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Improving Self-awareness After Acquired Brain Injury Leads to Enhancements in Patients’ Daily Living Functionality

Published online by Cambridge University Press:  30 May 2019

Dolores Villalobos Open the ORCID record for Dolores Villalobos [Opens in a new window] ,
Álvaro Bilbao ,
Francisco López-Muñoz  and
Javier Pacios Open the ORCID record for Javier Pacios [Opens in a new window]
Dolores Villalobos
Affiliation:
Department of Psychology, Faculty of Health Sciences, Camilo José Cela University, C/Castillo de Alarcón, 49, Urb. Villafranca del Castillo, 28692, Madrid, Spain Laboratory of Cognitive and Computational Neuroscience, Center for Biomedical Technology(Technical University of Madrid and Complutense University of Madrid), Pozuelo de Alarcón, Madrid, Spain
Álvaro Bilbao
Affiliation:
National Centre for Brain Injury Treatment (CEADAC), C/Rio Bullaque, Madrid, Spain
Francisco López-Muñoz
Affiliation:
Department of Psychology, Faculty of Health Sciences, Camilo José Cela University, C/Castillo de Alarcón, 49, Urb. Villafranca del Castillo, 28692, Madrid, Spain Neuropsychopharmacology Unit, Hospital 12 de Octubre Research Institute (i+12), Madrid, Spain
Javier Pacios*
Affiliation:
Department of Experimental Psychology, Psychological Processes and Speech Therapy, Complutense University, Madrid, Spain
*
*Corresponding author. Email: javier.pacios@ucm.es
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Abstract

Objective:

To explore whether the improvement in self-awareness induced by a structured intervention programme in patients suffering a brain injury is associated with an enhancement in their functional outcomes.

Method:

This study uses a pre- and post-test control group design with a sample of 56 patients with acquired brain injury randomly assigned to an experimental and a control group. Pre- and post-intervention measurements were self-awareness (using a previously developed scale) and functional outcome (using the Lawton Instrumental Activities of Daily Living Scale).

Results:

Patients who received the intervention programme showed a greater improvement in their self-awareness level and functional outcome than patients in the control group. Additionally, the correlation analyses between improvements at both measures showed a relation between improvement in self-awareness and improvement in functional outcome, especially when the pre-treatment self-awareness level was considered.

Conclusions:

Implementing an intervention programme in self-awareness, in the context of a global rehabilitation process of patients with acquired brain injury, is useful for improving their self-awareness level and the functionality in their daily activities.

Keywords

Awareness of deficitbrain damageneuropsychologyrehabilitationtreatment outcomeactivities of daily living
Type
Brief Report
Information
Brain Impairment , Volume 20 , Issue 3 , December 2019 , pp. 268 - 275
Copyright
© Australasian Society for the Study of Brain Impairment 2019 

