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Rehabilitation Psychology

Martha A Combs, Edan A Critchfield, Jason R Soble
OBJECTIVE: This preliminary, pilot study assessed the effectiveness of a group-based, mindfulness intervention in a residential, rehabilitation setting with specific focus on assessing participants' self-report of perceived benefit of the intervention on overall health, pain, sleep, mood/anxiety, attention, and self-awareness, as well as implementing modifications needed for successful intervention application among a diverse, clinical military population. METHOD/DESIGN: Participants were 19 veterans and active duty service members with a history of traumatic brain injury (TBI; 63% severe) who completed a mindfulness-based group intervention during inpatient admission at a Veterans Affairs Polytrauma Transitional Rehabilitation Program (PTRP)...
March 12, 2018: Rehabilitation Psychology
Kenneth I Pakenham, Matthew Mawdsley, Felicity L Brown, Nicola W Burton
OBJECTIVE: To evaluate the feasibility and psychosocial outcomes of an Acceptance and Commitment Therapy (ACT)-based group resilience training program for people with multiple sclerosis (PwMS). Research Method/Design: The study used a pre-post group intervention design with 3-month follow-up. The intervention consisted of 8 group sessions of 2.5 hours each with 7 weekly sessions plus a booster Session 5 weeks later. Thirty-seven PwMS completed questionnaires. Primary psychosocial outcomes were resilience, quality of life (QoL), and distress...
November 20, 2017: Rehabilitation Psychology
Samantha DeDios-Stern, Eun-Jeong Lee, Kristian Nitsch
The Brief Coping with Problems Experienced (COPE) is designed to assess the varying coping strategies used by individuals in response to stress. It comprises 14 scales, each of which assesses the degree to which a respondent utilizes a specific coping strategy. This brief summary provides a review of the psychometric properties of the Brief COPE with caregivers. (PsycINFO Database Record
November 2017: Rehabilitation Psychology
Victoria M Kordovski, Steven Paul Woods, Marizela Verduzco, Jessica Beltran
OBJECTIVE: As the prevalence of older adults living with HIV disease increases, questions are emerging regarding the extent to which older age amplifies the adverse effects of HIV on employment status and functioning. This cross-sectional study sought to (1) investigate the combined effects of HIV and older age on employment status, (2) identify clinicodemographic correlates of employment status among older HIV+ persons, and (3) examine the combined effects of HIV and age on workplace performance among employed participants...
November 2017: Rehabilitation Psychology
Michael K Marquardt, Gabriele Oettingen, Peter M Gollwitzer, Paschal Sheeran, Joachim Liepert
OBJECTIVE: Stroke is the most common cause of physical impairment, and having already had a stroke dramatically increases the risk of having another one. Although greater physical activity lowers rates of stroke recurrence, patients often fail to act in line with this recommendation. The present intervention tested whether teaching the self-regulation strategy of mental contrasting (MC) with implementation intentions (II; MCII) improves stroke patients' physical activity and weight loss over 1 year compared with 2 information-only, control interventions...
November 2017: Rehabilitation Psychology
Danielle B Rice, Swati Mehta, Jonathan Serrato, Janet E Pope, Manfred Harth, Keith Sequeira, Pat Morley-Forster, Allan P Shapiro, Robert W Teasell
PURPOSE/OBJECTIVE: To examine potential differences in cognitions and traitlike factors that relate to stress among individuals diagnosed with rheumatoid arthritis (RA) compared to those with chronic pain (CP). Research Method/Design: A cross-sectional study was conducted with participants recruited from outpatient rheumatology and CP clinics. Participants completed self-report questionnaires of demographics, disease characteristics, cognitions, and traitlike constructs. Correlates of patient stress were considered using hierarchical multiple regression...
November 2017: Rehabilitation Psychology
Michelle M Haddad, Gitendra Uswatte, Edward Taub, Ameen Barghi, Victor W Mark
OBJECTIVE: Depressive symptoms after stroke have been associated with negative outcomes, including poorer functional ability, less efficient use of rehabilitation services, decreased quality of life, and increased mortality. It has been anecdotally noted that depressive symptoms do not limit motor recovery in patients who undergo Constraint-Induced Movement Therapy (CIMT), an efficacious intervention for chronic poststroke hemiparesis. Here we analyze depressive symptom and motor scores from 40 participants who received CIMT in 2 previously published studies...
