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This study found that combining metacognitive strategy instruction (MSI) with implementation intention training is feasible for adults with mild traumatic brain injury (mTBI). This approach helped participants achieve their occupational therapy goals effectively.

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Area of Science:

  • Neuroscience
  • Occupational Therapy
  • Cognitive Rehabilitation

Background:

  • Mild traumatic brain injury (mTBI) often results in cognitive and functional impairments.
  • Metacognitive strategy instruction (MSI) is a common intervention for improving cognitive function after mTBI.
  • Enhancing goal attainment in occupational therapy for mTBI survivors remains a key challenge.

Purpose of the Study:

  • To evaluate the feasibility of a combined intervention using metacognitive strategy instruction (MSI) and implementation intentions for adults with mild traumatic brain injury (mTBI).
  • To assess the impact of this combined intervention on occupational performance goal achievement.

Main Methods:

  • A six-session intervention was delivered to two participants with mTBI.
  • Participants set daily implementation intentions for their occupational therapy goals.
  • Implementation intention quality was assessed using a rubric, and goal achievement was measured by the Canadian Occupational Performance Measure (COPM) and goal attainment scaling.

Main Results:

  • Implementation intentions consistently received perfect quality scores, indicating successful learning of the technique.
  • Participants demonstrated significant improvements in COPM self-ratings, exceeding minimal detectable change.
  • Goal attainment scaling indicated better-than-expected achievement of occupational performance goals.

Conclusions:

  • The combined intervention of MSI and implementation intention training is feasible for adults with mTBI.
  • Implementation intentions may serve as a valuable adjunct to MSI, enhancing clients' ability to achieve occupational performance goals.
  • Further research is warranted to explore the broader efficacy of this intervention.