Article

OBJECTIVE: To assess feasibility and effects of training in goal-oriented
attentional self-regulation for patients with brain injury and chronic executive
dysfunction. PARTICIPANTS: Sixteen individuals with chronic brain injury and mild
to moderate executive dysfunction. DESIGN: Participants were divided into 2
groups: one group completed goal-oriented attentional self-regulation training
during the first 5 weeks, followed by a brief (2-hour) educational instruction
session as a control midway through the second 5 weeks; the other group
participated in reverse order. MEASURES: Neuropsychological and functional
performance assessed at baseline and at weeks 5 and 10. RESULTS: Participants
found training in goal-oriented attentional self-regulation engaging,
incorporated some trained strategies into daily life, and reported subjective
improvements in personal functioning. At week 5, participants who completed goals
training significantly improved on tests of attention and executive function and
had fewer functional task failures, while performance did not change after
educational instruction. At week 10, participants who crossed over from
educational instruction to goals training also significantly improved on
attention and executive function tests. Participants who crossed from goals
training to educational instruction maintained their week 5 gains. CONCLUSIONS:
Training in goal-oriented attentional self-regulation is theoretically driven and
feasible in a research setting. Pilot results suggest improvements in cognitive
and functional domains targeted by the intervention.

Langue : ANGLAIS