Document Detail

Memory remediation in long-term acquired brain injury: two approaches in diary training.
MedLine Citation:
PMID:  10901689     Owner:  NLM     Status:  MEDLINE    
This study investigated the remediation and assessment of everyday memory impairment in a sample of long-term acquired brain injury (ABI) subjects. The Rivermead Behavioural Memory Test (RBMT) and subtests of the Wechsler Memory Scale-Revised (WMS-R) were selected to measure global memory performance. A memory questionnaire and a daily memory checklist were developed from a review of existing self-report questionnaires. The interrelationships among self-report measures and standardized psychometric tests of memory were examined and the findings suggest that self-report measures may be used to obtain relatively accurate information about everyday memory performance. A baseline across groups' design evaluated the relative effectiveness of two different approaches in training subjects to use a diary to compensate for memory problems. There was a Diary Only (DO) approach, which emphasized compensation based upon task specific learning, and a Diary and Self-Instructional Training (DSIT) approach, which taught compensation using higher cognitive skills of self-awareness and self-regulation. The results obtained show that, during the treatment phase, the DSIT group more consistently made diary entries, reported less memory problems, and made more positive ratings associated with treatment efficacy. The implications arising from the current study are that: (1) the choice of memory assessment procedures need to be guided by the patients' real daily living needs; and (2) an approach based upon self-instructional training has greater ecological validity than an approach that focuses on task specific learning. In general, successful assessment and rehabilitation of memory deficits requires a well-established theoretical basis and sound ecological validity.
T L Ownsworth; K Mcfarland
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Brain injury     Volume:  13     ISSN:  0269-9052     ISO Abbreviation:  Brain Inj     Publication Date:  1999 Aug 
Date Detail:
Created Date:  2000-08-14     Completed Date:  2000-08-14     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  605-26     Citation Subset:  IM    
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MeSH Terms
Amnesia / psychology,  rehabilitation*
Brain Injuries / psychology,  rehabilitation*
Medical Records
Middle Aged
Neuropsychological Tests
Psychiatric Status Rating Scales

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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