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.
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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  Data: Goal management training and psychoeducation for executive function in adolescents with paediatric-acquired brain injuries: a 5-year follow-up.
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  Data: 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 &lt; 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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  Data: &lt;i&gt;Copyright of Brain Injury 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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        Value: 10.1080/02699052.2026.2617465
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        Text: English
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      – SubjectFull: Patient education
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      – SubjectFull: Parents
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      – SubjectFull: Statistical significance
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      – SubjectFull: Executive function
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      – SubjectFull: Goal (Psychology)
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Glasgow Coma Scale
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      – SubjectFull: Adolescence
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              Text: Mar2026
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