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Training Adults with Brain Injury How to Help-seek when Lost: A Pilot Study

  • Young Susan Cho (a1) and McKay Moore Sohlberg (a1)

Abstract

There is no research on the assessment or treatment of help-seeking behaviours for individuals with traumatic brain injury (TBI). This paper describes the development of a protocol, NICE ( N oticing you have a problem, I dentifying the information you need for help, C ompensatory strategies, E valuating progress) to train help-seeking for adults with TBI when lost. Theoretical and treatment components from three empirically validated interventions that target social problem-solving and communication skills were adapted to develop NICE: the Group Interactive Structured Treatment for Social Competence (GIST), the Problem Solving Group Protocol (PSG) and Interpersonal Recall (IPR). Preliminary pilot data evaluating the efficacy are presented for three adult persons with TBI. All three participants improved on the Executive Function Route Finding Task (EFRT) and help-seeking behaviours when wayfinding. Help-seeking is a constitutive factor in the wayfinding process capable of improvement. Preliminary evidence supports further investigation of this group intervention.

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Copyright

Corresponding author

Address for correspondence: Young Susan Cho, Department of Special Education and Clinical Sciences, University of Oregon, 5284 University of Oregon Eugene, OR 97403, USA. E-mail: ysc@uoregon.edu

References

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Antonakos, C.L. (2007). Compensatory wayfinding behavior in topographic disorientation from brain injury. Journal of Environmental Psychology, 24, 495502.
Babbage, D.R., Yim, J., Zupan, B., Neumann, D., Tomita, M.R., & Willer, B. (2011). Meta-analysis of facial affect recognition difficulties after traumatic brain injury. Neuropsychology, 25 (3), 277285.
Bell, A.C., & D’Zurilla, T.J. (2009). The influence of social problem solving ability on the relationship between daily stress and adjustment. Cognitive Therapy and Research, 33, 439448.
Bergstrom, R., Najdowski, A.C., & Tarbox, J. (2012). Teaching children with autism to seek help when lost in public. Journal of Applied Behavior Analysis, 45 (1), 191195.
Bornhofen, C., & McDonald, S. (2008). Comparing strategies for treating emotion perception deficits in traumatic brain injury. Journal of Head Trauma Rehabilitation, 23 (2), 103115.
Boyd, T.M., & Sautter, S.W. (1993). Route-finding: A measure of everyday executive functioning in the head-injured adult. Applied Cognitive Psychology, 7, 171181.
Braden, C., Hawley, L., Newman, J., Morey, C., Gerber, D., & Harrison-Felix, C. (2010). Social communication skills group treatment: A feasibility study for persons with traumatic brain injury and comorbid conditions. Brain Injury, 24 (11), 12981310.
Butter, C.M., & Kirsch, N. (1992). Combined and separate effects of eye patching and visual stimulation on unilateral neglect following stroke. Archives of Physical Medicine and Rehabilitation, 73, 11331139.
Butter, C.M., & Kirsch, N. (1995). Effect of lateralized kinetic visual cues on visual search in patients with unilateral spatial neglect. Journal of Clinical and Experimental Neurospsychology, 17 (6), 856867.
Carlson, L.A., Holscher, C., Shipley, T.F., & Dalton, R.C. (2010). Getting lost in buildings. Current Directions in Psychological Science, 19, 284289.
Channon, S., & Crawford, S. (2010). Mentalising and social problem solving after brain injury. Neuropsychological Rehabilitation, 20 (5), 739759.
Chaytor, N., & Schmitter-Edgecombe, M. (2003). The ecological validity of neuropsychological tests: a review of the literature on everyday cognitive skills. Neuropsychological Review, 13 (4), 181197.
Cho, Y.S., & Sohlberg, M.M. (2014, February). Training adults with brain injury how to help-seek when lost: A pilot study. Poster presented at the meeting of the International Neuropsychological Society, Seattle, WA.
Cho, Y.S., Sohlberg, M.M., & Boyd, T.M. (2012). Normative data and comparative performance across settings on a modified wayfinding task. Department of Special Education and Clinical Sciences: Communication Disorders and Sciences, University of Oregon, Eugene, Oregon.
Dahlberg, C.A., Cusick, C.P., Hawley, L.A., Newman, J.K., Morey, C.E., Harrison-Felix, C.L., & Whiteneck, G.G. (2007). Treatment efficacy of social communication skills training after traumatic brain injury: A randomized treatment and deferred treatment controlled trial. Archives of Physical Medicine and Rehabilitation, 88, 15611573.
