Cognitive Rehabilitation Therapy
for Traumatic Brain Injury
Model Study Protocols and Frameworks to
Advance the State of the Science
Workshop Summary
Karin Matchett, Rapporteur
Board on the Health of Select Populations
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This activity was supported by Contract No. HHSP23320042509XI/HHSP23337029T/0002 between the National Academy of Sciences and the U.S. Department of Health and Human Services. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.
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Suggested citation: IOM (Institute of Medicine). 2013. Cognitive rehabilitation therapy for traumatic brain injury: Model study protocols and frameworks to advance the state of the science: Workshop summary. Washington, DC: The National Academies Press.
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PLANNING COMMITTEE ON COGNITIVE REHABILITATION
THERAPY FOR TRAUMATIC BRAIN INJURY:
MODEL STUDY PROTOCOLS AND FRAMEWORKS
TO ADVANCE THE STATE OF THE SCIENCE1
IRA SHOULSON (Chair), Professor of Neurology, Pharmacology and Human Science, and Director of the Program for Regulatory Science and Medicine, Georgetown University, Washington, DC
RICHARD KEEFE, Professor of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC
MARY R. T. KENNEDY, Associate Professor, Department of Speech-Language-Hearing Science, University of Minnesota, Minneapolis
HILAIRE THOMPSON, Assistant Professor in the School of Nursing, University of Washington, Seattle
JOHN WHYTE, Director, Moss Rehabilitation Research Institute, Elkins Park, PA
Consultant
BARBARA G. VICKREY, Professor and Vice Chair, Department of Neurology, University of California, Los Angeles
IOM Staff
REBECCA KOEHLER, Program Officer
MARYJO M. OSTER, Program Officer
JON Q. SANDERS, Program Associate
ANDREA COHEN, Financial Associate
FREDERICK (RICK) ERDTMANN, Director, Board on the Health of Select Populations
_____________________
1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.
This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:
Alison Cernich, Defense Centers of Excellence
Wayne A. Gordon, Mount Sinai School of Medicine
Mary V. Radomski, Sister Kenny Research Center
Rodney Vanderploeg, James A. Haley VA Hospital
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Jack C. Ebeler, Health Policy Alternatives, Inc. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.
2 OVERVIEW OF THE INSTITUTE OF MEDICINE REPORT (OCTOBER 2011)
Example of the Committee’s Process
Overall Findings from the Analysis of the Literature
The Limitations of the Current Literature on CRT for TBI
3 THE TRANSLATIONAL PIPELINE AND CLASSIFICATION SCHEMES FOR CRT INTERVENTIONS
Guidelines for Creating Meaningful Descriptions of CRT Interventions
The Translational Pipeline and Research Design