Background: Traumatic brain injury is a major health problem that frequently leads to deficits in executive function. Self-regulation processes, such as goal-setting, may become disordered after traumatic brain injury...Background: Traumatic brain injury is a major health problem that frequently leads to deficits in executive function. Self-regulation processes, such as goal-setting, may become disordered after traumatic brain injury, particularly when the frontal regions of the brain and their connections are involved. Such impairments reduce injured veterans' ability to return to work or school and to regain satisfactory personal lives. Understanding the neurologically disabling effects of brain injury on executive function is necessary for both the accurate diagnosis of impairment and the individual tailoring of rehabilitation processes to help returning service members recover independent function.Methods/design: The COMPASSgoal(Community Participation through Self-Efficacy Skills Development) program develops and tests a novel patient-centered intervention framework for community reintegration psychosocial research in veterans with mild traumatic brain injury. COMPASSgoal integrates the principles and best practices of goal self-management. Goal setting is a core skill in self-management training by which persons with chronic health conditions learn to improve their status and decrease symptom effects. Over a three-year period, COMPASSgoal will recruit 110 participants with residual executive dysfunction three months or more post-injury. Inclusion criteria combine both clinical diagnosis and standardized scores that are >1 SD from the normative score on the Frontal Systems Rating Scale. Participants are randomized into two groups: goal-management(intervention) and supported discharge(control). The intervention is administered in eight consecutive, weekly sessions. Assessments occur at enrollment, post-intervention/supported discharge, and three months post-treatment follow-up.Discussion: Goal management is part of the "natural language" of rehabilitation. However, collaborative goal-setting between clinicians/case managers and clients can be hindered by the cognitive deficits that follow brain injury. Re-training returning 展开更多
Purpose:Goal Setting Theory(GST)created by Edwin Locke and Gary Latham has proven to be an incredibly versatile theory.Its widespread utilization has proven it to be a valuable theory to further explore and understand...Purpose:Goal Setting Theory(GST)created by Edwin Locke and Gary Latham has proven to be an incredibly versatile theory.Its widespread utilization has proven it to be a valuable theory to further explore and understand.The purpose of this paper is to examine current approaches to and practices of GST.Methodology:This systematic literature review is based on 12 recent articles using GST and examining their collective findings.The articles were a mix of theory description,quantitative experiments,empirical experiments,and literature review.Findings:Most of the reviewed literature agreed that further and more defined research would be greatly beneficial for future applications of this theory.Given the broad nature of this theory,a more defined approach would likely prove useful for future utilization.Value:Exploring the multitude of ways this theory has already been applied gives an understanding of shortcomings as well as successes.Reviewing the current available literature allows GST to be utilized in a more precise way in the future.展开更多
基金supported by Merit Review Award#I 01 RX000637-01A3 from the United States Department of Veterans Af airs Rehabilitation Research and Development Service Programsupport for the preparatory phase of the project was provided through the Med Star Health Research Institute,a component of the Georgetown Howard Universities Center for Clinical and Translational Sciencesupported by Grant U54 RR026076-01 from the National Center for Research Resources,a component of the National Institutes of Health
文摘Background: Traumatic brain injury is a major health problem that frequently leads to deficits in executive function. Self-regulation processes, such as goal-setting, may become disordered after traumatic brain injury, particularly when the frontal regions of the brain and their connections are involved. Such impairments reduce injured veterans' ability to return to work or school and to regain satisfactory personal lives. Understanding the neurologically disabling effects of brain injury on executive function is necessary for both the accurate diagnosis of impairment and the individual tailoring of rehabilitation processes to help returning service members recover independent function.Methods/design: The COMPASSgoal(Community Participation through Self-Efficacy Skills Development) program develops and tests a novel patient-centered intervention framework for community reintegration psychosocial research in veterans with mild traumatic brain injury. COMPASSgoal integrates the principles and best practices of goal self-management. Goal setting is a core skill in self-management training by which persons with chronic health conditions learn to improve their status and decrease symptom effects. Over a three-year period, COMPASSgoal will recruit 110 participants with residual executive dysfunction three months or more post-injury. Inclusion criteria combine both clinical diagnosis and standardized scores that are >1 SD from the normative score on the Frontal Systems Rating Scale. Participants are randomized into two groups: goal-management(intervention) and supported discharge(control). The intervention is administered in eight consecutive, weekly sessions. Assessments occur at enrollment, post-intervention/supported discharge, and three months post-treatment follow-up.Discussion: Goal management is part of the "natural language" of rehabilitation. However, collaborative goal-setting between clinicians/case managers and clients can be hindered by the cognitive deficits that follow brain injury. Re-training returning
文摘Purpose:Goal Setting Theory(GST)created by Edwin Locke and Gary Latham has proven to be an incredibly versatile theory.Its widespread utilization has proven it to be a valuable theory to further explore and understand.The purpose of this paper is to examine current approaches to and practices of GST.Methodology:This systematic literature review is based on 12 recent articles using GST and examining their collective findings.The articles were a mix of theory description,quantitative experiments,empirical experiments,and literature review.Findings:Most of the reviewed literature agreed that further and more defined research would be greatly beneficial for future applications of this theory.Given the broad nature of this theory,a more defined approach would likely prove useful for future utilization.Value:Exploring the multitude of ways this theory has already been applied gives an understanding of shortcomings as well as successes.Reviewing the current available literature allows GST to be utilized in a more precise way in the future.
