Efficacy of a brief acute neurobehavioural intervention following traumatic brain injury: A preliminary investigation

Janet P. Niemeier, Jeffrey S. Kreutzer, Jennifer H. Marwitz, Kelli W. Gary, Jessica McKinney Ketchum

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Primary objective: To evaluate the effectiveness of a brief acute neurobehavioural intervention, the First Steps Acute Neurobehavioural and Cognitive Intervention (FANCI), with persons who have traumatic brain injury (TBI). Research design: Prospective, controlled, repeated measures design. Methods and procedures: Seventy-two patients in acute TBI rehabilitation participated either as FANCI subjects or as control participants who watched videos to control for time and attention. Outcome measures included the Neurobehavioural Rating Scale-Revised (NRS-R), Functional Independence Measure (FIM™), a FANCI Learning Assessment (LA) and the Satisfaction with Life Scale (SWLS). Main outcomes and results: In comparison with controls, FANCI participants had significantly greater neurobehavioural (cognitive, emotional and behavioural) as well as FIM motor improvements. Significantly greater learning occurred and persisted over time for FANCI subjects as compared to controls. Pre-treatment cognitive and neurobehavioural status, length of coma and number of sessions completed were moderating variables for functional and cognitive outcomes. Conclusions: Persons with TBI can benefit from comprehensive, manualized neurobehavioural interventions, over and above standard rehabilitation care, even during the acute phase of recovery.

Original languageEnglish (US)
Pages (from-to)680-690
Number of pages11
JournalBrain Injury
Volume25
Issue number7-8
DOIs
StatePublished - Jan 1 2011

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Rehabilitation
Learning
Coma
Brain Injuries
Research Design
Outcome Assessment (Health Care)
Traumatic Brain Injury
Therapeutics

Keywords

  • Neurobehavioural
  • efficacy
  • intervention
  • rehabilitation

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Clinical Neurology

Cite this

Efficacy of a brief acute neurobehavioural intervention following traumatic brain injury : A preliminary investigation. / Niemeier, Janet P.; Kreutzer, Jeffrey S.; Marwitz, Jennifer H.; Gary, Kelli W.; Ketchum, Jessica McKinney.

In: Brain Injury, Vol. 25, No. 7-8, 01.01.2011, p. 680-690.

Research output: Contribution to journalArticle

Niemeier, Janet P. ; Kreutzer, Jeffrey S. ; Marwitz, Jennifer H. ; Gary, Kelli W. ; Ketchum, Jessica McKinney. / Efficacy of a brief acute neurobehavioural intervention following traumatic brain injury : A preliminary investigation. In: Brain Injury. 2011 ; Vol. 25, No. 7-8. pp. 680-690.
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