Table 7.4 Lifestyle Management Program for the Treatment of Fatigue and Sleep Disorders Post ABI
| Author Year Country Study Design Sample Size | Methods | Outcome |
|
Stubberud et al. (2017) Norway Pre-Post N=8 |
Population: ABI (Injury Etiology: TBI=3, Cerebrovascular Insults=5); Mean Age=41.6yr; Gender: Male=3, Female=5; Mean Time Post Injury=40.1mo. Intervention: Participants underwent 36hr of programming over 1mo. The program included 3 modules covering lifestyle factors and adaptive coping strategies, goal management training (GMT), and emotional regulation. Patients were assessed at baseline, posttest, and 3 and 6mo follow-up. Outcome Measures: Fatigue Severity Scale (FSS), Fatigue Questionnaire (FQ), Hospital Anxiety and Depression Scale (HADS), Epworth Sleepiness Scale (ESS), Insomnia Severity Scale (ISI), General Perceived Self-Efficacy Scale (GPSS), Conners Continuous Performance Test II (CPT-II). | 1. FSS scores were significantly improved at posttest (p=0.035) and at 3mo follow-up (p=0.018), but not at 9mo follow-up. 2. At posttest, FQ total (p=0.018) and physical (p=0.042) scores were significantly improved, but not FQ mental scores. These improvements were not sustained at follow-up. 3. HAD total (p=0.041) and anxiety scores were significantly improved only at 9mo follow-up. 4. ESS scores were significantly improved at 3 mo (p=0.042) and 9 mo (p=0.024) follow-up. |