Evidence map›Paper›PMID 31307502›Full record

ArticleTrials2019

Executive function training in chronic traumatic brain injury patients: study protocol.

Daniel C Krawczyk, Kihwan Han, David Martinez, Jelena Rakic, Matthew J Kmiecik, Zhengsi Chang, Linda Nguyen, Michael Lundie, Richard C Cole, Marielle Nagele and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03704116 (Project Expedition), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03704116 nacompletednot on this map

Project Expedition: Executive Function Training Intervention for Chronic Traumatic Brain Injury

TypeinterventionalSponsorThe University of Texas at DallasRan2018 to 2021Enrolled45ConditionsTraumatic Brain InjuryArmsExpedition
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Targeting the adenosine AChinese journal of traumatology = Zhonghua chuang shang za zhi · 2024
    Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Daniel C KrawczykCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA. daniel.krawczyk@utdallas.edu.ORCID http://orcid.org/0000-0003-1507-7935
Kihwan HanCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
David MartinezCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Jelena RakicCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Matthew J KmiecikCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Zhengsi ChangCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Linda NguyenCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Michael LundieCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Richard C ColeCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Marielle NageleCenter for BrainHealth, The University of Texas at Dallas, 2200 Mockingbird Lane, Dallas, TX, 75235, USA.
Nyaz DidehbaniDepartment of Psychiatry, University of Texas Southwestern Medical Center at Dallas, NE 210, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA.
The University of Texas at Dallas · USThe University of Texas Southwestern Medical Center · US

Funding

Congressionally Directed Medical Research Programs W81XWH-16-1-0053
6 · The paper itself

Abstract

backgroundSome individuals who sustain traumatic brain injuries (TBIs) continue to experience significant cognitive impairments chronically (months to years post injury). Many tests of executive function are insensitive to these executive function impairments, as such impairments may only appear during complex daily life conditions. Daily life often requires us to divide our attention and focus on abstract goals. In the current study, we compare the effects of two 1-month electronic cognitive rehabilitation programs for individuals with chronic TBI. The active program (Expedition: Strategic Advantage) focuses on improving goal-directed executive functions including working memory, planning, long-term memory, and inhibitory control by challenging participants to accomplish life-like cognitive simulations. The challenge level of the simulations increases in accordance with participant achievement. The control intervention (Expedition: Informational Advantage) is identical to the active program; however, the cognitive demand level is capped, preventing participants from advancing beyond a set level. We will evaluate these interventions with a military veteran TBI population. METHODS/

designOne hundred individuals will be enrolled in this double-blinded clinical trial (all participants and testers are blinded to condition). Each individual will be randomly assigned to one of two interventions. The primary anticipated outcomes are improvement of daily life cognitive function skills and daily life functions. These are measured by a daily life performance task, which tests cognitive skills, and a survey that evaluates daily life functions. Secondary outcomes are also predicted to include improvements in working memory, attention, planning, and inhibitory control as measured by a neuropsychological test battery. Lastly, neuroimaging measures will be used to evaluate changes in brain networks supporting cognition pre and post intervention. DISCUSSION: We will test whether electronically delivered cognitive rehabilitation aimed at improving daily life functional skills will provide cognitive and daily life functional improvements for individuals in the chronic phase of TBI recovery (greater than 3 months post injury). We aim to better understand the cognitive processes involved in recovery and the characteristics of individuals most likely to benefit. This study will also address the potential to observe generalizability or to transfer from a software-based cognitive training tool toward daily life improvement.

trial registrationClinicalTrials.gov, NCT03704116 . Retrospectively registered on 12 Oct 2018.

Indexed as

CognitionExecutive FunctionVideo GamesActivities of Daily LivingAdolescentAdultAttentionBrainBrain Injuries, TraumaticCognitive Behavioral TherapyDouble-Blind MethodFemaleHumansMaleMemoryMiddle AgedAttentionCognitive rehabilitationDaily life functionsExecutive functionsMemoryPlanningTraumatic brain injury

Identifiers

PMID31307502
PMCPMC6633697
OpenAlexW2956706911

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.