D’Zurilla, T.J., & Goldfried, M.R. (1971). Problem solving and behavior modification. Journal of Abnormal Psychology, 78 (1), 107126.
D’Zurilla, T.J., & Nezu, A.M. (1982). Social problem solving in adults. In Kendall, P.C. (Ed.), Advances in cognitive-behavioral research and therapy (pp. 202274). New York, NY: Academic Press.
D’Zurilla, T. J., & Nezu, A.M. (1990). Development and preliminary evaluation of the Social Problem-Solving Inventory (SPSI). Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2, 156163.
D’Zurilla, T.J., & Nezu, A.M. (2007). Problem-solving therapy: A positive approach to clinical intervention. New York, NY: Springer.
D’Zurilla, T.J., Nezu, A.M., & Maydeu-Olivares, A. (2004). Social problem solving: Theory and assessment. In Chang, E.C., D’Zurilla, T.J. & Sanna, L.J. (Eds.), Social problem solving: Theory, research and training (pp. 1128). Washington, DC: American Psychological Association.
Engelmann, S., & Carnine, D. (1982). Theory of instruction: Principles and applications. New York, NY: Iverington.
Evans, J.J. (2009). Rehabilitation of executive function: an overview. In Oddy, M., & Worthington, A. (Eds.), The rehabilitation of executive disorders. New York, NY: Oxford University Press.
Gourash, N. (1978). Help-seeking: A review of the literature. American Journal of Community Psychology, 6 (5), 413423.
Hawley, L.A., & Newman, J.K. (2010). Group interactive structured treatment (GIST): A social competence intervention for individuals with brain injury. Brain Injury, 24 (11), 12921297.
Heish, M.Y., Ponsford, J., Wong, D., Schonberger, M., McKay, A., & Haines, K. (2013). Development of motivational interviewing programme as a prelude to CBT for anxiety following traumatic brain injury. Neuropsychological Rehabilitation: An International Journal, 22 (4), 563584.
Helffenstein, D.A., & Wechsler, F.S. (1982). The use of interpersonal process recall (IPR) in the remediation of interpersonal and communication skill deficits in the newly brain-injured. Clinical Neuropsychology, 4 (3), 139142.
Horner, R.H., Sprague, J., & Wilcox, B. (1982). Constructing general case programs for community activities. In Wilcox, B. & Bellamy, G.T. (Eds.), Design of high school programs for severely handicapped students (pp. 6198). Baltimore, MD: Paul H. Brookes Publishing.
Kato, Y., & Takeuchi, Y. (2003). Individual differences in wayfinding strategies. Journal of Environmental Psychology, 23, 171188.
Kizony, R., Demayo-Dayan, T., Sinoff, G., & Josman, N. (2011). Validation of the executive function route-finding task (EFRT) in people with mild cognitive impairment. Occupation, Participation and Health, 31 (1), S47S52.
Lemoncello, R., Sohlberg, M.M., Fickas, S., & Prideaux, J. (2010). When directions fail: Investigation of getting lost behavior with adults with acquired brain injury. Brain Injury, 24 (3), 550559.
Lui, A.L., Hile, H., Kautz, H., Borriello, G., Brown, P.A., Harniss, M., & Johnson, K. (2008). Indoor wayfinding: Developing a functional interface for individuals with cognitive impairments. Disability and Rehabilitation: Assistive Technology, 3 (1–2), 6981.
MacFadden, A., Elias, L., & Saucier, D. (2003). Males and females scan maps similarly, but give directions differently. Brain and Cognition, 53, 297300.
Malouff, J.M., Thorsteinsson, E.B., & Schutte, N.S. (2007). The efficacy of problem solving therapy in reducing mental and physical health problems: A meta-analysis. Clinical Psychology Review, 27, 4657.
Manchester, D., Priestley, N., & Jackson, H. (2004). The assessment of executive functions: Coming out of the office. Brain Injury, 18 (11), 10671081.
McDonald, S., Tate., R., Togher, L., Bornhofen, C., Long, E., Gertler, P., & Bowen, R. (2008). Social skills treatment for people with severe, chronic acquired brain injuries: A multicenter trial. Archives of Physical Medicine and Rehabilitation, 89 (9), 16481659.
Rabin, L.A., Burton, L.A., & Barr, W.B. (2007). Utilization rates of ecologically oriented instruments among clinical neuropsychologists. Clinical Neuropsychology, 21 (5), 727743.
Rath, J.F., Hradil, A.L., Litke, D.R., & Diller, L. (2011). Clinical applications of problem-solving research in neuropsychological rehabilitation: Addressing the subjective experience of cognitive deficits in outpatients with acquired brain injury. Rehabilitation Psychology, 55 (4), 320328.
