Clinical Trial: Attention Intervention Management

Study Status: Withdrawn
Recruit Status: Withdrawn
Study Type: Interventional

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

Brief Summary: 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 Summary:

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
Sponsor: Children's Hospital Medical Center, Cincinnati

Current Primary Outcome: Parent Report Measures [ Time Frame: 3 years ]

Original Primary Outcome: Parent-report changes in attention and executive function skills will be measured at 12 weeks post-baseline [ Time Frame: 12 weeks ]

Current Secondary Outcome: Teacher Report Measures [ Time Frame: 3 years ]

Original Secondary Outcome: Teacher-report changes in attention and executive function skills will be measured at 12 weeks post-baseline [ Time Frame: 12 weeks ]

Information By: Children's Hospital Medical Center, Cincinnati

Dates:
Date Received: December 10, 2012
Date Started: January 2013
Date Completion:
Last Updated: March 7, 2016
Last Verified: March 2016