Read e-book online Cognitive rehabilitation therapy for traumatic brain injury PDF

By Karin Matchett

ISBN-10: 0309267870

ISBN-13: 9780309267878

"In October 2011, the Institute of medication (IOM) published the file Cognitive Rehabilitation remedy for irritating mind harm: comparing the proof, assessing the printed facts for the effectiveness of utilizing cognitive rehabilitation remedy (CRT) to regard individuals with aggravating mind harm (TBI). TBI has received expanding recognition some time past 15 years as a result of its prestige because the signature wound of  Read more...

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Read Online or Download Cognitive rehabilitation therapy for traumatic brain injury : model study protocols and frameworks to advance the state of the science : workshop summary PDF

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Additional resources for Cognitive rehabilitation therapy for traumatic brain injury : model study protocols and frameworks to advance the state of the science : workshop summary

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42 COGNITIVE REHABILITATION THERAPY FOR TBI A Research-Heavy, Conservative Approach A third strategy would lean most strongly in favor of rigorously establishing the effectiveness of an intervention and moving conceptually sound and promising treatments along the translational pipeline. Such an approach might involve the following: • • • • Carry out smaller maturational studies aimed specifically at gaining more evidence for effectiveness—identify the active and essential ingredients. Pay explicit attention to treatment ingredients, attempts to operationalize them, and attempts to measure their delivery.

To simultaneously change the study design and broaden the population, a research team could either carry out a randomized clinical trial with three arms or do two sequential studies. The trial would have a control (standard of care) and two variables, each of which could be compared to the standard of care and to one another. For late-stage and multisite research, individual workshop participants proposed that adaptive types of designs be considered to obtain information in real time and alter an arm of a randomized clinical trial and that factorial designs be considered to compare treatment packages and thus gain power with smaller sample sizes (as long as there are not any adverse effects between the interventions).

Researchers aim to verify that the intervention affects the treatment object in a broader sample of patients and facilities, they further explore safety considerations, and they may look for early evidence of impact on clinically important outcomes in specific populations. Study participants are patients who will benefit from improvement in the treatment object as well as in some proximal clinically relevant targets. Questions in play at this stage of research design include: What are appropriate comparison treatments at this point?

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Cognitive rehabilitation therapy for traumatic brain injury : model study protocols and frameworks to advance the state of the science : workshop summary by Karin Matchett

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