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Event-based prospective memory performance during subacute recovery following moderate to severe traumatic brain injury in children: Effects of monetary incentives

  • STEPHEN R. McCAULEY (a1) (a2) (a3), CLAUDIA PEDROZA (a4), SANDRA B. CHAPMAN (a5), LORI G. COOK (a5), GILLIAN HOTZ (a6), ANA C. VÁSQUEZ (a1) and HARVEY S. LEVIN (a1)...

Abstract

There are very few studies investigating remediation of event-based prospective memory (EB-PM) impairments following traumatic brain injury (TBI). To address this, we used 2 levels of motivational enhancement (dollars vs. pennies) to improve EB-PM in children with moderate to severe TBI in the subacute recovery phase. Children with orthopedic injuries (OI; n = 61), moderate (n = 28), or severe (n = 30) TBI were compared. Significant effects included Group × Motivation Condition (F(2, 115) = 3.73, p < .03). The OI (p < .002) and moderate TBI (p < .03) groups performed significantly better under the high- versus low-incentive condition; however, the severe TBI group failed to demonstrate improvement (p = .38). EB-PM performance was better in adolescents compared to younger children (p < .02). These results suggest that EB-PM can be significantly improved in the subacute phase with this level of monetary incentives in children with moderate, but not severe, TBI. Other strategies to improve EB-PM in these children at a similar point in recovery remain to be identified and evaluated. (JINS, 2010, 16, 335–341.)

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Corresponding author

*Correspondence and reprint requests to: Stephen R. McCauley, Ph.D., Cognitive Neuroscience Laboratory, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, 1709 Dryden Road, Suite 1200, Houston, TX 77030. E-mail: mccauley@bcm.edu

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