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Cognitive Rehabilitation Therapy for Traumatic Brain Injury Evaluating the Evidence (2011) / Chapter Skim
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12 Telehealth Technology
Pages 243-248

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From page 243...
... The application of telecommunication technologies allows providers and healthcare systems to create new methods or more efficient structures for the delivery of care. In this chapter, the committee reviews the studies on cognitive rehabilitation therapy (CRT)
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From page 244...
... After completing 30 instant messaging sessions with online therapists, participants were crossed over to the alternate group for 30 more sessions. The active intervention, which involved an online occupational therapist with expertise in cognitive rehabilitation, focused on developing calendar skills to address difficulties with memory in everyday life and on developing strategies to improve memory functioning.
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From page 245...
... Participants in the control arm received the same total amount of therapy time and sessions that focused on memory strategies such as association, verbal rehearsal, imagery and written reminders. Outcomes included goals mastered, generalization, the frequency of reported memory problems, a cognitive difficulties scale, and community integration and quality of life measures.
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From page 246...
... Participants were randomly assigned to a comprehensive 8-week in-hospital cognitive rehabilitation program or a limited educational and counseling home rehabilitation program with weekly telephone support from a psychiatric nurse. During the telephone calls, which were described as lasting 30 minutes, nurses inquired about the week's events and offered support and advice in addressing problems.
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From page 247...
... Overall evidence is insufficient to clearly establish whether telehealth technology delivery modes are more or less effective or more or less safe than other means of delivering CRT. However, when combined as part of a broader CRT program, telehealth technologies, including telephone calls, can contribute to outpatient treatment programs with comparable results to inpatient programs for selected individuals.
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From page 248...
... 2000. A home program of rehabilitation for moderately severe traumatic brain injury patients.
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Key Terms

  • cognitive rehabilitation
  • telehealth technology
  • traumatic brain
  • rehabilitation therapy
  • telehealth technologies

  • memory training
  • trial involved
  • home rehabilitation
  • severe traumatic
  • life measures

  • head injury
  • rehabilitation program
  • memory impairments
  • acquired brain
  • therapist assisted

  • randomized trial
  • including telephone
  • closed head
  • randomly assigned
  • assisted memory

  • selected individuals
  • typical component
  • compensation strategies
  • reviewed six
  • developing strategies

  • trials included
  • neurobehavioral functioning
  • measures including
  • weekly telephone
  • utilizing typical


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