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Cognitive Rehabilitation Therapy for Traumatic Brain Injury Model Study Protocols and Frameworks to Advance the State of the Science: Workshop Summary (2013) / Chapter Skim
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Appendix A: Recommendations of the IOM Report *Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence*
Pages 47-50

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From page 47...
... . The committee emphasizes that conclusions based on the limited evidence regarding the effectiveness of CRT does not indicate that the effectiveness of CRT treatments are "limited;" the limitations of the evidence do not rule out meaningful benefit. In fact, the committee supports the ongoing clinical application of CRT interventions for individuals with cognitive and behavioral deficits due to traumatic brain injury (TBI)
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From page 48...
... The documentation of interventions in practice and more frequent use of manual-based interventions in research will help validate measures of treatment fidelity. For example, while there is evidence from controlled trials that internal memory strategies are useful for improving recall on decontextualized, standard tests of memory, there is limited evidence that these benefits translate into meaningful changes in patients' everyday memory either for specific tasks/ activities or for avoiding memory failures.
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From page 49...
... and develop a comprehensive registry encompassing the existing cohorts and deidentified MHS medical records to allow ongoing evaluation of CRT interventions. Recommendation 14-4: Using these data sources, the DoD should plan to prospectively evaluate the impact of any policy changes related to CRT delivery and payment within the MHS with respect to outcomes and cost-effectiveness.
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From page 50...
... 50 COGNITIVE REHABILITATION THERAPY FOR TBI Recommendation 14-5: The DoD should collaborate with other re search and funding organizations to foster all phases of research and development of CRT treatments for TBI, from pilot phase, to early ef ficacy research (safety, dose, duration and frequency of exposure, and durability) , to large-scale randomized clinical trials, and ultimately, effectiveness and comparative effectiveness studies.
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Key Terms

  • cognitive rehabilitation
  • cognitive domain
  • limited evidence
  • evidence studies
  • tbi patients

  • tbi model
  • crt treatments
  • traumatic brain
  • brain injury
  • select uniform

  • ongoing emphasis
  • defined limited
  • veterans brain
  • medical records
  • mixed results

  • common definition
  • integrate health
  • measurable functional
  • deficits due
  • increased emphasis

  • controlled trials
  • maintaining transitions
  • military health
  • care services
  • events related

  • executive council
  • treatment approach
  • allow ongoing
  • extensive funding
  • rehabilitation research


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