Table 4B.
Study | Population | Sample size | Training (focus) | Duration training (actual M) | Setting | Outcome measures | Significance of comparisons of pre-training (t0), post-training (t1), and follow-up (t2) | Multiple testing adjusted | Ecological valid measure | Train. improv. Evaluated | Reported conflicts of interest | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Within Ss | Between Ss | ||||||||||||||||
t1–t0 | t2–t0 | t2–t1 | t1–t0 | t2–t0 | t2–t1 | ||||||||||||
CG | IG | ||||||||||||||||
Chen et al., 1997 | CHI, post-acute—chronic (M = 15.9 m) | N = 40: IG = 20 CAU = 20 | Bracy Process Approach (att., visual- spatial orientation, memory, problem-solving) | Differed per participant (unkn.) | Rehab. | Verbal IQ | + | + | . | . | × | . | . | Yes, p < .004 with Bonfer-roni correct. | No | No | Not reported |
Performance IQ | + | + | . | . | × | . | . | ||||||||||
Full scale IQ | + | + | . | . | × | . | . | ||||||||||
WAIS-R: | |||||||||||||||||
Information | (+)/- | + | . | . | × | . | . | ||||||||||
Vocabulary | − | + | . | . | × | . | . | ||||||||||
Digit span | (+)/- | + | . | . | × | . | . | ||||||||||
Arithmetic | − | − | . | . | × | . | . | ||||||||||
Comprehension | − | − | . | . | − | . | . | ||||||||||
Similarities | (+)/- | + | . | . | × | . | . | ||||||||||
Picture compl. | + | + | . | . | × | . | . | ||||||||||
Picture arrange. | + | + | . | . | × | . | . | ||||||||||
Block design | + | + | . | . | − | . | . | ||||||||||
Object assem. | + | + | . | . | − | . | . | ||||||||||
Digit symbol | + | + | . | . | × | . | . | ||||||||||
Category test | (+)/- | + | . | . | − | . | . | ||||||||||
TMT-A | + | + | . | . | − | . | . | ||||||||||
TMT-B | + | + | . | . | − | . | . | ||||||||||
WCST | (+)/- | + | . | . | − | . | . | ||||||||||
Mental control | − | − | . | . | − | . | . | ||||||||||
Digit span forw. | − | (+)/- | . | . | − | . | . | ||||||||||
Digit span rev. | (+)/- | + | . | . | − | . | . | ||||||||||
Logical mem. | − | + | . | . | − | . | . | ||||||||||
Logical mem. DR | (+)/- | + | . | . | − | . | . | ||||||||||
Visual reprod. | − | + | . | . | − | . | . | ||||||||||
Visual reprod DR | (+)/- | − | . | . | − | . | . | ||||||||||
Paired assoc. | × | × | . | . | × | . | . | ||||||||||
Paired assoc. DR | × | × | . | . | × | . | . | ||||||||||
De Luca et al., 2014 | Severe brain injury, post-acute phase (3–6 m post onset) | N = 34: IG + CAU = 15 CAU = 19 | Based on several web-based programs (memory, EF, abilities of thinking) | ??? min, 3 d/w, 8 w (unkn.) | Rehab.? | MMSE | − | + | × | . | + | × | . | No | Yes, question-naires but not specific about EF | No | Not reported |
LCF | ± | + | × | . | + | × | . | ||||||||||
RML | − | + | × | . | + | × | . | ||||||||||
RAVLT - direct | − | + | × | . | + | × | . | ||||||||||
RAVLT - delayed | − | + | × | . | + | × | . | ||||||||||
Att. Matrices | − | + | × | . | + | × | . | ||||||||||
CV Fluency | − | + | × | . | ± | × | . | ||||||||||
LV Fluency | − | + | × | . | + | × | . | ||||||||||
Constr. Apraxia | ± | ± | × | . | + | × | . | ||||||||||
Barthel Index | + | + | × | . | − | × | . | ||||||||||
ADL | ± | + | × | . | ± | × | . | ||||||||||
IADL | ± | + | × | . | ± | × | . | ||||||||||
HRS anx. | − | − | × | . | ± | × | . | ||||||||||
HRS depr. | − | + | × | . | ± | × | . | ||||||||||
