title: Long-Term Use and Perceived Benefits of Goal-Oriented Attentional Self-Regulation Training in Chronic Brain Injury.
abstract: Primary Objective.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.Research Design.Longitudinal follow-up of training.Methods and Procedures.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.Results.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.Conclusions.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.
authors.affiliation: 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.
authors.forename: Fred
authors.identifier: 0000-0002-0451-3108
authors.initials: F
authors.lastname: Loya
authors.affiliation: 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.
authors.forename: Tatjana
authors.initials: T
authors.lastname: Novakovic-Agopian
authors.affiliation: VA Northern California Health Care System, Martinez, CA, USA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Binder
authors.affiliation: California Pacific Medical Center, San Francisco, CA, USA.
authors.forename: Annemarie
authors.initials: A
authors.lastname: Rossi
authors.affiliation: California Pacific Medical Center, San Francisco, CA, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Rome
authors.affiliation: Laguna Honda Hospital, San Francisco, CA, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Murphy
authors.affiliation: 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.
authors.forename: Anthony J-W
authors.initials: AJ
authors.lastname: Chen