External Cueing

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Jonathan Evans - One of the best experts on this subject based on the ideXlab platform.

  • rehabilitation of executive functions in patients with chronic acquired brain injury with goal management training External cuing and emotional regulation a randomized controlled trial
    Journal of The International Neuropsychological Society, 2016
    Co-Authors: Sveinung Tornås, Anne-kristin Solbakk, Marianne Lovstad, Anne-kristine Schanke, Jonathan Evans, Tor Endestad, Jan Stubberud
    Abstract:

    Executive dysfunction is a common consequence of acquired brain injury (ABI), causing significant disability in daily life. This randomized controlled trial investigated the efficacy of Goal Management Training TM (GMT) in improving executive functioning in patients with chronic ABI. Seventy patients with a verified ABI and executive dysfunction were randomly allocated to GMT ( n =33) or a psycho-educative active control condition, Brain Health Workshop (BHW) ( n =37). In addition, all participants received External Cueing by text messages. Neuropsychological tests and self-reported questionnaires of executive functioning were administered pre-intervention, immediately after intervention, and at 6 months follow-up. Assessors were blinded to group allocation. Questionnaire measures indicated significant improvement of everyday executive functioning in the GMT group, with effects lasting at least 6 months post-treatment. Both groups improved on the majority of the applied neuropsychological tests. However, improved performance on tests demanding executive attention was most prominent in the GMT group. The results indicate that GMT combined with External Cueing is an effective metacognitive strategy training method, ameliorating executive dysfunction in daily life for patients with chronic ABI. The strongest effects were seen on self-report measures of executive functions 6 months post-treatment, suggesting that strategies learned in GMT were applied and consolidated in everyday life after the end of training. Furthermore, these findings show that executive dysfunction can be improved years after the ABI. ( JINS , 2016, 22 , 436–452)

  • goal management training for rehabilitation of executive functions a systematic review of effectivness in patients with acquired brain injury
    Disability and Rehabilitation, 2014
    Co-Authors: Agata Krasnypacini, Mathilde Chevignard, Jonathan Evans
    Abstract:

    AbstractPurpose: To determine if Goal Management Training (GMT) is effective for the rehabilitation of executive functions following brain injury when administered alone or in combination with other interventions. Method: Systematic review, with quality appraisal specific to executive functions research and calculation of effect sizes. Results: Twelve studies were included. Four studies were “Proof-of-principle” studies, testing the potential effectiveness of GMT and eight were rehabilitation studies. Effectiveness was greater when GMT was combined with other interventions. The most effective interventions appeared to be those combing GMT with: Problem Solving Therapy; personal goal setting; External Cueing or prompting apply GMT to the current task; personal homework to increase patients’ commitment and training intensity; ecological and daily life training activities rather than paper-and-pencil, office-type tasks. Level of support for GMT was higher for studies measuring outcome in terms of increases i...

  • External Cueing systems in the rehabilitation of executive impairments of action.
    Journal of the International Neuropsychological Society : JINS, 1998
    Co-Authors: Jonathan Evans, Hazel Emslie, Barbara A. Wilson
    Abstract:

    The use of a mnemonic Cueing system (NeuroPage®) and a paper and pencil checklist in the rehabilitation of executive problems in a 50-year-old woman are described. Following a CVA 7 years earlier, the patient, despite intact general intellectual and memory functioning, had specific executive impairments of attention, planning, realizing intended actions, and also exhibited behavioral routines similar in form to obsessive–compulsive rituals. In a series of ABAB single-case experimental designs, the efficacy of 2 External Cueing systems in prompting appropriately timed action is demonstrated. It is argued that the combination of External control and increased sustained attention to action were critical to the success of NeuroPage with this patient. Furthermore it is hypothesized that the checklist was effective in facilitating the patient's ability to foresee and recognize the consequences of her actions, which in turn had an impact on the probability of her changing those same actions. ( JINS , 1998, 4 , 399–408.)

Jan Stubberud - One of the best experts on this subject based on the ideXlab platform.

