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

  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},
  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… 

Goal Management Training for rehabilitation of executive functions: a systematic review of effectivness in patients with acquired brain injury

There is insufficient evidence to support use of GMT as a stand-alone intervention, and comprehensive rehabilitation programs relying partly on GMT and integrating other approaches are effective in executive function rehabilitation following brain injury in adults.

Transfer effects of errorless Goal Management Training on cognitive function and quality of life in brain-injured persons.

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.

Rehabilitation of Executive Functions in Patients with Chronic Acquired Brain Injury with Goal Management Training, External Cuing, and Emotional Regulation: A Randomized Controlled Trial

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.

Rehabilitation of Executive Functioning in Patients with Frontal Lobe Brain Damage with Goal Management Training

Goal Management Training was compared to an alternative intervention that was matched to GMT on non-specific characteristics that can affect intervention outcome, and data support the efficacy of GMT in the rehabilitation of executive functioning deficits.

Cognitive rehabilitation in the elderly: Effects on strategic behavior in relation to goal management

A modified Goal Management Training program was included in a large-scale cognitive rehabilitation randomized trial in 49 healthy older adults to address the real-life deficits caused by executive dysfunction.

Training in Goal-Oriented Attention Self-Regulation Improves Executive Functioning in Veterans with Chronic Traumatic Brain Injury.

Attention regulation training may not only impact executive control functioning in real-world complex tasks, but also may improve emotional regulation and functioning.

Rehabilitation of Executive Functioning With Training in Attention Regulation Applied to Individually Defined Goals: A Pilot Study Bridging Theory, Assessment, and Treatment

Pilot results suggest improvements in cognitive and functional domains targeted by the intervention, and training in goal-oriented attentional self-regulation is theoretically driven and feasible in a research setting.

Goal-oriented attentional self-regulation training in individuals with acquired brain injury in a subacute phase: a pilot feasibility study

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.

Rehabilitation of executive dysfunction: A controlled trial of an attention and problem solving treatment group

There was an improvement on some executive and functional measures after the implementation of the APS programme in the three groups, and size, and to a lesser extent laterality, of lesion affected baseline performance on measures of executive function, but there was no apparent relationship between size, laterality or site of lesions and level of benefit from the treatment intervention.

A randomized controlled trial on errorless learning in goal management training: study rationale and protocol

It is expected that the GMT-errorless learning approach will improve the execution of complex daily tasks in brain-injured patients with executive deficits, and can contribute to a better treatment of executive deficits in cognitive rehabilitation.



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 reduce

The effects of focal and diffuse brain damage on strategy application: Evidence from focal lesions, traumatic brain injury and normal aging

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.

Effects of training in use of executive strategies on a verbal memory problem resulting from closed head injury.

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.

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 this

Inattentive behavior after traumatic brain injury

A quantitative assessment of behavioral inattentiveness in both quiet and distracting environments is developed, and excellent interrater reliability is demonstrated.

An investigation of the effects of prospective memory training.

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.

The Galveston Orientation and Amnesia Test: A Practical Scale to Assess Cognition after Head Injury

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.

Deficits in strategy application following frontal lobe damage in man.

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.

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. According

The acute period of recovery from traumatic brain injury: posttraumatic amnesia or posttraumatic confusional state?

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.