{"title":"A pilot rating system to evaluate the quality of goal attainment scales used as outcome measures in rehabilitation.","authors":"Charles Pradeau, Severine Estival, Virginie Postal, Virginie Laurier, Céline Maugard, Marie-Eve Isner-Horobeti, Fabien Mourre, Agata Krasny-Pacini","doi":"10.1080/09602011.2024.2343150","DOIUrl":"10.1080/09602011.2024.2343150","url":null,"abstract":"<p><p>Goal Attainment Scaling (GAS) is a method for writing person-centred approach evaluation scales that can be used as an outcome measure in clinical or research settings in rehabilitation. To be used in a research setting, it requires a high methodological quality approach. The aim of this study was to explore the feasibility and reliability of the GAS quality rating system, to ensure that GAS scales used as outcome measures are valid and reliable. Secondary objectives were: (1) to compare goal attainment scores' reliability according to how many GAS levels are described in the scale; and (2) to explore if GAS scorings are influenced by who scores goal attainment. The GAS scales analysed here were set collaboratively by 57 cognitively impaired adults clients and their occupational therapist. Goals had to be achieved within an inpatient one-month stay, during which clients participated in an intervention aimed at improving planning skills in daily life. The GAS quality rating system proved to be feasible and reliable. Regarding GAS scores, interrater reliability was higher when only three of the five GAS levels were described, i.e., \"three milestone GAS\" (0.74-0.92), than when all five levels were described (0.5-0.88), especially when scored by the clients (0.5 -0.88).</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"441-472"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hanna Lovise Sargénius, Ruth Elizabeth Hypher, Torun Gangaune Finnanger, Anne Elisabeth Brandt, Stein Andersson, Kari Risnes, Torstein Baade Rø, Jan Egil Stubberud
{"title":"Goal management training for improving fatigue in children and adolescents with acquired brain injuries: A 2-year follow-up of a randomised controlled trial.","authors":"Hanna Lovise Sargénius, Ruth Elizabeth Hypher, Torun Gangaune Finnanger, Anne Elisabeth Brandt, Stein Andersson, Kari Risnes, Torstein Baade Rø, Jan Egil Stubberud","doi":"10.1080/09602011.2024.2353395","DOIUrl":"10.1080/09602011.2024.2353395","url":null,"abstract":"<p><p>To explore the long-term effectiveness of a paediatric adaptation of Goal Management Training (pGMT), relative to a psychoeducative program (pBHW), in reducing fatigue after pABI 2 years post-intervention. Thirty-eight youths and their parents completed the Paediatric Quality of Life - Multidimensional Fatigue Scale. Primary outcome measures were Total Fatigue Score, General fatigue, Cognitive fatigue, and Sleep/rest fatigue (parent-report). No significant differences in fatigue symptoms by the parental report was observed between the intervention groups at the 2-year follow-up (total score: <i>F </i>= .16, <i>p</i> = .69; general fatigue: <i>F </i>= .36, <i>p</i> = .55; sleep/rest: <i>F </i>= .48, <i>p</i> = .49; and cognitive fatigue: <i>F </i>= .09, <i>p</i> = .76), nor any time*group interactions (total score: <i>F </i>= .25, <i>p</i> = .86; general fatigue: <i>F </i>= .39, <i>p</i> = .76; sleep/rest: <i>F </i>= .20, <i>p</i> = .89; and cognitive fatigue: <i>F </i>= .08, <i>p</i> = .97). In total, 45% of the participants in the pGMT group and 25% in the pBHW group demonstrated a reliable positive clinical change. The significant improvements in fatigue symptoms that were demonstrated 6 months post-intervention could not be confirmed in this 2-year follow-up study. However, a continued positive tendency on most dimensions of fatigue for the participants in the pGMT group could be observed, suggesting that cognitive rehabilitation may help reduce fatigue.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"572-592"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nick Sathananthan, Eric M J Morris, Roshan das Nair, David Gillanders, Bradley Wright, Dana Wong
{"title":"Evaluating the VaLiANT (Valued Living After Neurological Trauma) group intervention for improving adjustment to life with acquired brain injury: A pilot randomized controlled trial.","authors":"Nick Sathananthan, Eric M J Morris, Roshan das Nair, David Gillanders, Bradley Wright, Dana Wong","doi":"10.1080/09602011.2025.2476074","DOIUrl":"https://doi.org/10.1080/09602011.2025.2476074","url":null,"abstract":"<p><p>There is a need for accessible rehabilitation that promotes meaningful participation, wellbeing, and adjustment to life with acquired brain injury (ABI). VaLiANT (Valued Living After Neurological Trauma) is an 8-week holistic group intervention that integrates Acceptance and Commitment Therapy (ACT) and cognitive rehabilitation techniques to support adjustment and meaningful reengagement in life. This Phase II pilot randomized controlled trial explored feasibility and preliminary efficacy signals to determine the viability of a larger trial. Adults (>3 months post-ABI) were randomly allocated to VaLiANT plus treatment-as-usual (TAU), or TAU waitlist-control, with assessments at baseline, post-intervention (8 weeks), and follow-up (16 weeks). Feasibility criteria included recruitment, dropout, outcome assessment completion, adherence, and delivery fidelity. Preliminary treatment effects were assessed on a range of adjustment-related outcomes using mixed linear models, proportions of reliable change, and minimal clinically important differences. 