Dawn Neumann1, Duncan R Babbage, Barbra Zupan, Barry Willer. 1. Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, and Rehabilitation Hospital of Indiana Indianapolis (Dr Neumann); Auckland University of Technology, Centre for Person Centred Research, Auckland, New Zealand (Dr Babbage); Department of Applied Linguistics, Brock University, St. Catharines, Ontario, Canada (Dr Zupan); and School of Medicine, Department of Psychiatry, The State University of New York, Buffalo, New York (Dr Willer).
Abstract
OBJECTIVE: To examine the effectiveness of 2 affect recognition interventions (Faces and Stories) in people with a traumatic brain injury. SETTING: Postacute rehabilitation facilities. PARTICIPANTS: A total of 203 participants with moderateto severe traumatic brain injury were screened; 71 were eligible and randomized to the Faces (n = 24), Stories (n = 23), and Control interventions (n = 24). Participants were an average of 39.8 years of age and 10.3 years postinjury; 74% of participants were male. DESIGN: Randomized controlled trial with immediate, 3-month, and 6-month follow-up posttests. Interventions were 9 hours of computer-based training with a therapist. MEASURES: Diagnostic Assessment of Nonverbal Accuracy 2-Adult Faces; Emotional Inference From Stories Test; Empathy (Interpersonal Reactivity Index); and Irritability and Aggression (Neuropsychiatric Inventory). RESULTS: The Faces Intervention did significantly better than the Control Intervention on the Diagnostic Assessment of Nonverbal Accuracy 2-Adult Faces (P = .031) posttreatment; no time effect or group interaction was observed. No other significant differences were noted for the Faces Intervention. No significant differences were observed between the Stories and the Control Interventions; however, a significant time effect was found for the Emotional Inference From Stories Test. CONCLUSION: The Faces Intervention effectively improved facial affect recognition in participants with chronic post-traumatic brain injury, and changes were maintained for 6 months. Future work should focus on generalizing this skill to functional behaviors.
RCT Entities:
OBJECTIVE: To examine the effectiveness of 2 affect recognition interventions (Faces and Stories) in people with a traumatic brain injury. SETTING: Postacute rehabilitation facilities. PARTICIPANTS: A total of 203 participants with moderate to severe traumatic brain injury were screened; 71 were eligible and randomized to the Faces (n = 24), Stories (n = 23), and Control interventions (n = 24). Participants were an average of 39.8 years of age and 10.3 years postinjury; 74% of participants were male. DESIGN: Randomized controlled trial with immediate, 3-month, and 6-month follow-up posttests. Interventions were 9 hours of computer-based training with a therapist. MEASURES: Diagnostic Assessment of Nonverbal Accuracy 2-Adult Faces; Emotional Inference From Stories Test; Empathy (Interpersonal Reactivity Index); and Irritability and Aggression (Neuropsychiatric Inventory). RESULTS: The Faces Intervention did significantly better than the Control Intervention on the Diagnostic Assessment of Nonverbal Accuracy 2-Adult Faces (P = .031) posttreatment; no time effect or group interaction was observed. No other significant differences were noted for the Faces Intervention. No significant differences were observed between the Stories and the Control Interventions; however, a significant time effect was found for the Emotional Inference From Stories Test. CONCLUSION: The Faces Intervention effectively improved facial affect recognition in participants with chronic post-traumatic brain injury, and changes were maintained for 6 months. Future work should focus on generalizing this skill to functional behaviors.
Authors: Lyn S Turkstra; Sarah G Kraning; Sarah K Riedeman; Bilge Mutlu; Melissa Duff; Sara VanDenHeuvel Journal: Brain Impair Date: 2016-12-13 Impact factor: 1.727
Authors: Dawn Neumann; Angelle M Sander; Susan M Perkins; Surya Sruthi Bhamidipalli; Flora M Hammond Journal: J Head Trauma Rehabil Date: 2021 Jan-Feb 01 Impact factor: 3.117