Tessa Hart1, Karen Hawkey, John Whyte. 1. Moss Rehabilitation Research Institute, Department of Rehabilitation Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. thart@einstein.edu
Abstract
OBJECTIVE: To test the efficacy of a portable voice organizer in helping people with traumatic brain injury (TBI) to recall therapy goals and plans discussed with their clinical case managers. DESIGN: Prospective within-subjects trial, in which individualized therapy goals were randomly assigned to intervention or no intervention. SETTING: Comprehensive postacute TBI rehabilitation program. PARTICIPANTS: Ten people with moderate to severe TBI enrolled from 3 months to 18 years after injury. OUTCOME MEASURE: Memory for therapy goals. Clinicians generated statements describing six current therapy goals, half of which were randomly assigned to be recorded on a voice organizer during the next case management session. Participants selected three times per day to listen to the recorded goals, prompted by an alarm. One-week recall was tested using both free- and cued-recall formats. RESULTS: Recorded goals were recalled better than unrecorded goals and appeared to be associated with better awareness or follow-through with therapy objectives. CONCLUSION: Portable electronic devices have the potential to assist with treatment areas beyond tasks involving prospective memory.
RCT Entities:
OBJECTIVE: To test the efficacy of a portable voice organizer in helping people with traumatic brain injury (TBI) to recall therapy goals and plans discussed with their clinical case managers. DESIGN: Prospective within-subjects trial, in which individualized therapy goals were randomly assigned to intervention or no intervention. SETTING: Comprehensive postacute TBI rehabilitation program. PARTICIPANTS: Ten people with moderate to severe TBI enrolled from 3 months to 18 years after injury. OUTCOME MEASURE: Memory for therapy goals. Clinicians generated statements describing six current therapy goals, half of which were randomly assigned to be recorded on a voice organizer during the next case management session. Participants selected three times per day to listen to the recorded goals, prompted by an alarm. One-week recall was tested using both free- and cued-recall formats. RESULTS: Recorded goals were recalled better than unrecorded goals and appeared to be associated with better awareness or follow-through with therapy objectives. CONCLUSION: Portable electronic devices have the potential to assist with treatment areas beyond tasks involving prospective memory.
Authors: Stephen R McCauley; Mark A McDaniel; Claudia Pedroza; Sandra B Chapman; Harvey S Levin Journal: Neuropsychology Date: 2009-03 Impact factor: 3.295
Authors: William M M Levack; Mark Weatherall; E Jean C Hay-Smith; Sarah G Dean; Kathryn McPherson; Richard J Siegert Journal: Cochrane Database Syst Rev Date: 2015-07-20