Summary of findings 4. Cognitive didactic therapy compared to functional experiential therapy for people with traumatic brain injury.
| Cognitive didactic therapy compared to functional experiential therapy for people with traumatic brain injury | ||||||
| Patient or population: adult veterans or active duty military service personnel with moderate‐to‐severe traumatic brain injury Settings: acute inpatient rehabilitation brain injury programmes at 4 Veterans Administration medical centres, US Intervention: cognitive didactic therapy Comparison: functional experiential therapy | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of participants (studies) | Quality of the evidence (GRADE) | Comments | |
| Assumed risk | Corresponding risk | |||||
| Functional experiential therapy | Cognitive didactic therapy | |||||
| Return to work Return to work status Follow‐up: 1 year (medium‐term) | 354 per 1000 | 389 per 1000 (294 to 516) | RR 1.10 (0.83 to 1.46) | 366 (1 study) | ⊕⊕⊕⊝ Moderate1 | ‐ |
| Independence in ADL Structured interview Follow‐up: 1 year (medium‐term) | 616 per 1000 | 554 per 1000 (462 to 665) | RR 0.90 (0.75 to 1.08) | 366 (1 study) | ⊕⊕⊝⊝ Low2 | ‐ |
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). A DL: activities of daily living; CI: confidence interval; RR: risk ratio. | ||||||
| GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. | ||||||
1 Downgraded by 1 level because of imprecision. Confidence interval overlapped with both 1 and 1.25. The total number of events was fewer than 300. 2 Downgraded by 2 levels because of imprecision. Confidence interval overlapped with both 0.75 and 1.25. The total number of events was fewer than 300.