54 participants were recruited (<i>M</i><sub>age </sub>= 50.6, <i>M</i><sub>years-post-injury</sub> = 5.4) predominately with stroke (52%) and traumatic brain injury (22%). All feasibility criteria were met. Treatment effects were identified on measures of psychological distress, experiential avoidance, valued living, and self-identity, but not meaningful participation, quality-of-life, or wellbeing. A larger trial is viable but VaLiANT will benefit from refinement first to improve its impact on all intended outcomes.<b>Trial registration:</b> ACTRN12619001243101.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-29"},"PeriodicalIF":1.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nora Geiser, Brigitte C Kaufmann, Dario Cazzoli, Tobias Nef, Thomas Nyffeler
{"title":"Auditory motion stimulation as an add-on therapeutical approach is feasible, enjoyable, and associated with a significant improvement of neglect outcome: A non-randomized, controlled group-matched study.","authors":"Nora Geiser, Brigitte C Kaufmann, Dario Cazzoli, Tobias Nef, Thomas Nyffeler","doi":"10.1080/09602011.2025.2476068","DOIUrl":"https://doi.org/10.1080/09602011.2025.2476068","url":null,"abstract":"<p><p>Auditory motion stimulation is a promising new therapeutical approach for visual neglect, whereby patients listen to music which repeatedly moves from the ipsi - to the contralateral hemispace. In this study, we investigated the feasibility, enjoyability, and efficacy of auditory motion simulation in an inpatient neurorehabilitation setting. 30 patients with left-sided visual neglect due to a right-hemispheric subacute stroke participated in the study. 15 patients were included prospectively and received 45 minutes of auditory motion stimulation per day for three weeks in addition to best possible standard neglect therapy. 15 further patients - who were matched based on neglect severity at admission, time since stroke, rehabilitation duration, and age - received best possible standard neglect therapy alone and served as a control group. Feasibility was assessed using remote time tracking, whereas enjoyability was measured with the Flow State Scale for Rehabilitation Tasks (FSSRT). Efficacy was evaluated using video-oculography during free visual exploration (FVE) at admission, discharge, and after three months. Our findings indicate that auditory motion stimulation is feasible and enjoyed by patients. Auditory motion stimulation significantly improved visual neglect at discharge. Randomized controlled studies are needed to confirm that auditory motion stimulation represents a valuable add-on therapy for visual neglect.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah Foote, Audrey Bowen, Sarah Cotterill, Emma Patchwood
{"title":"An online, group Acceptance and Commitment Therapy is acceptable to stroke survivors: A qualitative interview study.","authors":"Hannah Foote, Audrey Bowen, Sarah Cotterill, Emma Patchwood","doi":"10.1080/09602011.2025.2469649","DOIUrl":"https://doi.org/10.1080/09602011.2025.2469649","url":null,"abstract":"<p><p>Mental health difficulties are common post-stroke and developing support for psychological adjustment is a research priority. Wellbeing After Stroke (WAterS) is a nine-week, online, group-based Acceptance and Commitment Therapy (ACT)-informed intervention, delivered by trained third-sector practitioners, supervised by a clinical neuropsychologist. This study aimed to explore the acceptability of WAterS from the stroke survivors' perspective.Semi-structured interviews were conducted with twelve stroke survivors who received WAterS. The interview schedule was informed by theorised components of acceptability, including understanding, burden and perception of effectiveness. The data were analysed inductively and deductively using Template Analysis.Six qualitative themes were generated. Results indicate the intervention was mostly understandable and participants were able to engage with ACT and apply it to life. Online delivery reduced burden in accessing the intervention, and was acceptable when supported by live facilitation and a physical handbook. Group cohesion and understanding was facilitated by practitioners. The social aspect of the group was beneficial. Attending WAterS supported some participants to seek further support; others were left feeling unsupported when the intervention ended.Stroke survivors valued attending an online, group ACT-informed intervention, delivered by practitioners. This is a promising avenue in increasing the reach of interventions to support wellbeing.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellen P J Janssen, Peggy J J Spauwen, Sophie J M Rijnen, Rudolf W H M Ponds
