Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans With a History of Mild Traumatic Brain Injury.

The Journal of Head Trauma Rehabilitation Pub Date : 2021-01-01 DOI:10.1097/HTR.0000000000000596

Zanjbeel Mahmood, Jillian M R Clark, Amy J Jak, Marilyn Huckans, Maya E O'Neil, Mai S Roost, Rhonda M Williams, Kathleen F Pagulayan, Aaron P Turner, Daniel Storzbach, Elizabeth W Twamley

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Abstract

Objective: The purpose of this study was to determine modifiable predictors of intervention adherence in a study of group-based Compensatory Cognitive Training (CCT) for Iraq/Afghanistan War veterans with a history of mild traumatic brain injury (mTBI). Methods: One hundred twenty-three veterans enrolled in a randomized controlled trial of a 10-week CCT intervention (54 assigned to CCT) and were evaluated at baseline, 5 weeks, 10 weeks, and 15 weeks. CCT adherence was determined by the number of CCT sessions attended, with more sessions indicative of greater adherence. Baseline demographic and clinical characteristics, and subjective and objective neuropsychological performance, were examined in relation to CCT session attendance. Results: Older age and worse attention performance at baseline were associated with higher CCT attendance rates. Conclusions: This study generates preliminary evidence for potential modifiable neuropsychological factors that may improve engagement in CCT interventions.

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轻度创伤性脑损伤退伍军人代偿性认知训练干预依从性的预测因素。

目的:本研究的目的是确定具有轻度创伤性脑损伤(mTBI)历史的伊拉克/阿富汗战争退伍军人群体代偿性认知训练(CCT)干预依从性的可改变预测因素。方法:123名退伍军人参加了一项为期10周的CCT干预的随机对照试验(54人被分配到CCT组)，并在基线、5周、10周和15周进行评估。CCT的依从性由参加CCT的次数决定，越多的会议表明更强的依从性。基线人口统计学和临床特征以及主观和客观神经心理学表现与CCT会议出席率的关系进行了检查。结果:年龄越大，基线时注意力表现越差，CCT的出勤率越高。结论:本研究为潜在的可改变的神经心理因素提供了初步证据，这些因素可能会提高CCT干预的参与度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Journal of Head Trauma Rehabilitation

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