Functional Cognitive Activities for Adults with Traumatic Brain Injury: Pilot Case Studies
Karen Huang Ashley Cook Ajay Pala
Dominican University of California
These pilot case studies investigated the effectiveness of the Functional Cognitive Activities for Adults with Brain Injury: A Sequential Approach (FCA) in generalizing functional cognitive skills acr..
These pilot case studies investigated the effectiveness of the Functional Cognitive Activities for Adults with Brain Injury: A Sequential Approach (FCA) in generalizing functional cognitive skills across meaningful occupations for adults with traumatic brain injury (TBI). This quasi-experimental pretest-posttest design consisted of two participants with TBI. Both participants received occupation-based intervention sessions twice a week and equaled a total of 14 sessions each. For pretest, the two participants were given three assessments to track changes with aspects of functional cognition and engagement in occupations: the Canadian Occupational Performance Measure (COPM), Kohlman Evaluation of Living Skills (KELS), and Goal Attainment Scale (GAS). After completing the treatment sessions, the participants completed the COPM, KELS, and GAS as posttest measures. Four months later, the COPM and the GAS were administered along with a brief phone interview to determine if generalization of strategies to overcome cognitive deficits has occurred. Findings from this study provide preliminary evidence supporting the effectiveness of the FCA approach in improving functional cognitive skills and generalizability of skills to novel tasks in individuals with TBI.