Goal management training and psychoeducation for executive function in adolescents with paediatric-acquired brain injuries: a 5-year follow-up.
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| Title: | Goal management training and psychoeducation for executive function in adolescents with paediatric-acquired brain injuries: a 5-year follow-up. |
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| Authors: | Sargénius, Hanna L. (AUTHOR), Brandt, Anne E. (AUTHOR), Chevignard, Mathilde (AUTHOR), Hypher, Ruth (AUTHOR), Andersson, Stein (AUTHOR), Finnanger, Torun G. (AUTHOR), Rø, Torstein B. (AUTHOR), Risnes, Kari (AUTHOR), Stubberud, Jan (AUTHOR) |
| Source: | Brain Injury. Mar2026, Vol. 40 Issue 5, p311-320. 10p. |
| Subjects: | Rehabilitation for brain injury patients, Patient education, Parents, Statistical significance, Research funding, Executive function, Statistical sampling, Goal (Psychology), Psychoeducation, Treatment effectiveness, Randomized controlled trials, Glasgow Coma Scale, Descriptive statistics, Longitudinal method, Research, Neuropsychological tests, Quality of life, Short-term memory, Data analysis software, Cognitive rehabilitation, Cognition, Adolescence |
| Abstract: | Objective: To determine the long-term efficacy of pediatric Goal Management Training (pGMT) versus pediatric Brain Health Workshop (pBHW) in improving executive function (EF) among adolescents with pediatric-acquired brain injury (pABI). Method: This study reports a 5-year follow-up of the CORE trial, which included participants aged 10–17 years at baseline, randomized to either pGMT or pBHW. EF was measured at five timepoints using the parent-rated Behavior Rating Inventory of Executive Function (BRIEF), including the Behavior Regulation Index (BRI) and the Metacognition Index (MI). Outcomes were evaluated using linear mixed models (n = 73) and Reliable Change Index (RCI) analyses (n = 34). Results: Significant improvements over time were observed for both BRI (F(4, 65.615) = 9.64, p < 0.001) and MI (F(4, 51.758) = 4.29, p = 0.004). No significant group differences were detected, indicating that both interventions were associated with comparable long-term trajectories. RCI analyses identified clinically meaningful improvements in 12 participants on the BRI (pGMT, n = 3; pBHW, n = 9) and 20 participants on the MI (pGMT, n = 6; pBHW, n = 11). Conclusions: Adolescents with pABI showed sustained long-term gains in EF over five years following cognitive rehabilitation, with a notable proportion achieving clinical meaningful improvements. However, given study limitations, results should be interpreted with caution. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective: To determine the long-term efficacy of pediatric Goal Management Training (pGMT) versus pediatric Brain Health Workshop (pBHW) in improving executive function (EF) among adolescents with pediatric-acquired brain injury (pABI). Method: This study reports a 5-year follow-up of the CORE trial, which included participants aged 10–17 years at baseline, randomized to either pGMT or pBHW. EF was measured at five timepoints using the parent-rated Behavior Rating Inventory of Executive Function (BRIEF), including the Behavior Regulation Index (BRI) and the Metacognition Index (MI). Outcomes were evaluated using linear mixed models (n = 73) and Reliable Change Index (RCI) analyses (n = 34). Results: Significant improvements over time were observed for both BRI (F(4, 65.615) = 9.64, p < 0.001) and MI (F(4, 51.758) = 4.29, p = 0.004). No significant group differences were detected, indicating that both interventions were associated with comparable long-term trajectories. RCI analyses identified clinically meaningful improvements in 12 participants on the BRI (pGMT, n = 3; pBHW, n = 9) and 20 participants on the MI (pGMT, n = 6; pBHW, n = 11). Conclusions: Adolescents with pABI showed sustained long-term gains in EF over five years following cognitive rehabilitation, with a notable proportion achieving clinical meaningful improvements. However, given study limitations, results should be interpreted with caution. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 02699052 |
| DOI: | 10.1080/02699052.2026.2617465 |
