Goverover 2007.
Methods |
Design: single‐blind (participants) randomizedd clinical trial. Randomization: 2‐arm parallel group. Duration of study: not reported. |
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Participants |
Number randomized: 20 participants living in community with moderate‐to‐severe acquired brain injury, aged 18‐55 years. Inclusion criteria:
Exclusion criteria:
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Interventions |
Intervention: self‐awareness training. Performance of instrumented activities of daily living:
Participants were asked to predict the performance before completing each task and then asked to assess their performance immediately following the completion of each task. If a participant identified a specific problem, he/she was asked to think of a strategy for better and easier task performance. Duration: 6 individualized treatment sessions over 3 weeks, 1 session per day on 2 or 3 days every week. Each session consisted of a maximum of 45 minutes. Control: same ADL task as the treatment group, but participants were not given specific self‐awareness intervention by the therapist. They were given conventional practice of corrective feedback from the therapist. Duration: same as intervention group. |
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Outcomes | Community Integration Questionnaire (CIQ); Assessment of Motor and Process Skills (AMPS) to assess ADL and IADL. Awareness Questionnaire, Assessment of Awareness of Disability, Self‐Regulation Skills Inventory, Satisfaction with quality of care. |
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Notes |
Setting: Cognitive Remediation Program at Kessler Institute for Rehabilitation, New Jersey. Country: US. Duration of follow‐up: none. Dropouts: none. Funding: National Institute on Disability and Rehabilitation Research; Mary E. Switzer Research Fellowship Program (Grant Award Number: H133F0400180). |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "Participants were then randomly assigned to either the control or experimental group by the second author of this paper." Comment: insufficient information about the method of randomization. The author could not provide further details. |
Allocation concealment (selection bias) | High risk | Quote: "Participants were then randomly assigned to either the control or experimental group by the second author of this paper." Comment: insufficient allocation concealment since 1 of the authors was involved in the allocation process, and method of allocation concealment could not be verified. |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "Participants remained blind to the group membership." Comment: blinding of participants was adequate. Blinding of personnel not reported. |
Blinding of outcome assessment (detection bias) Objective outcomes | High risk | Comment: blinding of outcome assessment not reported. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comment: no dropouts. |
Selective reporting (reporting bias) | Low risk | Comment: none identified. |
Other bias | Low risk | Comment: no additional biases were detected. |