Study of a Home-Based Computerized Cognitive Rehabilitation Program Using RehaCom for Adults With Acquired Brain Injury Receiving Outpatient Therapy

What this Trial Is About

Researchers are evaluating the feasibility and effects of adding a home-based computerized cognitive training program called RehaCom to standard outpatient rehabilitation for adults with acquired brain injury ABI. Patients with ABI often face ongoing challenges in attention and working memory, which can impact their mental health, social participation, and quality of life. This randomized cross-over trial aims to compare a 5-week blended care pathway incorporating RehaCom with 5 weeks of standard cognitive training to see how it influences cognitive function and related psychological outcomes. The study involves two treatment approaches the blended care pathway and standard care. In the blended care pathway, participants receive one in-person cognitive strategy training session per week along with four 30-minute home-based RehaCom sessions weekly for 5 weeks. The standard care pathway consists of two one-hour cognitive training sessions per week at the rehabilitation center for 5 weeks. Participants will crossover between these two approaches during the study. Participants will undergo assessments at the start, after 6 weeks, and after 12 weeks, measuring cognitive functions such as attention and working memory using neuropsychological tests, as well as subjective cognitive complaints, self-efficacy, anxiety, depression, coping, fatigue, and health-related quality of life through standardized questionnaires. The study will monitor adherence, and participants can choose convenient times for home training. The total time burden includes training sessions and up to 45-60 minutes for completing assessments, with no associated risks reported.

Implementation of a Home-based Computerized Cognitive Rehabilitation Program for Patients With ABI