Self-Regulation After Traumatic Brain Injury: A Framework for Intervention of Memory and Problem Solving
Seminars in Speech and Language
Kennedy, M. R., & Coelho, C. (2005).
Seminars in Speech and Language, 26(4), 242-255.
This review investigates the effects of self-regulation or self-awareness interventions on memory, learning, and problem solving in individuals with traumatic brain injury (TBI). The review is part of a series by the Academy of Neurologic Communication Disorders and Sciences Practice devoted to the management of TBI.
Academy of Neurologic Communication Disorders and Sciences
Through 2004
Quantitative intervention studies
Over 30
<div>Interventions targeting self-regulation or self-monitoring for children and adults with TBI were limited. However, the authors consider these treatments to be promising based on the documented efficacy of other treatments using step-by-step training procedures to improve problem solving which include the use of self-monitoring or self-checking systems. The authors concluded that individuals with TBI "will be successful at regulating behavior to the extent that their internal feedback (i.e., self-monitoring) is accurate" (p. 252), and the clinician incorporates these situations into treatment. The authors also suggest that the "connection between self-monitoring and strategy decisions should be made explicit for the client through instruction" (p. 252). Finally, generalization of self-regulation should be facilitated for individuals with TBI as there is no evidence to support spontaneous generalization for this population.</div>
