Optimising Activity and Participation Outcomes for People With Self-Awareness Impairments Related to Acquired Brain Injury: An Interventions Systematic Review
This systematic review investigates interventions for improving activity and participation in adults with acquired brain injury (ABI) and impaired self-awareness.
Not stated
Database inception to January 2015
Peer-reviewed, published studies of any design
15 unique studies; 17 articles
<div>For adults with impaired self-awareness secondary to ABI, stroke, or traumatic brain injury, the following interventions were found to positively increase activity and participation levels: </div>
<ul>
<li>external feedback from multiple sources;</li>
<li>multi-modal feedback in the context of experiential participation;</li>
<li>experiential task practice; and </li>
<li>metacognitive strategy training. </li>
</ul>
<div>All of the studies included in this review used complex intervention protocols involving multiple treatment elements, so the review authors were unable to identify the active element causing any observed improvement(s). Seven out of 15 studies reported continued activity level improvements beyond the immediate post-intervention period, usually showing maintenance after a period of no intervention. Four studies investigating mood and affect outcomes reported no negative impact with one study reporting statistically significant post-intervention increase in quality of life. Additional research investigating which intervention element is most effective for people with impaired self-awareness post ABI is warranted.</div>
