This article and any supplementary material should be cited as follows: Waid-Ebbs JK, Daly J, Wu SS, Berg WK, Bauer RM, Perlstein WM, Crosson B. Response to Goal Management Training in Veterans with blast-related mild traumatic brain injury. J Rehabil Res Dev. 2014;51(10):1555–66.http://dx.doi.org/10.1682/JRRD.2013.12.0266

Slideshow ProjectDOI:10.1682/JRRD.2013.12.0266JSP

Response to Goal Management Training in Veterans with blast-related

mild traumatic brain injury

J. Kay Waid-Ebbs, PhD, BCBA-D; Janis Daly, PhD; Samuel S. Wu, PhD; W. Keith Berg, PhD; Russell M. Bauer, PhD;

William M. Perlstein, PhD; Bruce Crosson, PhD

This article and any supplementary material should be cited as follows: Waid-Ebbs JK, Daly J, Wu SS, Berg WK, Bauer RM, Perlstein WM, Crosson B. Response to Goal Management Training in Veterans with blast-related mild traumatic brain injury. J Rehabil Res Dev. 2014;51(10):1555–66.http://dx.doi.org/10.1682/JRRD.2013.12.0266

Slideshow ProjectDOI:10.1682/JRRD.2013.12.0266JSP

• Aim– Test effect of Goal Management Training (GMT) on

Veterans with executive function deficits following repeated blast-related mild traumatic brain injury (mTBI).

• Relevance– Veterans with blast-related mTBI have cognitive deficits

that interfere with functional activities. – GMT offers approach to executive function

rehabilitation.

This article and any supplementary material should be cited as follows: Waid-Ebbs JK, Daly J, Wu SS, Berg WK, Bauer RM, Perlstein WM, Crosson B. Response to Goal Management Training in Veterans with blast-related mild traumatic brain injury. J Rehabil Res Dev. 2014;51(10):1555–66.http://dx.doi.org/10.1682/JRRD.2013.12.0266

Slideshow ProjectDOI:10.1682/JRRD.2013.12.0266JSP

Method

• GMT – Metacognitive intervention based on goal processing

and sustained attention theories.– Modified from 7 weekly to 10 biweekly sessions.

• Participants:– 6 combat Veterans who reported multiple blast

exposures resulting in symptoms consistent with mTBI.

This article and any supplementary material should be cited as follows: Waid-Ebbs JK, Daly J, Wu SS, Berg WK, Bauer RM, Perlstein WM, Crosson B. Response to Goal Management Training in Veterans with blast-related mild traumatic brain injury. J Rehabil Res Dev. 2014;51(10):1555–66.http://dx.doi.org/10.1682/JRRD.2013.12.0266

Slideshow ProjectDOI:10.1682/JRRD.2013.12.0266JSP

Results

• Groups showed significantly improved executive function.– Measured by on performance on computerized

Tower of London.

• No significant changes on self- or informant questionnaires of executive function.– Indicates lack of generalization of improvement from

clinic to everyday activities.

This article and any supplementary material should be cited as follows: Waid-Ebbs JK, Daly J, Wu SS, Berg WK, Bauer RM, Perlstein WM, Crosson B. Response to Goal Management Training in Veterans with blast-related mild traumatic brain injury. J Rehabil Res Dev. 2014;51(10):1555–66.http://dx.doi.org/10.1682/JRRD.2013.12.0266

Slideshow ProjectDOI:10.1682/JRRD.2013.12.0266JSP

Conclusion

• While data indicate efficacy of GMT in rehabilitating combat Veterans with executive function deficits because of blast-related mTBI, enhanced generalization is needed.