Do Old Errors Always Lead to New Truths? A Randomized Controlled Trial of Errorless Goal Management Training in Brain-Injured XXXX .

@entity1545 @entity1 @entity73 @entity409 @entity4207 @entity2246
Both @entity4207 ( @entity4207 ) and Goal Management Training (GMT) have been shown effective cognitive rehabilitation methods aimed at optimizing the performance on everyday skills after @entity1545 . We examine whether a combination of @entity4207 and GMT is superior to traditional GMT for training complex daily tasks in brain-injured @entity1 with @entity409 . This was an assessor-blinded randomized controlled trial conducted in 67 @entity1 with @entity73 due to @entity1545 of non-progressive nature (minimal post-onset time: 3 months), referred for outpatient rehabilitation. Individually selected everyday tasks were trained using 8 sessions of an experimental combination of @entity4207 and GMT or via conventional GMT, which follows a @entity2246 . Primary outcome measure was everyday task performance assessed after treatment compared to baseline. Goal attainment scaling, rated by both trainers and @entity1 , was used as secondary outcome measure. @entity4207 -GMT improved everyday task performance significantly more than conventional GMT (adjusted difference 15.43, 95% confidence interval [CI] [4.52, 26.35]; Cohen's d=0.74). Goal attainment, as scored by the trainers, was significantly higher after @entity4207 -GMT compared to conventional GMT (mean difference 7.34, 95% CI [2.99, 11.68]; Cohen's d=0.87). The @entity1 ' goal attainment scores did not differ between the two treatment arms (mean difference 3.51, 95% CI [-1.41, 8.44]). Our study is the first to show that preventing the occurrence of errors during executive strategy training enhances the acquisition of everyday activities. A combined @entity4207 -GMT intervention is a valuable contribution to cognitive rehabilitation in clinical practice.
