Metacognition in Neurological Injury

Study Overview
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Brief Summary
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The purpose of this study is to investigate the trajectory of metacognitive functioning throughout phases of recovery from neurological insult, and to determine its relationship to rehabilitation compliance and functional outcome. It is hypothesized that metacognitive accuracy improves over time, and is a significant predictor of engagement in rehabilitation activities.

Detailed Description
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This study will examine the trajectory of metacognitive functioning through different phases of recovery from neurological insult, and document its relationship to rehabilitation compliance. Individuals currently completing rehabilitation programs and individuals from the community who meet study criteria are invited to participate. After consenting and enrolling in the study, participants complete 2 study sessions: a baseline session, and a follow-up session either at time of completion of rehabilitation program or 3 months later if not in a rehabilitation program. During the study sessions, participants will complete paper-and-pencil and computerized tests of cognition (including metacognitive tasks).

Official Title
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Longitudinal Examination of Metacognition in Neurological Samples

Conditions
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Brain Injuries

Intervention / Treatment
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* Behavioral: metacognitive performance


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: history of brain and/or spinal cord injury no history of brain or neurological injury/insult (for healthy control group) fluent in spoken and written English adequate gross motor abilities to provide a button push on a keyboard Exclusion Criteria: exclusion criteria for healthy controls include: current/past history of psychiatric illness learning disorder developmental disorder diagnosis of Attention Deficit Disorder/Attention Deficit Hyperactive Disorder

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Neurological injury<br>Paper and pencil/computerized assessments of cognitive functioning and metacognitive performance will be administered. | Behavioral: metacognitive performance<br>* Paper and pencil/computerized tests of metacognition<br>|
| Healthy control<br>Paper and pencil/computerized assessments of cognitive functioning and metacognitive performance will be administered. | Behavioral: metacognitive performance<br>* Paper and pencil/computerized tests of metacognition<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline metamemory performance to completion of rehabilitation | The computerized metamemory test produces scores that are used to calculate a gamma coefficient, which is a quantitative measure of the individual's metacognitive performance/accuracy. | At baseline and at end of length of stay in rehabilitative setting (on average 3 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in rehabilitative engagement | The rehabilitative engagement questionnaire is a clinician-report measure that queries the clinician's perception of their client's participation in rehabilitation services. | At baseline and at end of length of stay in rehabilitative setting (on average 3 months) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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metacognition, self-assessment