online
awareness is lacking. OBJECTIVE: To examine online awareness for functional
tasks, how it is affected by task experience and its relationships with
neurogenic and psychogenic factors. METHODS: Thirty six adults with ABI attending
neurorehabilitation participated in this study. Online awareness was measured as
the discrepancy between subjective ratings of performance and performance on
functional tasks, as rated by experienced therapists. Participants' ratings were
recorded before and immediately after task experience, as well as following a
mediated review of task steps. The Impaired Self-Awareness scale (ISA) and the
Denial of Disability scale (DD) rated neurogenic and psychogenic mechanisms of
unawareness. RESULTS: Results indicated significant differences between
therapists' and participants' ratings before and after IADL task performance, and
following mediation. Participants typically overestimated their functional
independence and did not significantly change their ratings after task
experience. Significant moderate to strong correlations were found between online
awareness measures and both DD and ISA scales. CONCLUSIONS: Overestimation of
functional independence is common in persons with ABI, is related to both
neurogenic and psychogenic factors and is not significantly affected by single
task experience. Further studies are required to examine the effect of
theoretically driven awareness interventions in neurorehabilitation.

Langue : ANGLAIS