Table 8.27 General Behavioural Modification Interventions for the Treatment of Behavioral Disorders Post ABI
Author Year Country Research Design PEDro Sample Size |
Methods | Outcome |
(2006) USA RCT PEDro=5 N=37 |
Population: TBI=24, ABI=13; Mean Age=40.5yr; Gender: Male=28, Female=7; Mean Time Post Injury=7.6yr. Intervention: Participants were randomized to a control group (n=12) that received no treatment, an education group (n=13) that received education only, and a Natural Setting Behaviour Management (NSBM) group (n=12) that received both education and an individualized behaviour modification program. Outcome Measure: Neurobehavioural Functioning Inventory Revised (NFI-R). |
1. NSBM had more improvement in behaviour than the other two groups at 30wk (p<0.002). 2. A significant difference was noted between the education group and the NSBM group (p<0.04). |
(1999) USA Pre-Post N=3 |
Population: TBI; Mean Age=36yr; Gender: Male=3, Female=0; Mean Time Post Injury=5.7yr. Intervention: Patients received behavioural modification using systematic feedback based on frequency of maladaptive behaviour. Outcome Measure: Maladaptive behaviour. |
1. Variability and frequency of maladaptive behaviour generally decreased from baseline (2.0-5.1/wk) to completion (0.18-1.8/wk). |
(1985) UK Pre-Post N=24 |
Population: ABI=22, Stroke=1, Other=1; Mean Age=26.8yr; Gender: Male=18, Female=6; Mean GCS Score=7.8; Mean Time Post Injury=44.7mo. Intervention: Patients were on a specialized TBI unit that used a wide range of physical, occupational, social, cognitive, and behavioural techniques based token economy. Outcome Measure: Patient placement. |
1. More than 2/3 of patients had improved placements after treatment; only one person had a substantial improvement. 2. Fewer than 1/3 of patients made no change, and no one was demoted to a worse setting. |