Rehabilitation of executive functioning: An experimental–clinical validation of Goal Management Training

@article{Levine2000RehabilitationOE,
  title={Rehabilitation of executive functioning: An experimental–clinical validation of Goal Management Training},
  author={Brian Levine and Ian H. Robertson and Linda Clare and Gina Carter and J. Hong and Barbara Ann Wilson and John Duncan and Donald T. Stuss},
  journal={Journal of the International Neuropsychological Society},
  year={2000},
  volume={6},
  pages={299 - 312}
}
Two studies assessed the effects of a training procedure (Goal Management Training, GMT), derived from Duncan's theory of goal neglect, on disorganized behavior following TBI. In Study 1, patients with traumatic brain injury (TBI) were randomly assigned to brief trials of GMT or motor skills training. GMT, but not motor skills training, was associated with significant gains on everyday paper-and-pencil tasks designed to mimic tasks that are problematic for patients with goal neglect. In Study 2… Expand

Paper Mentions

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ConditionsCognitive Disorder, Cognitive Dysfunction, Cognitive Impairment, Mild, (+3 more)
InterventionBehavioral
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ConditionsAcquired Brain Injury, Depression
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InterventionBehavioral
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TLDR
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TLDR
Besides the previously found superiority of errorless GMT when training everyday tasks, additional improvements in cognition and quality of life did not differ between the two treatments. Expand
Rehabilitation of Executive Functions in a Real-Life Setting: Goal Management Training Applied to a Person with Schizophrenia
TLDR
Improvement in planning and on trained laboratory and meal preparation tasks and a generalization of GMT effects on nontrained laboratory and everyday tasks and self-esteem also improved. Expand
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The results indicate that GMT combined with external cueing is an effective metacognitive strategy training method, ameliorating executive dysfunction in daily life for patients with chronic ABI, and show that executive dysfunction can be improved years after the ABI. Expand
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TLDR
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The results suggest that the CPT program is efficacious in improving communicative-pragmatic abilities in individuals with TBI, and that improvements at this level are still detectable even in chronic patients years after the injury. Expand
Training in Goal-Oriented Attention Self-Regulation Improves Executive Functioning in Veterans with Chronic Traumatic Brain Injury.
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TLDR
The results from the present study suggest that it is feasible to implement GOALS manualized executive function training in Slovenia, with the patients in a somewhat more acute stage than in previous studies, and that GOALS training may be a promising nonpharmacological treatment for cognitive and behavioral difficulties after acquired brain injury. Expand
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References

SHOWING 1-10 OF 58 REFERENCES
Problem-solving deficits in brain-injured patients: A therapeutic approach
Abstract We developed a specific problem-solving training (PST) and tested it in a small group study. The primary objective of the PST was to provide patients with techniques enabling them to reduceExpand
The effects of focal and diffuse brain damage on strategy application: evidence from focal lesions, traumatic brain injury and normal aging.
TLDR
It was shown that strategically impaired participants from a consecutive series can include those both with and without deficient neuropsychological test performance, and the results supported the use of unstructured tasks in the assessment of supervisory abilities. Expand
Effects of training in use of executive strategies on a verbal memory problem resulting from closed head injury.
  • M. Lawson, D. N. Rice
  • Psychology, Medicine
  • Journal of clinical and experimental neuropsychology
  • 1989
TLDR
Attempts to improve the recall performance of an adolescent (GC) who had suffered a closed-head injury and executive strategy training was provided to improve GC's ability to identify a memory problem and to initiate a general plan for dealing with that problem. Expand
Ventral frontal contribution to self-regulation: Convergence of episodic memory and inhibition
Abstract Ventral frontal brain damage is associated with impaired self-regulation of behaviour in unstructured situations (self-regulatory disorder; SRD). This report attempts to integrate thisExpand
An investigation of the effects of prospective memory training.
TLDR
A within-subject operant design was used to evaluate the efficacy of prospective memory training in a 51-year-old brain-injured male with a severe memory impairment and suggested a significant and steady increase in the subject's prospective memory ability over time. Expand
The Galveston Orientation and Amnesia Test: A Practical Scale to Assess Cognition after Head Injury
TLDR
Review of the brief cognitive test literature disclosed that several techniques have adequate validity data substantiating their use in the detection of dementia in geriatric, psychiatric, and medical populations and Recommendations for the clinical application of the various brief cognitive tests are discussed. Expand
Deficits in strategy application following frontal lobe damage in man.
TLDR
A quantitative investigation of the ability to carry out a variety of cognitive tasks was performed in patients who had sustained traumatic injuries which involved prefrontal structures, and it is argued that the problem arose from an inability to reactivate after a delay previously-generated intentions when they are not directly signalled by the stimulus situation. Expand
Back to work with a chronic dysexecutive syndrome? (A case report)
Abstract We present the case of G.L., a 33-year-old medical doctor, who, nine years after traumatic brain injury, was admitted to our department after he had drifted through several jobs. AccordingExpand
The acute period of recovery from traumatic brain injury: posttraumatic amnesia or posttraumatic confusional state?
TLDR
The authors propose a new definition for this acute recovery period and argue that the term posttraumatic confusional state should be used, because it more appropriately and completely characterizes the early period of recovery after TBI. Expand
Improving executive function disorders in brain-injured clients.
TLDR
The results of efforts to improve executive functioning in three areas: problem solving, self-initiation and self-regulation are presented. Expand
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