Evidence map›Paper›PMID 40271116›Full record

ArticleFrontiers in neurology2025

Validation of Strategic Memory Advanced Reasoning Training as an efficient and effective approach to treating warfighters with persistent cognitive complaints associated with mild traumatic brain injury.

Andrew J Darr, Angela Basham, Jessica L Ryan, Melissa Caswell, Juan Lopez, Jennifer Zientz, Erin Venza, Ida Babakhanyan, Sandra Chapman, Jason M Bailie

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Andrew J DarrTraumatic Brain Injury Center of Excellence (TBICoE), Silver Spring, MD, United States.
Angela BashamTraumatic Brain Injury Center of Excellence (TBICoE), Silver Spring, MD, United States.
Jessica L RyanTampa VA Research and Education Foundation at James A. Haley Veterans' Hospital, Department of Emergency Medicine, University of South Florida, Tampa, FL, United States.
Melissa CaswellTraumatic Brain Injury Center of Excellence (TBICoE), Silver Spring, MD, United States.
Juan LopezTraumatic Brain Injury Center of Excellence (TBICoE), Silver Spring, MD, United States.
Jennifer ZientzCenter for BrainHealth, Behavioral and Brain Sciences, The University of Texas at Dallas, Dallas, TX, United States.
Erin VenzaCenter for BrainHealth, Behavioral and Brain Sciences, The University of Texas at Dallas, Dallas, TX, United States.
Ida BabakhanyanTraumatic Brain Injury Center of Excellence (TBICoE), Silver Spring, MD, United States.
Sandra ChapmanCenter for BrainHealth, Behavioral and Brain Sciences, The University of Texas at Dallas, Dallas, TX, United States.
Jason M BailieTraumatic Brain Injury Center of Excellence (TBICoE), Silver Spring, MD, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study directly compared the relative effectiveness of Strategic Memory Advanced Reasoning Training (SMART), which focuses on metacognitive strategies, to a traditional cognitive rehabilitation (CR) program previously developed and validated for the Study of Cognitive Rehabilitation Effectiveness study (SCORE), in treating warfighters with a history of mild traumatic brain injury (mTBI) and persistent post-concussive symptoms (PCS). Methods: A total of 148 active-duty service members (SMs) were recruited for this randomized controlled trial (RCT). Participants were randomly assigned to either the SMART ( Results: Mixed Analysis of Variance (ANOVA) showed a significant decrease in GDS scores from T1 to T3 ( Discussion: This study demonstrates that SMART is an effective strategy for reducing cognitive deficits and PCS in SMs with a history of mTBI, producing comparable outcomes to a traditional CR program in less time and with improved cost efficiencies.

Indexed as

cognitive rehabilitationconcussionmild traumatic brain injurymilitary healthpost concussive symptoms

Identifiers

PMID40271116
PMCPMC12014451

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.