  • rehabilitation of executive functions in patients with chronic acquired brain injury with goal management training External cuing and emotional regulation a randomized controlled trial
    Journal of The International Neuropsychological Society, 2016
    Co-Authors: Sveinung Tornås, Anne-kristin Solbakk, Marianne Lovstad, Anne-kristine Schanke, Jonathan Evans, Tor Endestad, Jan Stubberud
    Abstract:

    Executive dysfunction is a common consequence of acquired brain injury (ABI), causing significant disability in daily life. This randomized controlled trial investigated the efficacy of Goal Management Training TM (GMT) in improving executive functioning in patients with chronic ABI. Seventy patients with a verified ABI and executive dysfunction were randomly allocated to GMT ( n =33) or a psycho-educative active control condition, Brain Health Workshop (BHW) ( n =37). In addition, all participants received External Cueing by text messages. Neuropsychological tests and self-reported questionnaires of executive functioning were administered pre-intervention, immediately after intervention, and at 6 months follow-up. Assessors were blinded to group allocation. Questionnaire measures indicated significant improvement of everyday executive functioning in the GMT group, with effects lasting at least 6 months post-treatment. Both groups improved on the majority of the applied neuropsychological tests. However, improved performance on tests demanding executive attention was most prominent in the GMT group. The results indicate that GMT combined with External Cueing is an effective metacognitive strategy training method, ameliorating executive dysfunction in daily life for patients with chronic ABI. The strongest effects were seen on self-report measures of executive functions 6 months post-treatment, suggesting that strategies learned in GMT were applied and consolidated in everyday life after the end of training. Furthermore, these findings show that executive dysfunction can be improved years after the ABI. ( JINS , 2016, 22 , 436–452)

Richard J.a. Van Wezel - One of the best experts on this subject based on the ideXlab platform.

  • Usability of three-dimensional augmented visual cues delivered by smart glasses on (Freezing of) gait in parkinson's disease
    Frontiers in Neurology, 2017
    Co-Authors: Stijn Janssen, Benjamin Bolte, Marian Bittner, Tjitske Heida, Jorik Nonnekes, Bastiaan R. Bloem, Yong Zhao, Richard J.a. Van Wezel
    Abstract:

    External Cueing is a potentially effective strategy to reduce freezing of gait (FOG) in persons with Parkinson's disease (PD). Case reports suggest that three-dimensional (3D) cues might be more effective in reducing FOG than two-dimensional cues. We investigate the usability of 3D augmented reality visual cues delivered by smart glasses in comparison to conventional 3D transverse bars on the floor and auditory Cueing via a metronome in reducing FOG and improving gait parameters. In laboratory experiments, 25 persons with PD and FOG performed walking tasks while wearing custom-made smart glasses under five conditions, at the end-of-dose. For two conditions, augmented visual cues (bars/staircase) were displayed via the smart glasses. The control conditions involved conventional 3D transverse bars on the floor, auditory Cueing via a metronome, and no Cueing. The number of FOG episodes and percentage of time spent on FOG were rated from video recordings. The stride length and its variability, cycle time and its variability, cadence, and speed were calculated from motion data collected with a motion capture suit equipped with 17 inertial measurement units. A total of 300 FOG episodes occurred in 19 out of 25 participants. There were no statistically significant differences in number of FOG episodes and percentage of time spent on FOG across the five conditions. The conventional bars increased stride length, cycle time, and stride length variability, while decreasing cadence and speed. No effects for the other conditions were found. Participants preferred the metronome most, and the augmented staircase least. They suggested to improve the comfort, esthetics, usability, field of view, and stability of the smart glasses on the head and to reduce their weight and size. In their current form, augmented visual cues delivered by smart glasses are not beneficial for persons with PD and FOG. This could be attributable to distraction, blockage of visual feedback, insufficient familiarization with the smart glasses, or display of the visual cues in the central rather than peripheral visual field. Future smart glasses are required to be more lightweight, comfortable, and user friendly to avoid distraction and blockage of sensory feedback, thus increasing usability.