November 2017: Rehabilitation Psychology
James A Holdnack, David S Tulsky, Jerry Slotkin, Callie E Tyner, Richard Gershon, Grant L Iverson, Allen W Heinemann
PURPOSE/OBJECTIVE: Metrics to estimate premorbid cognitive ability, such as word reading tests, are important for clinical determination of cognitive changes following brain injury. In the present study, reading adjusted scores for the National Institutes of Health Toolbox Cognition Battery (NIHTB-CB) fluid tests were developed and validated with a sample of individuals with traumatic brain injury (TBI), to evaluate the clinical utility of reading-adjusted scores. Research Method/Design: The development sample included 843 adult participants, ages 20-85, from the NIHTB-CB standardization sample...
November 2017: Rehabilitation Psychology
Kristian P Nitsch, Kaitlin B Casaletto, Noelle E Carlozzi, David S Tulsky, Allen W Heinemann, Robert K Heaton
OBJECTIVE: The association between demographic characteristics and neurocognitive performance is well established; however, clinicians may have difficulty selecting when to use uncorrected versus demographically corrected scores. We compared these score types in individuals with traumatic brain injury (TBI) and stroke, on the National Institutes of Health Toolbox-Cognition Battery (NIHTB-CB). RESEARCH METHOD: Adults with TBI and stroke were demographically matched to controls, and completed the NIHTB-CB...
November 2017: Rehabilitation Psychology
James A Holdnack, Grant L Iverson, Noah D Silverberg, David S Tulsky, Allen W Heinemann
PURPOSE/OBJECTIVE: To apply multivariate base rate analyses to the National Institutes of Health Toolbox Cognition Battery (NIHTB-CB) to facilitate the identification of cognitive impairment in individuals with traumatic brain injury (TBI). Research Method/Design: In a multisite cross-sectional design, 158 participants who sustained a complicated mild or moderate TBI (n = 74) or severe TBI (n = 84) at least 1 year earlier were administered the NIHTB-CB. The NIHTB-CB is comprised of 2 crystallized cognition tests (reflecting premorbid ability) and 5 fluid cognition tests, measuring processing speed, memory, and executive functioning...
November 2017: Rehabilitation Psychology
Noelle E Carlozzi, Siera Goodnight, Anya Umlauf, Robert K Heaton, Allen W Heinemann, Benjamin D Schalet, Richard C Gershon, David S Tulsky
PURPOSE/OBJECTIVE: The National Institutes of Health Toolbox Cognition Battery (NIHTB-CB) includes a group of brief measures (i.e., 30 min) designed to assess language, processing speed, working memory, episodic memory, and executive functioning. These subtests can be combined to create composite scores that reflect fluid and crystallized cognition, as well as overall cognition. The battery is of limited utility with individuals who have impaired upper extremity motor functioning. This manuscript examines the accuracy of the Oral Symbol Digit Modalities Test as a substitute for the Pattern Comparison Processing Speed Test for computing motor-free composite scores...
November 2017: Rehabilitation Psychology
Susan Magasi, Mark Harniss, David S Tulsky, Matthew L Cohen, Robert K Heaton, Allen W Heinemann
OBJECTIVES: First, to evaluate the frequency with which individuals with neurological conditions require test administration accommodations for the NIH Toolbox-Cognition Battery (NIHTB-CB). Second, to evaluate the appropriateness of accommodations provided by administrators, including adherence to NIHTB-CB Reasonable Accommodations Guidelines. METHOD: Adults with traumatic brain injury, spinal cord injury, or stroke (n = 604) completed the NIHTB-CB and other assessments as part of a multisite study...
November 2017: Rehabilitation Psychology
Noelle E Carlozzi, David S Tulsky, Timothy J Wolf, Siera Goodnight, Robert K Heaton, Kaitlin B Casaletto, Alex W K Wong, Carolyn M Baum, Richard C Gershon, Allen W Heinemann
OBJECTIVE: The National Institutes of Health (NIH) Toolbox (NIHTB) for the Assessment of Behavior and Neurological Function Cognition Battery (NIHTB-CB) provides a brief assessment (approximately 30 min) of key components of cognition. This article examines construct validity to support the clinical utility of the NIHTB-CB in individuals with stroke. RESEARCH METHOD: A total of 131 individuals with stroke (n = 71 mild stroke; n = 60 moderate/severe stroke) completed the NIHTB-CB...
