Home-based, Online Mindfulness and Cognitive Training for Soldiers and Veterans with TBI
Technical Report,15 Sep 2017,14 Sep 2018
Posit Science Corporation San Francisco United States
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Objectives We examine whether a home-based, adaptive cognitive training and problem-solving training program would lead to changes in performance on untrained cognitive and functional tasks in TBI Veterans. Scope Veterans with TBI are randomly assigned to either brain training Cognitive Training Problem Solving training or an active control group AC, casual computer games VA information session. Participants are instructed to train on their assigned programs for tilde40 minutes per day, five days per week, over 12 weeks 40 hours of total program usage. Participants complete tests of cognitive processing speed, working memory, and executive control and functional performance Timed Instrumental Activities of Daily Living and The Mayo-Portland Adaptability Inventory before and after 12 weeks of training. For a subset of participants, structural and functional neuroimaging assessments are performed to examine the brain mechanism of cognitive rejuvenation. The longer-term benefit of the brain training is measured by 3-months post-assessment. Up-to-date report of progress We successfully developed training website with embedded problem-solving and cognitive training programs. Participant recruitment was initiated from the middle of 2017. Currently, our training site is actively recruiting, enrolling, monitoring and testing participants. Major Finding Data analysis will be done around the end of data collection. The adherence to training program is relatively strong. About 80 percent participants who assigned to training program completed the training, demonstrating the feasibility of this new form of online home based training program. ProblemsIssues Participant recruitment is challenging due to the specificity of target population and severe winter weather condition in study site VA Connecticut. To help boost recruitment, study site attends weekly meetings with the National Center for PTSD, which they will continue to do.
- Medicine and Medical Research