Strengthening neuro-cognitive skills for success in school, work and beyond

加强神经认知技能，在学校、工作和其他方面取得成功

• 批准号: 10543079
• 负责人: ANTHONY CHEN
• 金额: --
• 依托单位: VA NORTHERN CALIFORNIA HEALTH CARE SYS
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-11-01 至 2025-10-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10543079
• 关键词: Active Learning; Address; Advanced Development; Age; Attention; Brain; Caring; Clinical; Cognitive; Communities; Complex; Data; Education; Educational Intervention; Enrollment; Feedback; Foundations; Fright; Goals; Home; Intervention; Knowledge; Label; Learning; Left; Life; Location; Measurement; Measures; Memory; Methods; Mind; Mission; Modality; Neurobehavioral Manifestations; Neurocognitive; Participant; Pathologic; Pathway interactions; Performance; Post-Traumatic Stress Disorders; Procedures; Protocols documentation; Recording of previous events; Regulation; Research; Running; Rural; Schools; Services; Short-Term Memory; Standardization; Technology; Testing; Time; Training; Translating; Traumatic Brain Injury; Veterans; Work; barrier to care; base; design; digital; distraction; emotion dysregulation; experience; falls; follow-up; improved; improved functioning; indexing; information processing; innovation; interest; neurocognitive test; neurological rehabilitation; novel; online resource; post 9/11; preference; programs; randomized controlled design; remote grading; resilience; skills; skills training; social stigma; success; telerehabilitation; theories; therapy design; therapy development; tool

In order to advance the development of tele-rehabilitation that addresses issues related to traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and related issues, this project will deploy and test two interventions designed to build strengths valuable for achieving personal goals such as in school and work. The interventions will be based on two different lines of theory for improving goal-directed functioning, targeting either goal-directed brain state regulation skills (GSR) or knowledge for optimizing brain functioning (OPT). Both interventions will utilize advances in tele-rehabilitation (e.g., online resources, digital apps, and coaching over tele-video) to provide access to guided learning experiences for Veterans in different locations and settings. We will examine the impact of these interventions on multiple levels of goal-directed functioning, and we will investigate changes in hypothesized neurocognitive pathways. Post-9/11 Veterans with a history of TBI (age 25-60) will be allocated to one of the two training interventions in a randomized, controlled design. Assessments will focus on indexing tiers of goal-directed functioning (neurocognitive tests, functional performance with complex tasks, and goal attainment in personal life) and will be collected for double-baseline, after training, and at 3 months follow-up. The knowledge generated by this project will inform Veteran-centered intervention development, including informing and providing tools for tele-rehabilitation that Veterans can access at home, in school, and other settings remote from VA facilities.

为了促进远程康复的发展，解决与脑外伤相关的问题 伤害（TBI）、创伤后应激障碍（PTSD）和相关问题，该项目将部署和测试两个 旨在增强对实现个人目标（例如在学校和工作中）有价值的优势的干预措施。 干预措施将基于两种不同的理论，以改善目标导向的功能， 针对目标导向的大脑状态调节技能（GSR）或优化大脑的知识 功能（OPT）。这两种干预措施都将利用远程康复方面的进步（例如在线资源、 数字应用程序和远程视频辅导），为退伍军人提供指导学习体验 不同的位置和设置。我们将研究这些干预措施对多个层面的影响 目标导向的功能，我们将研究假设的神经认知途径的变化。 9/11 后有 TBI 病史的退伍军人（年龄 25-60 岁）将被分配到两项训练之一 采用随机、受控设计的干预措施。评估将侧重于目标导向的索引层 功能（神经认知测试、复杂任务的功能表现以及目标实现 个人生活），并将在培训后和 3 个月的随访时收集用于双基线。 该项目产生的知识将为以退伍军人为中心的干预发展提供信息，包括 通知并提供退伍军人可以在家里、学校和其他地方使用的远程康复工具 远离 VA 设施的设置。