Training to Improve Thinking and Focus After Acquired Brain Injury Using Goal Management Training with Smartphone Support and Booster Sessions

What this Trial Is About

Researchers are studying how Goal Management Training GMT can improve cognitive control in people who have had an acquired brain injury ABI. The study aims to identify factors that predict how well patients respond to GMT and to assess the effects of additional support through a smartphone app and a booster module. The trial includes adults aged 18 to 65 years who have cognitive control difficulties at least 12 months after their brain injury or surgery. Participants receive Goal Management Training in small groups of 4 to 6 patients at a rehabilitation hospital. The standard GMT program involves 10 sessions delivered twice a day, once a week, over five weeks. Half of the participants will get extra daily reminders via a smartphone app during the training period to help with homework tasks. After the main training, half of the participants will be randomly chosen to receive a booster module three months later to support longer-lasting benefits. During the study, participants complete cognitive tests and self-report questionnaires before treatment, right after, at six months, and one year later. The primary outcome measured is the Global Executive Composite score from the BRIEF-A questionnaire. Researchers will also use other cognitive tests and questionnaires to evaluate progress. The study includes regular assessments and uses advanced statistical methods to analyze how different treatments and patient characteristics affect outcomes over time.

Goal Management Training (GMT) for Improvement of Cognitive Control Function After Acquired Brain Injury