Bridge/Adapt: A Systematic Cognitive Rehabilitation Curriculum

<p>Cognitive impairment, including deficits in memory, attention, visual perception, executive functioning, and self-awareness, is a common consequence of acquired brain injury (ABI). Subsequently, these cognitive impairments result in functional impairments in daily life activities for clients with ABI. Rehabilitation efforts are categorized under two broad approaches: remediation and adaptation. Computer-assisted cognitive retraining (CACR) is a remediation approach using a computer platform to deliver cognitive exercises. CACR therapy can lead to improvements in memory and attention for adults with chronic ABI. However, memory and attention improvements from CACR may not carry over to functional improvements in occupational performance. Research suggested that therapy using an adaptive approach can yield functional improvements. The purpose of this project was to design a systematic cognitive retraining curriculum, Bridge/Adapt, to bridge the gap between memory- and attention-skill gains from CACR to functional improvements in occupational performance using adaptive strategies. The Bridge/Adapt curriculum incorporates the cognitive orientation of occupational performance (CO-OP) intervention approach, multicontext approach, and goal-oriented attentional self-regulation training. The curriculum includes eight modules that provide grading options so that occupational therapists can choose which difficulty level best suits the client. Clients practice adaptive strategies during simulations of instrumental activities of daily living (IADL), including financial management, appointment scheduling, and grocery shopping, utilizing the three themes in Bridge/Adapt: salience, context, and hierarchy. Clients use salience to choose meaningful goals to work on at home. Context refers to clients working on goals in varying environments. Lastly, clients work on tasks that increase in complexity with the hierarchical theme.</p>

Name thesis:degree_name

Master of Science in Occupational Therapy

Level thesis:degree_level

Master's Thesis

Discipline thesis:degree_discipline

Occupational Therapy

Year dc:date.available

2015

Authors dc:creator

• Bergen, Julie S.
• Repin, Natalie
• Bennet, Amy
• LaFrenz, Abigail

Contributors dc:contributor

• Kitsum Li, OTD, OTR/L
• Shad St. Louis, MS, OTR/L

• adaptive strategies
• cognitive rehabilitation
• brain injury
• cognitive orientation to occupational performance
• multicontext
• computer assisted cogntive rehabilitation
• Cognition and Perception
• Neurology
• Occupational Therapy

Repository record dc:identifier

https://scholar.dominican.edu/masters-theses/141

OAI identifier oai:identifier

oai:scholar.dominican.edu:masters-theses-1139