Objective: Intensive day treatment cognitive rehabilitation programs for acquired brain injury appear promising based on limited existing research. Self-Therapy for Adaptive Recovery (STAR) is one such model that has been developed as an 8-week intensive holistic cognitive rehabilitation program. The purpose of this study was to review initial outcome data to determine the efficacy of this treatment model in terms of improving vocational functioning and reducing the need for supervision for participants with a history of acquired brain injury (ABI). Method: Data from 34 participants (17 waitlist controls and 17 STAR participants) were analyzed. Demographics: 55.8% male, mean age of 40.38 (SD = 17.26), mean education of 14.56 (SD = 3.16), 20.7% no focal injury, 23.5% right focal injury, 2.9% left focal injury, 14.7% frontal injury, 38.2% multifocal injury. Outcome measures were the Mayo-Portland Adaptability Inventory (MPAI-4) and the Supervision Rating Scale (SRS). We conducted between-groups analyses of SRS total rating and MPAI-4 Item 28 (Employment) change scores using Mann-Whitney U test. Results: Mann-Whitney U test scores showed statistically significant improvement in vocational functioning as measured by the MPAI-4 Item 28 (U = 22.5, p = .000) and statistically significant reductions in need for supervision according to the SRS (U = 33.5, p = .000). Conclusion: Early data for this innovative program are promising in terms of its ability to improve vocational functioning and level of independence of participants. More outcome research is needed, especially on innovative, brief, and cost-effective program models.
NEUROLOGICAL AND NEUROPSYCHIATRIC DISORDERS: TREATMENT AND REHABILITATION
Acquired Brain Injury Treatment Outcome: The Self-Therapy for Adaptive Recovery (STAR) Program
K Jacobson, A Ramezani, R Wanlass, L Shutz; NEUROLOGICAL AND NEUROPSYCHIATRIC DISORDERS: TREATMENT AND REHABILITATION
Acquired Brain Injury Treatment Outcome: The Self-Therapy for Adaptive Recovery (STAR) Program. Arch Clin Neuropsychol 2015; 30 (6): 518. doi: 10.1093/arclin/acv047.86
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