Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 10, 2014
   Pages 1555 — 1566

Abstract — Response to Goal Management Training in Veterans with blast-related mild traumatic brain injury

J. Kay Waid-Ebbs, PhD, BCBA-D;1* Janis Daly, PhD;1–2 Samuel S. Wu, PhD;3 W. Keith Berg, PhD;4 Russell M. Bauer, PhD;1,5 William M. Perlstein, PhD;1,5 Bruce Crosson, PhD1,5–6

1Department of Veterans Affairs (VA), Rehabilitation Research and Development, Brain Rehabilitation Research Center, Gainesville, FL; Departments of 2Physical Therapy, Neurology, and Biomedical Engineering, 3Statistics, 4Psychology, and 5Clinical and Health Psychology, University of Florida, Gainesville, FL; 6Department of Neurology, Emory University, Atlanta, GA; Department of Psychology, Georgia State University, Atlanta, GA; and VA, Rehabilitation Research and Development, Center for Excellence for Visual and Neurocognitive Rehabilitation, Atlanta, GA

Abstract — Veterans with blast-related mild traumatic brain injury (TBI) experience cognitive deficits that interfere with functional activities. Goal Management Training (GMT), which is a metacognitive intervention, offers an executive function rehabilitation approach that draws upon theories concerning goal processing and sustained attention. GMT has received empirical support in studies of patients with TBI but has not been tested in Veterans with blast-related mild TBI. GMT was modified from 7 weekly to 10 biweekly sessions. Participants included six combat Veterans who reported multiple blast exposures resulting in symptoms consistent with mild TBI. Group analysis showed a significant improvement in measures of executive function derived from performance on the computerized Tower of London. There were no significant changes on self/informant questionnaires of executive function, indicating a lack of generalization of improvement from the clinic to everyday activities. Overall, while the data indicate efficacy of GMT in the rehabilitation of combat Veterans with executive function deficits because of blast-related mild TBI, enhancement of generalization is needed.

Key words: blast injury, cognitive rehabilitation, combat Veterans, concussion, executive function, intervention, Operation Enduring Freedom, Operation Iraqi Freedom, Operation New Dawn, traumatic brain injury.


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This article and any supplementary material should be cited as follows:
Waid-Ebbs JK, Daly J, Wu SS, Berg WK, Bauer RM, Perlstein WM, Crosson B. Response to Goal Management Training in Veterans with blast-related mild traumatic brain injury. J Rehabil Res Dev. 2014;51(10): 1555–66.
http://dx.doi.org/10.1682/JRRD.2013.12.0266
ResearcherID/ORCID: J. Kay Waid-Ebbs, PhD, BCBA-D: H-90604-2012; Bruce Crosson, PhD: L-3128-2013
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