title: Effectiveness of Interventions to Improve Occupational Performance for People With Psychosocial, Behavioral, and Emotional Impairments After Brain Injury: A Systematic Review.
abstract: OBJECTIVE
  This systematic review evaluates the effectiveness of interventions to improve occupational performance for people with psychosocial, behavioral, or emotional impairments after traumatic brain injury (TBI).
  
  
  METHODS
  Medline, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews were searched. Of the 1,512 articles initially identified, 35 met the inclusion criteria.
  
  
  RESULTS
  Six types of interventions were identified: (1) education, (2) peer mentoring, (3) goal-directed therapy, (4) physical activity, (5) skills training, and (6) cognitive-behavioral therapy (CBT). Strong evidence from well-conducted research supports the use of CBT in individual and group settings. Moderate evidence supports goal-directed interventions, aquatic exercise, and functional skills training. Limited evidence supports peer mentoring, aerobic exercise, educational interventions, and various skills training.
  
  
  CONCLUSIONS
  An increasing body of evidence supports specific interventions to improve occupational performance and participation for people with psychosocial, behavioral, or emotional impairments after TBI.
authors.affiliation: Steven Wheeler, PhD, OTR/L, CBIS, is Associate Professor and Associate Chair, Division of Occupational Therapy, Department of Human Performance and Applied Exercise Science, West Virginia University School of Medicine, Morgantown; swheeler@hsc.wvu.edu.
authors.forename: Steven
authors.initials: S
authors.lastname: Wheeler
authors.affiliation: Amanda Acord-Vira, MOT, OTR/L, CBIS, is Assistant Professor, Division of Occupational Therapy, Department of Human Performance and Applied Exercise Science, West Virginia University School of Medicine, Morgantown.
authors.forename: Amanda
authors.initials: A
authors.lastname: Acord-Vira
authors.affiliation: Diana Davis, PhD, OTR/L, is Assistant Professor, Division of Occupational Therapy, Department of Human Performance and Applied Exercise Science, West Virginia University School of Medicine, Morgantown.
authors.forename: Diana
authors.initials: D
authors.lastname: Davis
mesh_terms: D001930:Brain Injuries / Q000150:complications / Q000523:psychology; D003072:Cognition Disorders / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D009788:Occupational Therapy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D000067250:Psychiatric Rehabilitation / Q000379:methods