Article

Veterans with blast-related mild traumatic brain injury (TBI) experience
cognitive deficits that interfere with functional activities. Goal Management
Training (GMT), which is a metacognitive intervention, offers an executive
function rehabilitation approach that draws upon theories concerning goal
processing and sustained attention. GMT has received empirical support in studies
of patients with TBI but has not been tested in Veterans with blast-related mild
TBI. GMT was modified from 7 weekly to 10 biweekly sessions. Participants
included six combat Veterans that reported multiple blast exposures resulting in
symptoms consistent with mild TBI. Group analysis showed a significant
improvement in measures of executive function derived from performance on the
computerized Tower of London. There were no significant changes on self/informant
questionnaires of executive function, indicating a lack of generalization of
improvement from the clinic to everyday activities. Overall, while the data
indicate efficacy of GMT in the rehabilitation of combat Veterans with executive
function deficits because of blast-related mild TBI, enhancement of
generalization is needed.

Langue : ANGLAIS