Article

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.

Langue : ANGLAIS