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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

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Outcomes from a pilot study using computer-based rehabilitative tools in a military population.

Katherine W Sullivan¹, Julia E Quinn, Michael Pramuka

¹Walter Reed National Military Medical Center, USA.

Studies in Health Technology and Informatics

|September 8, 2012

Summary

Computer-based cognitive rehabilitation may improve symptoms for traumatic brain injury (TBI) patients. A Brain Fitness Center program showed reduced self-reported cognitive and functional symptoms in Service Members with TBI.

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Area of Science:

Neuroscience
Rehabilitation Medicine
Military Health

Background:

Cognitive rehabilitation for traumatic brain injury (TBI) needs novel approaches and outcome data.
Computer-based brain-fitness programs offer potential benefits like maximizing neuroplasticity and providing objective efficacy data.
These approaches are understudied in the military TBI population.

Purpose of the Study:

To evaluate the effectiveness of a Brain Fitness Center (BFC) program utilizing computer-based brain-training for Service Members with TBI.
To assess changes in self-reported cognitive, functional, and life satisfaction symptoms post-intervention.

Main Methods:

A retrospective chart review of the first 29 participants in the BFC program at Walter Reed National Military Medical Center.
Participants completed subjective assessments including the Mayo-Portland Adaptability Inventory-4 (MPAI-4), Neurobehavioral Symptom Inventory (NBSI), and Satisfaction with Life Scale (SWLS) pre- and post-intervention.
Statistical analysis was performed on pre- and post-intervention scores.

Main Results:

Two of three self-report questionnaires (MPAI-4 and NBSI) showed statistically significant reductions in symptom severity (p < .05).
No significant differences were found in the Satisfaction with Life Scale (SWLS) scores.
Preliminary results indicate a trend towards improved self-reported cognitive and functional symptoms.

Conclusions:

The Brain Fitness Center program shows promise in reducing self-reported cognitive and functional symptoms in military Service Members with TBI.
Computer-based cognitive rehabilitation may serve as a valuable adjunct to traditional therapies for this population.
Further research with larger sample sizes and controlled designs is warranted to confirm efficacy.