Fernandez et al., 2012 | ABI (Stroke or TBI), mostly chronic (1-5 y post onset) | N = 50 no control | RehaCom software package (divided att., concentration, RT, audio and visual memory) | 50 min, 5 d/w, 12 w = 50 h (unkn.) | Lab, 4 at a time with presence two specialists | MMSE | . | − | . | . | . | . | . | No | No | No | Not reported |
WMS: | |||||||||||||||||
Information | . | * | . | . | . | . | . | ||||||||||
Orientation | . | * | . | . | . | . | . | ||||||||||
Mental control | . | * | . | . | . | . | . | ||||||||||
Logical memory | . | * | . | . | . | . | . | ||||||||||
Digits forward and backward | . | * | . | . | . | . | . | ||||||||||
Visual reprod. | . | * | . | . | . | . | . | ||||||||||
Assoc. learning | . | * | . | . | . | . | . | ||||||||||
Mem. quotient | . | * | . | . | . | . | . | ||||||||||
TMT-A | . | * | . | . | . | . | . | ||||||||||
TMT-B | . | − | . | . | . | . | . | ||||||||||
Gray et al., 1992 | mild-severe ABI, post-acute—chronic (7 w–10 y) with attention deficits | N = 31: IG = 17 aCG = 14 (recrea-tional computing without time pressure) | Unkn. (att. involved in processes of control) | 14 times 75 min, 2 d/w = 17.5 h (15.35h) | Rehab.? | Digit span forw. | × | × | × | × | − | − | . | No | No, only a psycho-logical well-being measure but not specific about EF | No | Not reported |
Digit span rev. | × | × | × | × | − | ± | . | ||||||||||
PASAT: | |||||||||||||||||
Total | − | ± | × | ± | − | + | . | ||||||||||
Longest string | − | − | ± | ± | − | ± | . | ||||||||||
Info proc. rate | − | ± | × | + | ± | ± | . | ||||||||||
Arithmetic | − | ± | × | × | − | ± | . | ||||||||||
WCST error | × | × | × | × | − | − | . | ||||||||||
WCST pers. error | × | × | × | × | − | − | . | ||||||||||
Finger tapping | × | × | × | × | − | − | . | ||||||||||
Word fluency | × | × | × | × | − | − | . | ||||||||||
Letter cancel.: | |||||||||||||||||
Time | × | × | × | × | × | × | . | ||||||||||
Error | × | × | × | × | − | − | . | ||||||||||
Picture compl. | × | × | × | × | ± | − | . | ||||||||||
Time estimation | × | × | × | × | − | − | . | ||||||||||
Logical mem. | × | × | × | × | − | − | . | ||||||||||
Logical mem. DR | × | × | × | × | − | − | . | ||||||||||
Rey - copy | × | × | × | × | − | − | . | ||||||||||
Rey - delayed | × | × | × | × | − | − | . | ||||||||||
Neale accuracy | × | × | × | × | × | × | . | ||||||||||
Comprehension | × | × | × | × | − | − | . | ||||||||||
Block design | × | × | × | × | − | ± | . | ||||||||||
Similarities | × | × | × | × | − | − | . | ||||||||||
GHQ-28 | − | − | − | − | − | − | . | ||||||||||
Lin et al., 2014 | Stroke, post-acute (6–10 m) with EF and memory deficit | N = 34: IG = 16 pCG = 18 | RehaCom software package (EF, memory) | 1 h, 6 d/w, 10 w = 60 h (unkn.) | Rehab.? | WMS: | Not for NPA MRI p was set to < 0.005 | No | No | None | |||||||
Information | − | − | . | . | × | . | . | ||||||||||
Orientation | − | − | . | . | × | . | . | ||||||||||
Mental control | − | + | . | . | × | . | . | ||||||||||
Logical memory | − | + | . | . | × | . | . | ||||||||||
Digits forward and backward | − | ± | . | . | × | . | . | ||||||||||
Visual reprod. | − | + | . | . | × | . | . | ||||||||||
Assoc. learning | − | + | . | . | × | . | . | ||||||||||
Memory quotient | − | + | . | . | × | . | . | ||||||||||
TMT-A | − | + | . | . | × | . | . | ||||||||||
TMT-B | − | − | . | . | × | . | . | ||||||||||
Corr. between MRI & NPA | − | + | . | . | . | . | . | ||||||||||
MRI | + | + | . | . | . | . | . | ||||||||||