  • Usability of Three-dimensional Augmented Visual Cues Delivered by Smart Glasses on (Freezing of) Gait in Parkinson’s Disease
    Frontiers Media S.A., 2017
    Co-Authors: Benjamin Bolte, Marian Bittner, Tjitske Heida, Jorik Nonnekes, Bastiaan R. Bloem, Yan Zhao, Sabine Janssen, Richard J.a. Van Wezel
    Abstract:

    External Cueing is a potentially effective strategy to reduce freezing of gait (FOG) in persons with Parkinson’s disease (PD). Case reports suggest that three-dimensional (3D) cues might be more effective in reducing FOG than two-dimensional cues. We investigate the usability of 3D augmented reality visual cues delivered by smart glasses in comparison to conventional 3D transverse bars on the floor and auditory Cueing via a metronome in reducing FOG and improving gait parameters. In laboratory experiments, 25 persons with PD and FOG performed walking tasks while wearing custom-made smart glasses under five conditions, at the end-of-dose. For two conditions, augmented visual cues (bars/staircase) were displayed via the smart glasses. The control conditions involved conventional 3D transverse bars on the floor, auditory Cueing via a metronome, and no Cueing. The number of FOG episodes and percentage of time spent on FOG were rated from video recordings. The stride length and its variability, cycle time and its variability, cadence, and speed were calculated from motion data collected with a motion capture suit equipped with 17 inertial measurement units. A total of 300 FOG episodes occurred in 19 out of 25 participants. There were no statistically significant differences in number of FOG episodes and percentage of time spent on FOG across the five conditions. The conventional bars increased stride length, cycle time, and stride length variability, while decreasing cadence and speed. No effects for the other conditions were found. Participants preferred the metronome most, and the augmented staircase least. They suggested to improve the comfort, esthetics, usability, field of view, and stability of the smart glasses on the head and to reduce their weight and size. In their current form, augmented visual cues delivered by smart glasses are not beneficial for persons with PD and FOG. This could be attributable to distraction, blockage of visual feedback, insufficient familiarization with the smart glasses, or display of the visual cues in the central rather than peripheral visual field. Future smart glasses are required to be more lightweight, comfortable, and user friendly to avoid distraction and blockage of sensory feedback, thus increasing usability

Rhodri S Lloyd - One of the best experts on this subject based on the ideXlab platform.

Sveinung Tornås - One of the best experts on this subject based on the ideXlab platform.

  • rehabilitation of executive functions in patients with chronic acquired brain injury with goal management training External cuing and emotional regulation a randomized controlled trial
    Journal of The International Neuropsychological Society, 2016
    Co-Authors: Sveinung Tornås, Anne-kristin Solbakk, Marianne Lovstad, Anne-kristine Schanke, Jonathan Evans, Tor Endestad, Jan Stubberud
    Abstract:

    Executive dysfunction is a common consequence of acquired brain injury (ABI), causing significant disability in daily life. This randomized controlled trial investigated the efficacy of Goal Management Training TM (GMT) in improving executive functioning in patients with chronic ABI. Seventy patients with a verified ABI and executive dysfunction were randomly allocated to GMT ( n =33) or a psycho-educative active control condition, Brain Health Workshop (BHW) ( n =37). In addition, all participants received External Cueing by text messages. Neuropsychological tests and self-reported questionnaires of executive functioning were administered pre-intervention, immediately after intervention, and at 6 months follow-up. Assessors were blinded to group allocation. Questionnaire measures indicated significant improvement of everyday executive functioning in the GMT group, with effects lasting at least 6 months post-treatment. Both groups improved on the majority of the applied neuropsychological tests. However, improved performance on tests demanding executive attention was most prominent in the GMT group. The results indicate that GMT combined with External Cueing is an effective metacognitive strategy training method, ameliorating executive dysfunction in daily life for patients with chronic ABI. The strongest effects were seen on self-report measures of executive functions 6 months post-treatment, suggesting that strategies learned in GMT were applied and consolidated in everyday life after the end of training. Furthermore, these findings show that executive dysfunction can be improved years after the ABI. ( JINS , 2016, 22 , 436–452)