title: Self-generated strategic behavior in an ecological shopping task.
abstract: OBJECTIVES. The use of cognitive strategies optimizes performance in complex everyday tasks such as shopping. This exploratory study examined the cognitive strategies people with traumatic brain injury (TBI) effectively use in an unstructured, real-world situation. METHOD. A behavioral analysis of the self-generated strategic behaviors of 5 people with severe TBI using videotaped sessions of an ecological shopping task (Instrumental Activities of Daily Living Profile) was performed. RESULTS. All participants used some form of cognitive strategy in an unstructured real-world shopping task, although the number, type, and degree of effectiveness of the strategies in leading to goal attainment varied. The most independent person used the largest number and a broader repertoire of self-generated strategies. CONCLUSION. These results provide initial evidence that occupational therapists should examine the use of self-generated cognitive strategies in real-world contexts as a potential means of guiding therapy aimed at improving independence in everyday activities for people with TBI.
authors.affiliation: Carolina Bottari, erg., PhD, is Assistant Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal, C.P. 6128 Succursale Centre-Ville, Montréal, QC, Canada H3C 3J7, and Researcher, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montréal, QC, Canada; carolina.bottari@umontreal.ca.
authors.forename: Carolina
authors.initials: C
authors.lastname: Bottari
authors.affiliation: Priscilla Lam Wai Shun, erg., MSc, is PhD Student, Occupational Therapy Program, School of Rehabilitation, Université de Montréal, Montréal, Québec; PhD Student, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montréal, Québec; and Occupational Therapist, Occupational Therapy Department, Montreal Neurological Institute, Montréal, Québec.
authors.forename: Priscilla Lam
authors.initials: PL
authors.lastname: Wai Shun
authors.affiliation: Guylaine Le Dorze, PhD, is Researcher, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montréal, Québec, and Professor, School of Speech-Language Therapy and Audiology, Université de Montréal, Montréal, Québec.
authors.forename: Guylaine Le
authors.initials: GL
authors.lastname: Dorze
authors.affiliation: Nadia Gosselin, PhD, is Researcher, Research Center, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, and Assistant Professor, Psychology Department, Université de Montréal, Montréal, Québec.
authors.forename: Nadia
authors.initials: N
authors.lastname: Gosselin
authors.affiliation: Deirdre Dawson, PhD, OT Reg (Ont.), is Associate Professor, Department of Occupational Science and Occupational Therapy and Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, and Senior Scientist, Rotman Research Institute, Toronto, Ontario.
authors.forename: Deirdre
authors.initials: D
authors.lastname: Dawson
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001519:Behavior; D001930:Brain Injuries / Q000503:physiopathology / Q000523:psychology* / Q000534:rehabilitation; D003071:Cognition; D003132:Commerce; D003657:Decision Making; D056344:Executive Function; D005260:Female; D005502:Food; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests