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: 10051336
• 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 2024-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10051336
• 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; 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.

为了促进远程理解的发展，以解决与创伤大脑有关的问题 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 干预措施旨在为实现个人目标（例如在学校和工作）等实现个人目标而建立有价值的干预措施。 干预措施将基于两种不同的理论行，用于改善目标指导的功能， 针对目标指导的大脑状态调节技能（GSR）或知识以优化大脑 功能（OPT）。两种干预措施都将利用远程治愈的进步（例如，在线资源， 数字应用程序，并在Tele-Video上进行指导），以提供对退伍军人的指导学习经验 不同的位置和设置。我们将研究这些干预措施对多个级别的影响 目标指导的功能，我们将研究假设的神经认知途径的变化。 具有TBI历史（25-60岁）的9/11后退伍军人将分配给两个培训之一 干预随机，受控设计。评估将集中于索引目标定向的层 功能（神经认知测试，具有复杂任务的功能性能以及实现目标 个人生活），并将在训练后和3个月后续进行双基线收集。 该项目产生的知识将为以资深的干预开发提供信息，包括 告知和提供电视骚扰工具，退伍军人可以在家，学校和其他 设置远离VA设施。