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References

Aumack, L. (1962). A social adjustment behavior rating scale. Journal of Clinical Psychology, 18(4), 436–441.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
Cheng, S. K. W., & Man, D. W. K. (2006). Management of impaired self-awareness in persons with traumatic brain injury. Brain Injury, 20(6), 621–628. doi: 10.1080/02699050600677196CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York: Routledge Academic.Google Scholar
Doig, E., Fleming, J., Ownsworth, T., & Fletcher, S. (2017). An occupation-based, metacognitive approach to assessing error performance and online awareness. Australian Occupational Therapy Journal, 64(2), 137–148. doi: 10.1111/1440-1630.12322CrossRefGoogle ScholarPubMed
Engel, L., Chui, A., Goverover, Y., & Dawson, D. R. (2017). Optimising activity and participation outcomes for people with self-awareness impairments related to acquired brain injury: An interventions systematic review. Neuropsychological Rehabilitation, 29(2), 163–198. doi: 10.1080/09602011.2017.1292923CrossRefGoogle ScholarPubMed
Fleming, J. M., Strong, J., & Ashton, R. (1996). Self-awareness of deficits in adults with traumatic brain injury: How best to measure? Brain Injury: [BI], 10(1), 1–15. doi: 10.1080/026990596124674Google ScholarPubMed
Geytenbeek, M., Fleming, J., Doig, E., & Ownsworth, T. (2017). The occurrence of early impaired self-awareness after traumatic brain injury and its relationship with emotional distress and psychosocial functioning. Brain Injury, 31(13–14), 1791–1798. doi: 10.1080/02699052.2017.1346297CrossRefGoogle ScholarPubMed
Giacino, J. T., & Cicerone, K. D. (1998). Varieties of deficit unawareness after brain injury. Journal of Head Trauma Rehabilitation, 13(5), 1–15. doi: 10.1097/00001199-199810000-00003CrossRefGoogle ScholarPubMed
Goverover, Y., Johnston, M. V, Toglia, J., & Deluca, J. (2007). Treatment to improve self-awareness in persons with acquired brain injury. Brain Injury, 21(9), 913–923. doi: 10.1080/02699050701553205CrossRefGoogle ScholarPubMed
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3 Part 1), 179–186. doi: 10.1093/geront/9.3_Part_1.179CrossRefGoogle ScholarPubMed
Leung, D. P. K., & Liu, K. P. Y. (2011). Review of self-awareness and its clinical application in stroke rehabilitation. International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale de Recherches de Réadaptation, 34(3), 187–195. doi: 10.1097/MRR.0b013e3283487f31CrossRefGoogle ScholarPubMed
Lundqvist, A., Linnros, H., Orlenius, H., & Samuelsson, K. (2010). Improved self-awareness and coping strategies for patients with acquired brain injury—A group therapy programme. Brain Injury, 24(6), 823–832. doi: 10.3109/02699051003724986CrossRefGoogle ScholarPubMed
Malec, J. F. (2001). Impact of comprehensive day treatment on societal participation for persons with acquired brain injury. Archives of Physical Medicine and Rehabilitation, 82(7), 885–895. doi: 10.1053/apmr.2001.23895CrossRefGoogle ScholarPubMed
Noé, E., Ferri, J., Caballero, M. C., Villodre, R., Sanchez, A., & Chirivella, J. (2005). Self-awareness after acquired brain injury--predictors and rehabilitation. Journal of Neurology, 252(2), 168–175. doi: 10.1007/s00415-005-0625-2CrossRefGoogle ScholarPubMed
Ownsworth, T., & Clare, L. (2006). The association between awareness deficits and rehabilitation outcome following acquired brain injury. Clinical Psychology Review, 26(6), 783–795. doi: 10.1016/j.cpr.2006.05.003CrossRefGoogle ScholarPubMed
Prigatano, G. P., Fordyce, D. J., Zeiner, H. K., Roueche, J. R., Pepping, M., & Wood, B. (1986). Neuropsychological rehabilitation after brain injury. Baltimore: John Hopkins University Press.Google Scholar
Pteiffer, E. (1975). A short portable mental status questionare for assessment of organic brain deficit elderly patients. Journal of American Geriatrics Society, 23, 433–441.CrossRefGoogle Scholar
Richardson, C., McKay, A., & Ponsford, J. L. (2015). Factors influencing self-awareness following traumatic brain injury. Journal of Head Trauma Rehabilitation, 30(2), E43–E54. doi: 10.1097/HTR.0000000000000048CrossRefGoogle ScholarPubMed
Rigon, J., Burro, R., Guariglia, C., Maini, M., Marin, D., Ciurli, P., & Formisano, R. (2017). Self-awareness rehabilitation after traumatic brain injury: A pilot study to compare two group therapies. Restorative Neurology and Neuroscience, 35(1), 115–127. doi: 10.3233/RNN-150538CrossRefGoogle ScholarPubMed
Schmidt, J., Lannin, N., Fleming, J., & Ownsworth, T. (2011). Feedback interventions for impaired self-awareness following brain injury: A systematic review. Journal of Rehabilitation Medicine, 43(8), 673–680. doi: 10.2340/16501977-0846CrossRefGoogle ScholarPubMed
Schrijnemaekers, A.-C., Smeets, S. M. J., Ponds, R. W. H. M., van Heugten, C. M., & Rasquin, S. (2014). Treatment of unawareness of deficits in patients with acquired brain injury: A systematic review. The Journal of Head Trauma Rehabilitation, 29(5), E9–E30. doi: 10.1097/01.HTR.0000438117.63852.b4CrossRefGoogle ScholarPubMed
Villalobos, D., Bilbao, Á., Espejo, A., & García-Pacios, J. (2018). Efficacy of an intervention programme for rehabilitation of awareness of deficit after acquired brain injury: A pilot study. Brain Injury, 32(2), 158–166. doi: 10.1080/02699052.2017.1387931CrossRefGoogle ScholarPubMed
Waldman, A., & Fryman, E. (1964). Classification in home for the aged. In Shore, H. & Leeds, M. (Eds.), Geriatric Institutional Management. New York: Putnam’s.Google Scholar
Ylikoski, R., & Hnninen, T. (2003). Assessment of executive function in clinical trials. International Psychogeriatrics, 15(S1), 219–224. doi: 10.1017/S1041610203009232CrossRefGoogle ScholarPubMed
Zimmermann, N., Mograbi, D. C., Hermes-Pereira, A., Fonseca, R. P., & Prigatano, G. P. (2017). Memory and executive functions correlates of self-awareness in traumatic brain injury. Cognitive Neuropsychiatry, 22(4), 346–360. doi: 10.1080/13546805.2017.1330191CrossRefGoogle ScholarPubMed
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