Loya Fred, Novakovic-Agopian Tatjana, Binder Deborah, Rossi Annemarie, Rome Scott, Murphy Michelle, Chen Anthony J-W
San Francisco VA Medical Center, San Francisco, CA, USA; VA Northern California Health Care System, Martinez, CA, USA; University of California, San Francisco, San Francisco, CA, USA; University of California, Berkeley, Berkeley, CA, USA.
San Francisco VA Medical Center, San Francisco, CA, USA; VA Northern California Health Care System, Martinez, CA, USA; University of California, San Francisco, San Francisco, CA, USA; California Pacific Medical Center, San Francisco, CA, USA.
Rehabil Res Pract. 2017;2017:8379347. doi: 10.1155/2017/8379347. Epub 2017 Feb 7.
To investigate the long-term use and perceived benefit(s) of strategies included in Goal-Oriented Attentional Self-Regulation (GOALS) training (Novakovic-Agopian et al., 2011) by individuals with acquired brain injury (ABI) and chronic executive dysfunction. Longitudinal follow-up of training. Sixteen participants with chronic ABI participated in structured telephone interviews 20 months (range 11 to 31 months) following completion of GOALS training. Participants responded to questions regarding the range of strategies they continued to utilize, perceived benefit(s) of strategy use, situations in which strategy use was found helpful, and functional changes attributed to training. Nearly all participants (94%) reported continued use of at least one trained strategy in their daily lives, with 75% of participants also reporting improved functioning resulting from training. However, there was considerable variability with respect to the specific strategies individuals found helpful as well as the perceived impact of training on overall functioning. GOALS training shows promising long-term benefits for individuals in the chronic phase of brain injury. Identifying individual- and injury-level factors that account for variability in continued strategy use and the perceived long-term benefits of training will help with ongoing intervention development.
为调查获得性脑损伤（ABI）和慢性执行功能障碍患者对目标导向性注意力自我调节（GOALS）训练（Novakovic - Agopian等人，2011年）中所包含策略的长期使用情况及感知到的益处。进行训练的纵向随访。16名慢性ABI患者在完成GOALS训练20个月（范围为11至31个月）后参加了结构化电话访谈。参与者回答了有关他们继续使用的策略范围、策略使用所感知到的益处、发现策略使用有帮助的情况以及归因于训练的功能变化等问题。几乎所有参与者（94%）报告在日常生活中继续使用至少一种训练过的策略，75%的参与者还报告训练使功能得到改善。然而，在个体认为有帮助的具体策略以及训练对整体功能的感知影响方面存在相当大的差异。GOALS训练对处于脑损伤慢性期的个体显示出有前景的长期益处。确定个体和损伤水平因素，这些因素解释了持续策略使用的变异性以及训练所感知到的长期益处，将有助于正在进行的干预措施开发。