November 2017: Rehabilitation Psychology
David S Tulsky, James A Holdnack, Matthew L Cohen, Robert K Heaton, Noelle E Carlozzi, Alex W K Wong, Aaron J Boulton, Allen W Heinemann
OBJECTIVE: The National Institutes of Health Toolbox Cognition Battery (NIHTB-CB) measures reading, vocabulary, episodic memory, working memory, executive functioning, and processing speed. While previous research has validated the factor structure in healthy adults, the factor structure has not been examined in adults with neurological impairments. Thus, this study evaluated the NIHTB-CB factor structure in individuals with acquired brain injury. METHOD: A sample of 392 individuals (ages 18-84) with acquired brain injury (n = 182 TBI, n = 210 stroke) completed the NIHTB-CB along with neuropsychological tests as part of a larger, multisite research project...
November 2017: Rehabilitation Psychology
Matthew L Cohen, David S Tulsky, James A Holdnack, Noelle E Carlozzi, Alex Wong, Susan Magasi, Robert K Heaton, Allen W Heinemann
PURPOSE/OBJECTIVE: To compare the cognitive profiles of a well-characterized sample of adults with and without spinal cord injury (SCI) using the NIH Toolbox Cognition Battery NIHTB-CB. Research Method/Design: Participants were 156 community-dwelling individuals with SCI recruited from 3 academic medical centers, and 156 individuals without SCI selected from the NIHTB-CB normative database (N = 312). The main outcome measures were the demographically adjusted NIHTB-CB subtest and composite scores...
November 2017: Rehabilitation Psychology
David S Tulsky, Noelle E Carlozzi, James Holdnack, Robert K Heaton, Alex Wong, Arielle Goldsmith, Allen W Heinemann
PURPOSE/OBJECTIVE: The NIH Toolbox for the Assessment of Neurological Behavior and Function Cognition Battery (NIHTB-CB) is a common data element for use in individuals with traumatic brain injury (TBI). This study evaluates its sensitivity and specificity in distinguishing individuals with complicated mild, moderate, or severe TBI, and provides support for the construct validity of the NIHTB-CB in individuals with TBI. RESEARCH METHOD: One hundred eighty-two individuals with TBI (n = 83 complicated mild/moderate; n = 99 severe) completed the NIHTB-CB and neuropsychological criterion measures...
November 2017: Rehabilitation Psychology
David S Tulsky, Allen W Heinemann
A State-of-the-Science conference on measurement with disability populations recommended "...the development of cognitive and psychosocial outcome measures, using computer-adaptive testing...that are low in respondent burden and valid across patient populations," (Clohan et al., 2007, p. 1537). Following this recommendation, the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) prioritized the development of measures of cognitive functioning for individuals with disabilities, noting that measures of cognitive functioning "have not been developed for systemic application in the field of medical rehabilitation...
November 2017: Rehabilitation Psychology
Joachim Wöhrle, Sebastian Franke, Ruediger Kissgen
OBJECTIVE: This study investigates the psychometric properties of the Multidimensional Attitudes Scale Toward Persons with Disabilities (MAS) among German 10th graders, to advance knowledge about the situation in German classrooms with regard to attitudes toward persons with disabilities. METHOD: Four hundred twenty-one German 10th graders attending the most common regular schools of the German educational system completed the MAS. Confirmatory factor analyses, multigroup confirmatory factor analyses, multivariate analyses of variance and model based clustering were used to investigate: the factor structure, invariance of the factor structure across gender and school types, differences on the MAS between gender and school types, and the existence of groups of students with different attitudes...
October 5, 2017: Rehabilitation Psychology
Sean M Barnes, Lindsey L Monteith, Georgia R Gerard, Adam S Hoffberg, Beeta Y Homaifar, Lisa A Brenner
OBJECTIVE: Develop and test the acceptability and feasibility of Problem-Solving Therapy for Suicide Prevention (PST-SP), a group intervention aimed at improving problem solving and preventing suicide, among Veterans with hopelessness and moderate-to-severe traumatic brain injury (TBI). RESEARCH METHOD: Following treatment development, 16 U.S. Veterans with moderate-to-severe TBI and a Beck Hopelessness Scale score ≥4 participated in an acceptability and feasibility pilot study of PST-SP at a Veterans Affairs Medical Center...
August 10, 2017: Rehabilitation Psychology
Michael W Williams, Evan L Smith
This Rehabilitation Measures Database summary provides a review of the psychometric properties of the Disability Rating Scale (DRS) which is an observer-rated instrument designed to measure general functional disability in individuals with traumatic brain injury. A full review of the DRS as well as reviews of over 300 other instruments can be found at (PsycINFO Database Record
August 2017: Rehabilitation Psychology
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