TABLE 8-1 Evidence Table: Executive Function

Study N TBI Severity Level Brief Narrative Comparator Outcome Measures Findings
AWARENESS

RCT
Cheng and Man 2006
21 Moderate-Severe Comparison of a systematic intervention, Awareness Intervention Program (AIP), versus conventional rehabilitation, to improve self-awareness. Y

Other CRT Content: Conventional rehabilitation

•  Self-Awareness of Deficits Interview (SADI)


•  FIM


•  Lawton Instrumental Activities of Daily Living (IADL) scale

Analysis showed the AIP training group improved significantly over conventional rehabilitation group.
Goverover et al. 2007 10 Moderate-Severe Examined a self-awareness retraining program using practice of IADLs to improve task-specific self-awareness and self-regulation. Y

Other CRT Content: IADL training

•  Awareness Questionnaire


•  Assessment of Awareness of Disability


•  Self-Regulation Skills Inventory (SRSI)


•  Assessment of Motor and Process Skills (AMPS)

Improvements in self-regulation skill and functional performance were significant in intervention group.
Single Subject, Multiple Baseline Experiment

Sohlberg et al. 1998
3 Moderate-Severe Examined three categories of awareness to determine optimal outcome measures in awareness interventions for future research (a pilot study). N

•  Caregiver rating of subject awareness


•  Self/Other Rating Form


■  Caregiver rating


■  Subject rating


•  Photograph (portion of the “Picture This!”) rating


•  Behavioral measure

Qualitative analysis suggested improved awareness after treatment via behavioral measure; no change in awareness via Self/Other measures.


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