An Overview of the Attention Improvement Management (AIM) Program With Outcomes for Three Pilot Participants

Direct attention training (DAT) and metacognitive strategy instruction have been employed to treat the cognitive deficits associated with traumatic brain injury (TBI) in children and are supported by an emerging evidence base (e.g., Butler et al., 2008; Galbiati et al., 2009; Luton, Reed-Knight, Loiselle, O’Toole, & Blount, 2011; van’t Hooft et al., 2007). The importance of treatment intensity is well established for DAT (Sohlberg et al., 2003), yet restrictions in the delivery and funding of rehabilitation services, the availability of well-trained interventionists, and access by geographic locale remain critical barriers to the provision of intensive services. Computer-delivered treatments that incorporate a home practice component address the gulf between the intensive, daily practice suggested by the efficacy research and these clinical delivery constraints. The purpose of this paper is to (a) review the literature evaluating the integration of DAT and metacognitive facilitation to treat children and ...