Evidence map›Paper›PMID 34724955›Full record

Trial reportBMC medicine2021

Rehabilitation of executive function in chronic paediatric brain injury: a randomized controlled trial.

Anne E Brandt, Torun G Finnanger, Ruth E Hypher, Torstein B Rø, Eva Skovlund, Stein Andersson, Kari Risnes, Jan Stubberud

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03215342 (Cognitive Rehabilitation in Pediatric Acquired Brain Injury - a Randomized Controlled Trial), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT03215342 nacompletednot on this map

Cognitive Rehabilitation in Pediatric Acquired Brain Injury - a Randomized Controlled Trial

TypeinterventionalSponsorSt. Olavs HospitalRan2017 to 2019Enrolled76ConditionsBrain InjuriesArmsPediatric Goal Management Training, Pediatric Brain Health Workshop
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Health-related quality of life in children and adolescents with paediatric acquired brain injury: Secondary data analysis from a randomised controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Trial
  3. Review
  4. Article
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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

8 authors at 4 institutions in 1 country.

Anne E BrandtChildren's Clinic, St. Olavs Hospital, Trondheim University Hospital, Postbox 3250 Torgarden, NO-7006, Trondheim, Norway. anne.elisabeth.brandt@stolav.no.ORCID 0000-0001-9278-2238
Torun G FinnangerChildren's Clinic, St. Olavs Hospital, Trondheim University Hospital, Postbox 3250 Torgarden, NO-7006, Trondheim, Norway.
Ruth E HypherDepartment of Clinical Neurosciences for Children, Oslo University Hospital, Oslo, Norway.
Torstein B RøChildren's Clinic, St. Olavs Hospital, Trondheim University Hospital, Postbox 3250 Torgarden, NO-7006, Trondheim, Norway.
Eva SkovlundDepartment of Public Health and Nursing, Norwegian University of Science and Technology, NTNU, Trondheim, Norway.
Stein AnderssonDepartment of Psychology, University of Oslo, Oslo, Norway.
Kari Risnes *Children's Clinic, St. Olavs Hospital, Trondheim University Hospital, Postbox 3250 Torgarden, NO-7006, Trondheim, Norway.
Jan Stubberud *Department of Clinical Neurosciences for Children, Oslo University Hospital, Oslo, Norway.
Norwegian University of Science and Technology · NOOslo University Hospital · NOSt Olav's University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImpaired executive functions (EFs, i.e., purposeful, goal-directed behaviour) cause significant disability after paediatric acquired brain injury (pABI) warranting efficient interventions. Goal Management Training (GMT) is a metacognitive protocol proven effective for executive dysfunction in adults. This pre-registered, blinded, parallel-randomized controlled trial evaluated efficacy of a paediatric adaptation (pGMT) compared to a psychoeducative control (paediatric Brain Health Workshop, pBHW) to improve EF.

methodsChildren aged 10 to 17 years with pABI (e.g., traumatic brain injury, brain tumour), ≥ 1 year post-onset or ended treatment, with parent-reported EF complaints were eligible. Participants were randomized (computer-algorithm) to either group-based pGMT (n = 38) or pBHW (n = 38). The active control was tailored to keep non-specific factors constant. Thus, both treatments comprised of 7 sessions at hospitals over 3 consecutive weeks, followed by 4 weeks of telephone counselling of participants, parents, and teachers. Parent-reported daily life EF, assessed by the questionnaire Behavior Rating Inventory of Executive Function (BRIEF; Behavioral Regulation Index (BRI) and Metacognition Index (MI)), were co-primary outcomes 6 months post-intervention. Secondary outcomes included neuropsychological tests and a complex naturalistic task (Children's Cooking Task).

resultsSeventy-three participants (96%) completed allocated interventions and 71 (93%) attended the 6-month follow-up. The results demonstrated no significant difference in effectiveness for the two interventions on parent-reported EF: For BRIEF

conclusionsIn pABI, metacognitive training (pGMT) did not demonstrate additional effectiveness on parent-reported daily life EF at 6-month follow-up, when compared to a psychoeducative control. Both interventions were well-tolerated and demonstrated distinct improvements at different EF assessment levels. To conclude on pGMT efficacy, larger studies are needed, including further investigation of appropriate assessment levels and possible differences in effect related to treatment duration, developmental factors, and injury characteristics.

trial registrationClinicalTrials.gov , NCT0321534211, 11 July 2017.

Indexed as

Brain InjuriesExecutive FunctionAdultAttentionBrainChildHumansNeuropsychological TestsCognitionCognitive rehabilitationExecutive functionGoal management trainingPaediatric acquired brain injury

Identifiers

PMID34724955
PMCPMC8561897
OpenAlexW3209069968

What OpenQuestion holds

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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.