Metacognitive Training to Enhance Strategy Use in Blast-Related TBI (NCT00857207) | Clinical Trial Compass
CompletedNot Applicable
Metacognitive Training to Enhance Strategy Use in Blast-Related TBI
United States51 participantsStarted 2013-10-01
Plain-language summary
Enhanced Goal Management Training (GMT) is a 10-week group or individual therapy that teaches strategies to improve an individual's ability to complete everyday tasks. This research study will test the effect of GMT on 36 OEF/OIF Veterans compared to a control group of 16 OEF/OIF Veterans receiving a Brain Health Workshop. The results will provide information to conduct future research with a larger group of patients or to identify which patients demonstrate more benefit from the training.
Who can participate
Age range18 Years – 55 Years
SexALL
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Inclusion Criteria:
* 2 incidences of blast-related mTBI according to the American Congress of Rehabilitation Medicine, any of three following criteria:
* loss of consciousness \<30 minutes, a Glasgow Coma Scale of 13
* loss of memory for events immediately before and after the event (24 hours alteration of mental state at the time of accident)
* focal neurological deficits that may, or may not, be transient (ACRM, 1993)
* Diagnosis must be documented in the medical record by a physician or neuropsychologist.
* Frontal Lobe impairment will be determined by 1.5 standard deviations below the mean on either the D-KEFS Color Word Interference Testorthe EXAMINER composite score.
* Age 18 to 55 years.
* At least 6 months post injury.
* Family member or friend that is willing to answer questionnaires and provide feedback on questionnaires and completion of homework.
Exclusion Criteria:
* History of pre-morbid learning disability.
* History of psychiatric diagnosis sufficiently severe to have resulted in inpatient hospitalization.
* Neurological disease unrelated to TBI (seizure disorder, stroke, ADHD).
* Score \< 90 on National Adult Reading Test.
* Failure of validity testing on the Test of Memory Malingering (TOMM)
* Reported alcohol or substance abuse within the past year, or such abuse documented in medical record.
* Reported involvement in current litigation.
* Changes within the past month of medications known to affect cognitive functions e.g. benzodiazepines, opioi…