Attention Intervention Management

Study Overview
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Brief Summary
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This is a research study to learn if a computer-based intervention that provides direct attention and metacognitive strategy development can improve attention, memory, and executive control in adolescents with moderate-to-severe TBI who are experiencing attention difficulties post injury.

Detailed Description
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Impairments in attention are among the symptoms most frequently reported by parents and teachers following pediatric traumatic brain injury (TBI_. These cognitive disabilities are responsible for a wide range of academic and adjustment issues. Broadly defined, attention encompasses all of the mental processes, operations, and systems requisite for acquiring and applying information. It interacts with other cognitive functions including perception, memory/learning, organization, and reasoning; attention is core to the integration of those systems. A number of different attentional subcomponents with interconnected neural systems have been identified and shown to be differentially disrupted following trauma and other brain disorders, including maintenance or sustained attention, attentional selectivity, attentional capacity, and ability to effectively shift attention. Given the prevalence of attention difficulties and secondary attention deficit hyperactivity disorder (ADHD) following TBI, it is imperative to identify treatments to effectively address attention impairments. The study will develop and pilot the Attention Intervention and Management program (AIM). AIM focuses on direct attention training in conjunction with metacognitive strategy training. Strategies are designed to improve focus and self regulation, reduce distractions, and enhance problem solving in academic settings. Integration of attention training and metacognitive strategies will help to ensure that the student can apply the skills across settings and situations. The Randomized Controlled Trial (RCT) in Phase 2 of this project will address two interrelated hypotheses: Hypothesis 1: Children receiving the Attention Intervention and Management (AIM) program will evidence better performance on standardized tests of attention and executive functions (EF) than those in the wait list control (WLC) group. Hypothesis 2: Children receiving AIM will have fewer attention and EF problems than those in the WLC on parent and teacher rating scales of attention and EF. Participants will include children ages 10-18 with significant evidence of attentional impairments.

Official Title
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Rehabilitation Research and Training Center for Traumatic Brain Injury Interventions--Attention Intervention Management

Conditions
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Head Injury, Traumatic Brain Injury (TBI), Attention Deficit Hyperactivity Disorder (ADHD), Brain Concussion, Head Injuries, Closed

Intervention / Treatment
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* Behavioral: AIM


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ages 10-18 significant evidence of attentional impairments moderate to severe TBI time since injury at least 6 months completion of inpatient rehabilitation (if needed English as the primary spoken language in the home. Exclusion Criteria: Child does not live with parents or guardian Child or parent has history of hospitalization for psychiatric problem TBI is a result of child abuse Child suffered a non-blunt injury (e.g., projectile wound, stroke, drowning, or other form of asphyxiation) Diagnosed with moderate or severe mental retardation, autism, or a significant developmental disability

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: AIM Intervention<br> | Behavioral: AIM<br>* An online, 12 week research study to learn if a computer-based intervention that provides direct attention and metacognitive strategy development can improve attention, memory, and executive control in adolescents with moderate-to-severe TBI who are experiencing attention difficulties post injury.<br>|
| Experimental: Wait List Control<br>Participants are in the Wait List Control group for 10 weeks and then they will participate in the AIM Intervention | Behavioral: AIM<br>* An online, 12 week research study to learn if a computer-based intervention that provides direct attention and metacognitive strategy development can improve attention, memory, and executive control in adolescents with moderate-to-severe TBI who are experiencing attention difficulties post injury.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parent Report Measures |  | 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Teacher Report Measures |  | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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traumatic brain injury (TBI), intracranial edema, brain edema, craniocerebral trauma, head injury, brain hemorrhage, traumatic, subdural hematoma, brain concussion, head injuries, closed, epidural hematoma, extra-axial hemorrhage, cortical contusion, wounds and injuries, disorders of environmental origin, trauma, nervous system, brain injuries, attention deficit hyperactivity disorder (ADHD), attention