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Activities of daily living retraining and goal attainment during posttraumatic amnesia.

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Title: Activities of daily living retraining and goal attainment during posttraumatic amnesia.
Authors: Trevena-Peters, Jessica (AUTHOR), McKay, Adam (AUTHOR), Ponsford, Jennie (AUTHOR)
Source: Neuropsychological Rehabilitation. Dec2019, Vol. 29 Issue 10, p1655-1670. 16p. 4 Charts.
Subjects: Activities of daily living, Goal Attainment Scaling, Functional independence measure, Amnesia, Therapeutic alliance
Abstract: It is uncertain whether therapy delivered during posttraumatic amnesia (PTA) following traumatic brain injury can be effective due to risk of agitation and poor learning capacity. This study used goal attainment scaling (GAS) to assess gains in activities of daily living (ADL) retraining during PTA. Occupational therapists' perspectives on goal setting and therapy delivery were also explored qualitatively. Forty-nine rehabilitation inpatients were provided with manualised ADL retraining following errorless and procedural learning principles during PTA. From 104 GAS goals, 90% were achieved at PTA emergence. GAS T-scores changed significantly (p < .001) from baseline (M = 26.94, SD = 4.90) to post-intervention (M = 61.44, SD = 11.45). Mean post-intervention T-scores correlated significantly (p < .001) with change in Functional Independence Measure scores. The four therapists reported that GAS was unfamiliar and time-consuming initially, although it aided goal-directed therapy and measurement of patient performance. Application of manualised skill retraining using errorless and procedural learning techniques was described as novel and challenging, but providing valuable structure. The intervention reportedly promoted therapeutic alliance, skill-building and meaningful time-use without elevating agitation, but fatigue impeded therapy. Overall, GAS captured positive individual change following ADL retraining during PTA and therapists indicated that the intervention and use of GAS was generally beneficial and feasible within clinical practice. [ABSTRACT FROM AUTHOR]
Copyright of Neuropsychological Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Activities of daily living retraining and goal attainment during posttraumatic amnesia.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Trevena-Peters%2C+Jessica%22&quot;&gt;Trevena-Peters, Jessica&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McKay%2C+Adam%22&quot;&gt;McKay, Adam&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ponsford%2C+Jennie%22&quot;&gt;Ponsford, Jennie&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Neuropsychological+Rehabilitation%22&quot;&gt;Neuropsychological Rehabilitation&lt;/searchLink&gt;. Dec2019, Vol. 29 Issue 10, p1655-1670. 16p. 4 Charts.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Activities+of+daily+living%22&quot;&gt;Activities of daily living&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Goal+Attainment+Scaling%22&quot;&gt;Goal Attainment Scaling&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Functional+independence+measure%22&quot;&gt;Functional independence measure&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Amnesia%22&quot;&gt;Amnesia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Therapeutic+alliance%22&quot;&gt;Therapeutic alliance&lt;/searchLink&gt;
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  Data: It is uncertain whether therapy delivered during posttraumatic amnesia (PTA) following traumatic brain injury can be effective due to risk of agitation and poor learning capacity. This study used goal attainment scaling (GAS) to assess gains in activities of daily living (ADL) retraining during PTA. Occupational therapists&#39; perspectives on goal setting and therapy delivery were also explored qualitatively. Forty-nine rehabilitation inpatients were provided with manualised ADL retraining following errorless and procedural learning principles during PTA. From 104 GAS goals, 90% were achieved at PTA emergence. GAS T-scores changed significantly (p &lt; .001) from baseline (M = 26.94, SD = 4.90) to post-intervention (M = 61.44, SD = 11.45). Mean post-intervention T-scores correlated significantly (p &lt; .001) with change in Functional Independence Measure scores. The four therapists reported that GAS was unfamiliar and time-consuming initially, although it aided goal-directed therapy and measurement of patient performance. Application of manualised skill retraining using errorless and procedural learning techniques was described as novel and challenging, but providing valuable structure. The intervention reportedly promoted therapeutic alliance, skill-building and meaningful time-use without elevating agitation, but fatigue impeded therapy. Overall, GAS captured positive individual change following ADL retraining during PTA and therapists indicated that the intervention and use of GAS was generally beneficial and feasible within clinical practice. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Neuropsychological Rehabilitation is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09602011.2018.1441033
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      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 1655
    Subjects:
      – SubjectFull: Activities of daily living
        Type: general
      – SubjectFull: Goal Attainment Scaling
        Type: general
      – SubjectFull: Functional independence measure
        Type: general
      – SubjectFull: Amnesia
        Type: general
      – SubjectFull: Therapeutic alliance
        Type: general
    Titles:
      – TitleFull: Activities of daily living retraining and goal attainment during posttraumatic amnesia.
        Type: main
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          Name:
            NameFull: Trevena-Peters, Jessica
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            NameFull: McKay, Adam
      – PersonEntity:
          Name:
            NameFull: Ponsford, Jennie
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          Dates:
            – D: 01
              M: 12
              Text: Dec2019
              Type: published
              Y: 2019
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              Value: 29
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            – TitleFull: Neuropsychological Rehabilitation
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