Spikman et al., 2010 | ABI, post-acute—chronic (3 m–39 y post onset) with dysexecutive complaints | N = 75: PC = 37 strategy training = 38 | Cogpack (reaction speed, att., memory, planning) | 20–24 times 1 h, 2 d/w, in 3 m = 22 h (unkn.) | Rehab. | Role Resum. List | + | + | + | − | - - | - - | - - | Yes, Bonfer-roni Holm correct. | Yes | No | Not reported |
DEX patient | + | + | + | × | − | − | . | ||||||||||
DEX proxy | + | + | −* | × | − | − | . | ||||||||||
DEX therapist | + | + | + | × | - - | − | . | ||||||||||
Ex. Obser. Scale | + | + | + | × | - - | - - | . | ||||||||||
QOLIBRI satisfac | + | + | −* | × | − | − | . | ||||||||||
QOLIBRI burden | + | + | −* | × | − | − | . | ||||||||||
BADS | + | + | + | × | − | − | . | ||||||||||
TMT-B/A | −* | −* | −* | × | − | − | . | ||||||||||
Stroop 3/2 | −* | −* | + | × | − | − | . | ||||||||||
ToL | + | + | −* | × | − | − | . | ||||||||||
RAVLT - direct | + | + | × | × | − | × | . | ||||||||||
RAVLT - delayed | −* | −* | × | × | − | × | . | ||||||||||
Tx Satisf. Scale | . | . | . | . | . | . | − | ||||||||||
Tx Goal Attain. | . | . | . | . | - -a | . | - - | ||||||||||
Ex. Secret. Task | . | . | . | . | . | . | − |
+, significant (sign.) and survives adjustment for multiple testing (Bonferroni-Holm adjustment is based on the number of outcome measures used at that time-point); ±, sign. but doesn't survive adjustment; -, not sign.; (+)/-, not sign. but would be without adjusting; *, sign. but unknown whether it would survive adjustment; −*, not sign. but unknown whether it would be sign. without adjustment; - -, CG is sign better than IG; ×, not included in analysis;., not mentioned in methods; a, not measured at baseline.
M, mean; Train. improv., training improvements; Ss, subjects; IG, intervention group; CG, control group; aCG, active control group; pCG passive control group; CAU, care as usual; strat., strategy group; PC, personal computer; N, sample size; y, years; m, months; w, weeks; d/w, days per week; h, hours; min, minutes; CHI, closed head injury; ABI, acquired brain injury; TBI, traumatic brain injury; EF, executive functioning; att., attention; RT, reaction time; unkn., unknown; rehab., rehabilitation center; NPA, neuropsychological tests; correct., correction.
Abbreviations neuropsychological tests: WAIS-R, Wechsler Adult Intelligence Scale revised; compl., completion; arrange., arrangement; assem., assembly; TMT, Trail Making Test; WCST, Wisconsin Card Sorting Test; forw., forward; rev., reversed; mem., memory; DR, delayed recall; reprod., reproduction; assoc., associated; MMSE, Mini-Mental State Examination; LCF, Levels of Cognitive Functioning; RML, Reversal Motor Learning; RAVLT, Rey Auditory Verbal Learning Test; Att. Matrices, Attentive Matrices; CV, Category Verbal; LV, Letter Verbal; Constr., Constructional; (I)ADL, (Instrumental) Activities of Daily Living Scale; HRS, Hamilton Rating Scale; anx., anxiety; depr., depression; WMS, Wechsler Memory Scale; PASAT, Paced Auditory Serial Attention Test; proc., processing; pers., perseverative; cancel., cancelation; GHQ-28, General Health Questionnaire; corr., correlation; Role Resum. List, Role Resumption List; DEX, Dysexecutive Questionnaire; Ex. Obser. Scale, Executive Observation Scale; QOLIBRI, Quality of Life after Brain Injury; satisfac, satisfaction; BADS, Behavioural Assessment of the Dysexecutive Syndrome; ToL, Tower of London; Tx Satisf. Scale, Treatment Satisfaction Scale; Tx Goal Attain., Treatment Goal Attainment; Ex. Secret. Task, Executive Secretarial Task.