Rath, J.F., Simon, D., Langenbahn, D.M., Sherr, R.L., & Diller, L. (2003). Group treatment of problem solving deficits in outpatients with traumatic brain injury: A randomized outcome study. Neuropsychological Rehabilitation, 13, 461488.
Rietdijk, R., Simpson, G., Togher, L., Power, E., & Gillett, L. (2013). An exploratory prospective study of the association between communication skills and employment outcomes after severe traumatic brain injury. Brain Injury, 27 (7–8), 812818.
Robertson, R.H., & Knight, R.G. (2008). Evaluation of social problem solving after traumatic brain injury. Neuropsychological Rehabilitation, 18 (2), 236250.
Saucier, D.M., Green, S.M., Leason, J., MacFadden, A., Bell, S., & Elias, L.J. (2002). Are sex differences in navigation caused by sexually dimorphic strategies or by differences in the ability to use the strategies? Behavioral Neuroscience, 3, 403410.
Schmidt, J., Fleming, J., Ownsworth, T., & Lannin, N.A. (2012). Video feedback on functional task performance improves self-awareness after traumatic brain injury: A randomized controlled trial. Neurorehabilitation and Neural Repair, 27 (4), 316324.
Sherr, R.L., Langenbahn, D.M., Simon, D., Rath, J.F., & Diller, L. (2003). Problem-solving group protocol. Unpublished manual, Rusk Institute of Rehabilitation Medicine, NYU School of Medicine, New York.
Silverberg, N.D., Hallam, B.J., Rose, A., Underwood, H., Whitfield, K., Thornton, A.E., & Whittal, M.L. (2013). Cognitive-behavioral prevention of postconcussion syndrome in at-risk patients: A pilot randomized controlled trial. Journal of Head Trauma Rehabilitation, 28 (4), 313322.
Skeleton, R.W., Ross, S.P., Nerad, L., & Livingstone, S.A. (2006). Human spatial navigation deficits after traumatic brain injury shown in the arena maze, a virtual Morris water maze. Brain Injury, 20 (2), 189203.
Sloan, S., & Ponsford, J. (2013). Managing cognitive problems following TBI. In Ponsford, J., Sloan, S. & Snow, P. (Eds.), Traumatic brain injury: Rehabilitation for everyday adaptive living (pp. 99132). New York, NY: Psychology Press.
Snow, P. (2013). Communication competence following TBI: Assessment and management. In Ponsford, J., Sloan, S. & Snow, P. (Eds.), Traumatic brain injury: Rehabilitation for everyday adaptive living (pp. 133163). New York, NY: Psychology Press.
Sohlberg, M.M., Boyd, T.M., & Cho, Y.S. (2012, February). Normative data and comparative performance across settings on a modified wayfinding task. Poster session presented at International Neuropsychological Society in Montreal, Quebec, Canada.
Sohlberg, M.M., Fickas, S., Hung, P.-F., & Fortier, A. (2007). A comparison of four prompt modes for route finding for community travelers with severe cognitive impairments. Brain Injury, 21 (5), 531538.
Sohlberg, M.M., & Turkstra, L.S. (2011). Optimizing cognitive rehabilitation: Effective instructional methods. New York, NY: Guilford Press.
Spiers, H.J., & Maguire, E.A. (2008). The dynamic nature of cognition during wayfinding. Journal of Environmental Psychology, 28, 232249.
Spikman, J.M., Deelman, B.G., & van Zomeren, A.H. (2000). Executive functioning, attention and frontal lesions in patients with chronic CHI. Journal of Clinical and Experimental Neuropsychology, 22, 325338.
Van Asselen, M., Kessels, R.P.C., Frijns, C.J.M., Kappelle, L.J., Neggers, S.F.W., & Postma, A. (2005). Object-location memory: A lesion-behavior mapping study in stroke patients. Brain and Cognition, 71, 287294.
Wang, Y., Chan, R.C.K., & Shum, D.H.K. (2014). Executive function impairments after traumatic brain injury. In Levin, H.S., Shum, D.H.K. & Chan, R.C.K. (Eds.), Understanding traumatic brain injury: Current research and future directions (pp. 99115). New York, NY: Oxford.
Webber, L.S., & Charlton, J.L. (2001). Wayfinding in older adults. Clinical Gerontologist, 23 (1/2), 168172.
Ylvisaker, M. (2003). Context-sensitive cognitive rehabilitation after brain injury: Theory and practice. Brain Impairment, 4 (1), 116.
Ylvisaker, M. (2006). Self-coaching: A context-sensitive, person-centered approach to social communication after traumatic brain injury. Brain Impairment, 7 (3), 246258.

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Supplementary materials

Cho and Sohlberg supplementary material
Appendix A

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Supplementary materials

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Appendix B

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