{"title":"Eye movement desensitization and reprocessing for posttraumatic stress disorder following acquired brain injury: A multiple baseline single case experimental design study across four cases.","authors":"Ellen P J Janssen, Peggy J J Spauwen, Sophie J M Rijnen, Rudolf W H M Ponds","doi":"10.1080/09602011.2024.2444999","DOIUrl":"10.1080/09602011.2024.2444999","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) is prevalent in individuals with acquired brain injury (ABI). This study investigated the effectiveness and applicability of Eye Movement Desensitization and Reprocessing (EMDR) for PTSD in individuals with ABI. Data were collected using a non-concurrent multiple baseline single case experimental design (SCED), with a baseline, treatment, maintenance, and 3-month follow-up phase, across four cases. EMDR treatment was provided using a manualized standard EMDR protocol. The primary outcome was PTSD symptoms. Secondary outcomes were general mental health and cognitive functions. Visual analyses, TAU-<i>U</i> analyses, and analyses using the Reliable Change Index were performed. All four participants (two with TBI, two with stroke) showed a significant decrease in PTSD symptoms, which continued in maintenance and was retained at follow-up. The participants no longer fulfilled criteria for PTSD classification and showed reliable improvement in PTSD severity score post-treatment and at follow-up. No adverse events occurred and no adjustments in EMDR protocol were necessary. There was no consistent improvement in general mental health nor a consistent improvement in cognitive functioning. This study provided empirical support for the effectiveness and applicability of EMDR for PTSD in four participants with stroke or TBI.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-29"},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between social participation and memory function among Chinese stroke survivors: The mediating role of depressive symptoms.","authors":"Zhiya Hua, Dandan Ma","doi":"10.1080/09602011.2024.2336960","DOIUrl":"10.1080/09602011.2024.2336960","url":null,"abstract":"<p><p>Although the association between social participation and memory function has been documented in other populations, whether it exists among stroke survivors is unclear. Additionally, the mechanisms underlying this association are largely unknown. We attempted to examine the association between social participation and memory function in stroke survivors and the possible mediating role of depressive symptoms. A total of 614 stroke survivors (mean age: 64.73 years) drawn from a nationally representative survey in China were investigated. Based on the descriptive statistics, a Pearson's correlation and bootstrapping-based mediation analysis were executed. The results indicated that an increase in social participation was associated with a decrease in depressive symptoms (<i>r</i> = -0.100, <i>p</i> < 0.05) and an increase in memory function (<i>r</i> = 0.162, <i>p</i> < 0.01). Moreover, memory function was significantly negatively related to depressive symptoms (<i>r</i> = -0.243, <i>p</i> < 0.01). In addition, after controlling for sociodemographic factors, depressive symptoms partially mediated the effects of social participation on memory function. Due to the cross-sectional research design, causal relationships cannot be verified between the study variables. However, interventions aimed at aiding stroke survivors in memory impairment recovery may consider strategies to enhance social participation and mitigate depressive symptoms.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"276-291"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Salley Riccardi, Libby Dart, Jennifer P Lundine, Angela Ciccia
