Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans with a History of Mild Traumatic Brain Injury

Zanjbeel Mahmood; Jillian M.R. Clark; Amy J. Jak; Marilyn Huckans; Maya E. O'Neil; Mai S. Roost; Rhonda M. Williams; Kathleen F. Pagulayan; Aaron P. Turner; Daniel Storzbach; Elizabeth W. Twamley

doi:10.1097/HTR.0000000000000596

Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans with a History of Mild Traumatic Brain Injury

Zanjbeel Mahmood, Jillian M.R. Clark, Amy J. Jak, Marilyn Huckans, Maya E. O'Neil, Mai S. Roost, Rhonda M. Williams, Kathleen F. Pagulayan, Aaron P. Turner, Daniel Storzbach, Elizabeth W. Twamley

Pediatrics

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

Objective: The purpose of this study was to determine modifiable predictors of intervention adherence in a study of group-based Compensatory Cognitive Training (CCT) for Iraq/Afghanistan War veterans with a history of mild traumatic brain injury (mTBI). Methods: One hundred twenty-three veterans enrolled in a randomized controlled trial of a 10-week CCT intervention (54 assigned to CCT) and were evaluated at baseline, 5 weeks, 10 weeks, and 15 weeks. CCT adherence was determined by the number of CCT sessions attended, with more sessions indicative of greater adherence. Baseline demographic and clinical characteristics, and subjective and objective neuropsychological performance, were examined in relation to CCT session attendance. Results: Older age and worse attention performance at baseline were associated with higher CCT attendance rates. Conclusions: This study generates preliminary evidence for potential modifiable neuropsychological factors that may improve engagement in CCT interventions.

Original language	English (US)
Pages (from-to)	20-24
Number of pages	5
Journal	Journal of Head Trauma Rehabilitation
Volume	36
Issue number	1
DOIs	https://doi.org/10.1097/HTR.0000000000000596
State	Published - Jan 2021

Keywords

TBI
attrition
cognitive rehabilitation
learning
memory

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation
Clinical Neurology

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10.1097/HTR.0000000000000596

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Mahmood, Z., Clark, J. M. R., Jak, A. J., Huckans, M., O'Neil, M. E., Roost, M. S., Williams, R. M., Pagulayan, K. F., Turner, A. P., Storzbach, D., & Twamley, E. W. (2021). Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans with a History of Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation, 36(1), 20-24. https://doi.org/10.1097/HTR.0000000000000596

Mahmood, Z, Clark, JMR, Jak, AJ, Huckans, M, O'Neil, ME, Roost, MS, Williams, RM, Pagulayan, KF, Turner, AP, Storzbach, D & Twamley, EW 2021, 'Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans with a History of Mild Traumatic Brain Injury', Journal of Head Trauma Rehabilitation, vol. 36, no. 1, pp. 20-24. https://doi.org/10.1097/HTR.0000000000000596

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title = "Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans with a History of Mild Traumatic Brain Injury",

abstract = "Objective: The purpose of this study was to determine modifiable predictors of intervention adherence in a study of group-based Compensatory Cognitive Training (CCT) for Iraq/Afghanistan War veterans with a history of mild traumatic brain injury (mTBI). Methods: One hundred twenty-three veterans enrolled in a randomized controlled trial of a 10-week CCT intervention (54 assigned to CCT) and were evaluated at baseline, 5 weeks, 10 weeks, and 15 weeks. CCT adherence was determined by the number of CCT sessions attended, with more sessions indicative of greater adherence. Baseline demographic and clinical characteristics, and subjective and objective neuropsychological performance, were examined in relation to CCT session attendance. Results: Older age and worse attention performance at baseline were associated with higher CCT attendance rates. Conclusions: This study generates preliminary evidence for potential modifiable neuropsychological factors that may improve engagement in CCT interventions.",

keywords = "TBI, attrition, cognitive rehabilitation, learning, memory",

author = "Zanjbeel Mahmood and Clark, {Jillian M.R.} and Jak, {Amy J.} and Marilyn Huckans and O'Neil, {Maya E.} and Roost, {Mai S.} and Williams, {Rhonda M.} and Pagulayan, {Kathleen F.} and Turner, {Aaron P.} and Daniel Storzbach and Twamley, {Elizabeth W.}",

year = "2021",

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doi = "10.1097/HTR.0000000000000596",

language = "English (US)",

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AU - Jak, Amy J.

AU - Huckans, Marilyn

AU - O'Neil, Maya E.

AU - Roost, Mai S.

AU - Williams, Rhonda M.

AU - Pagulayan, Kathleen F.

AU - Turner, Aaron P.

AU - Storzbach, Daniel

AU - Twamley, Elizabeth W.

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AB - Objective: The purpose of this study was to determine modifiable predictors of intervention adherence in a study of group-based Compensatory Cognitive Training (CCT) for Iraq/Afghanistan War veterans with a history of mild traumatic brain injury (mTBI). Methods: One hundred twenty-three veterans enrolled in a randomized controlled trial of a 10-week CCT intervention (54 assigned to CCT) and were evaluated at baseline, 5 weeks, 10 weeks, and 15 weeks. CCT adherence was determined by the number of CCT sessions attended, with more sessions indicative of greater adherence. Baseline demographic and clinical characteristics, and subjective and objective neuropsychological performance, were examined in relation to CCT session attendance. Results: Older age and worse attention performance at baseline were associated with higher CCT attendance rates. Conclusions: This study generates preliminary evidence for potential modifiable neuropsychological factors that may improve engagement in CCT interventions.

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KW - memory

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Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans with a History of Mild Traumatic Brain Injury

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