Cognitive remediation in pediatric traumatic brain injury

  • Franzen K
  • Roberts M
  • Schmits D
 et al. 
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Abstract

Robinson's (1970) elaborative encoding technique (PQRST) was implemented
as the active cognitive intervention strategy to address verbal memory
deficits in 2 fourth-grade boys following mild or moderate traumatic
brain injury (TBI). A metacognitive reading comprehension technique
(Smith & Dauer, 1984) was also implemented for comparison purposes.
Single-case methodology was employed using a counterbalanced crossover
of the two intervention strategies controlling for the effects of
attention. The performance of both boys was significantly better during
strategy training with the PQRST technique and approached the
performance level of the normal comparison subject. In contrast, the
performance of both subjects with TBI remained at, or returned to,
baseline levels during the metacognitive intervention. These findings
suggest that Robinson's cognitive remediation intervention holds promise
in addressing memory and reading comprehension deficits following
pediatric traumatic brain injury. Future research should focus on
enhancing generalization and transfer of training to classroom
assignments.

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Authors

  • K M Franzen

  • M A Roberts

  • D Schmits

  • W Verduyn

  • F Manshadi

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