{"title":"Correlations between injury- and child-related factors and participation and quality of life after childhood traumatic brain injury.","authors":"Jessica Salley Riccardi, Libby Dart, Jennifer P Lundine, Angela Ciccia","doi":"10.1080/09602011.2025.2467810","DOIUrl":"https://doi.org/10.1080/09602011.2025.2467810","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine correlations between injury- and child-factors and participation and quality of life (QoL) after childhood traumatic brain injury (TBI).</p><p><strong>Method: </strong>Cross-sectional data was analysed on 59 children with TBI included in a larger survey study. These children experienced their TBI at 12.2 years old and were 2.1 years post-injury, on average.</p><p><strong>Results: </strong>On average, children's executive functioning, family functioning, and psychosocial QoL were within typical limits based on parent-reported standardized measures, yet participation was within the limited/somewhat limited range and physical QoL below the average for the U.S.</p><p><strong>Population: </strong>Bivariate analyses revealed significant correlations between age at injury, executive functioning summary and subscale scores, and family functioning with participation and psychosocial QoL.</p><p><strong>Conclusions: </strong>The results of this study support the understanding of risk and protective factors and the interaction amongst these factors for children with TBI. These findings highlight the need for professionals to monitor and provide direct and indirect interventions, as needed, for all components of the ICF framework for children with TBI and their families.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Inclusion of the Other in the Self-Scale (IOSS) as a valid self-discrepancy measure after stroke.","authors":"Kirsten Heckmann, Katja Werheid, Simon Ladwig","doi":"10.1080/09602011.2025.2467111","DOIUrl":"https://doi.org/10.1080/09602011.2025.2467111","url":null,"abstract":"<p><p>Self-discrepancy, i.e., negative changes in self-concept, is a common post-stroke phenomenon which is closely associated with depression and quality of life. In earlier research, self-discrepancy has been measured with the 18-item seven-stepped <i>Head Injury Semantic Differential Scale</i> (HISDS-III), by comparing pre- and post-morbid self-concepts. As completing this scale may be demanding especially for cognitively impaired stroke survivors, a straightforward instrument is desirable. Therefore, the validity of the <i>Inclusion of the Other in the Self Scale</i> (IOSS), which measures self-discrepancy with a single visualized item, was cross-sectionally examined in 123 individuals three years after stroke. Results revealed a substantial correlation between the IOSS and the established HISDS-III (<i>r</i> = .47, <i>p</i> < .001) and a Gini Index corresponding to an AUC of 0.74, both indicating convergent validity. Both measures showed similar correlations with relevant covariates. Prediction of depressive symptoms using established predictors was significantly improved by the inclusion of the IOSS (Δ<i>R²</i> = .07, <i>p</i> < .001). The findings indicate the high validity of the IOSS as an economic measure of global self-discrepancy after stroke. In addition, the results confirm self-discrepancy as a relevant determinant of post-stroke depression and thus as a potential target for psychological interventions in stroke patients.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-20"},"PeriodicalIF":1.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Grahame K Simpson, Lauren Gillett, Eng-Siew Koh, Alexanda J Walker, Joe Hanna, Wafa Trad, Teresa Simpson, Diane L Whiting
{"title":"The Strategy Use Measure (SUM): A new tool to evaluate the use of compensatory behavioural strategies for cognitive, emotional and behavioural impairments after acquired brain injury.","authors":"Grahame K Simpson, Lauren Gillett, Eng-Siew Koh, Alexanda J Walker, Joe Hanna, Wafa Trad, Teresa Simpson, Diane L Whiting","doi":"10.1080/09602011.2025.2462040","DOIUrl":"https://doi.org/10.1080/09602011.2025.2462040","url":null,"abstract":"<p><p>The Strategy Use Measure (SUM) was developed as a systematic tool to assess cognitive, behavioural and emotional strategy use by clients and carers after acquired brain injury. Comprehensive content development was undertaken across four clinical service sites via expert clinician consultation and consensus, file review of strategies used in clinical practice, and consumer consultation. Statistical analysis was undertaken to evaluate items and assess reliability, validity and factor structure. Two final versions of the SUM were developed, for use with clients (SUM-ABI; 14 items) and carers (SUM-C; 24 items). Internal consistency for the total scales was sound (SUM-ABI = <i>.90</i>; SUM-C = <i>.96</i>) as was test-retest reliability (SUM-ABI <i>= .87</i>; SUM-C <i>= .90</i>). Meaningful factors were identified for both scales (SUM-ABI: Memory and Planning, Emotion and Mood, Cognitive Load; SUM-C: Executive Support, Emotion/Behaviour Support, Enhancing Task Performance, Motivation Support) with all subscales demonstrating strong internal consistency (≥.80). Construct validity for both scales was explored using validated measures. The SUM versions were evaluated against COSMIN instrument design standards and found overall to be reliable and valid, with promising utility in rehabilitation for clinicians and researchers.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-23"},"PeriodicalIF":1.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}