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Traumatic brain injuries (TBI) are a leading cause of long-term disability among combat veterans. The most common and persistent sequelae after TBI are cognitive-behavioral deficits in 'executive control' and 'attention' functions. Such abnormalities may directly contribute to poor long-term outcomes as well as impede rehabilitation of dysfunction in other cognitive and motor domains. Effective treatments would potentially make a major impact in improving functional outcomes, but consistently effective treatments are not available. Currently, there exists no solid theoretical basis for guiding treatment development. Thus, the overall goal of this research is to improve our understanding of plasticity in brain function after TBI and to develop improved cognitive neurorehabilitation treatments based on these analyses.
What specific neural changes support improvements in executive and attention control processes? As trauma may result in injuries that affect not only cortical regions, but also sub-cortical connections, we will test a framework that incorporates the importance of brain network interactions and generates testable hypotheses regarding mechanisms of brain plasticity. Advanced functional MRI methods will be used to assay the effects of training interventions designed to address problems with attention and executive control functioning. The intervention involves group-based training in attention regulation and goal management.
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
training in goal-directed attention regulation, brain health education
VA Northern California HCS
Department of Veterans Affairs
Published on BioPortfolio: 2014-08-27T03:17:11-0400
Some of the most common and disabling consequences of brain injury are deficits in cognition, such as difficulty with sustained attention, memory, organization, and goal management. The lo...
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Traumatic brain injury (TBI) is a significant public health problem, with 1.5-2.0 million Americans injured each year. Cognitive deficits, particularly in the domains of memory and attent...
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Education centers authorized by the Comprehensive Health Manpower Training Act, 1971, for the training of health personnel in areas where health needs are the greatest. May be used for centers other than those established by the United States act.
Education and training in PUBLIC HEALTH for the practice of the profession.
Nurses whose goal is to improve health and quality of life in a population or community through the prevention and treatment of disease and other physical and mental health conditions, the surveillance of cases and health indicators, and the promotion of healthy behaviors through public education and awareness.
WHO regional office for the Americas acting as a coordinating agency for the improvement of health conditions in the hemisphere. The four main functions are: control or eradication of communicable diseases, strengthening of national and local health services, education and training, and research.
The teaching or training of patients concerning their own health needs.
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