Self-regulation after traumatic brain injury: a framework for intervention of memory and problem solving

Self-regulation of behavior is mediated by the frontal lobes and commonly disrupted after a traumatic brain injury. The rehabilitation field is only now beginning to understand self-regulation as a set of dynamic relationships between metacognitive beliefs and knowledge, ongoing self-monitoring or self-assessment during activities, and self-control (i.e., strategy decisions). This article provides a framework for understanding self-regulated learning and problem solving, along with a summary of the existing intervention literature. We conclude by providing clinicians with principles that emphasize accurate self-monitoring and explicit instruction to connect self-monitoring to strategy decisions.