Application of the multicontextual approach in promoting learning and transfer of strategy use in an individual with TBI and executive dysfunction

Joan Toglia, Yael Goverover, Mark V. Johnston, Barry Dain

Research output: Contribution to journalArticle

Abstract

The multicontext approach addresses strategy use and self-monitoring skills within activities and contexts that are systematically varied to facilitate transfer of learning. This article illustrates the application of the multicontext approach by presenting a case study of an adult who is 5 years post-traumatic brain injury with executive dysfunction and limited awareness. A single case study design with repeated pre-post measures was used. Methods to monitor strategy generation and specific awareness within intervention are described. Findings suggest improved functional performance and generalization of use of an external strategy despite absence of changes in general self-awareness of deficits. This case describes the multicontext intervention process and provides clinical suggestions for working with individuals with serious deficits in awareness and executive dysfunction following traumatic brain injury.

Original languageEnglish (US)
Pages (from-to)S53-S60
JournalOTJR Occupation, Participation and Health
Volume31
Issue number1
DOIs
StatePublished - Dec 1 2011

Keywords

  • Cognitive rehabilitation
  • Metacognition
  • cognitive sciences
  • traumatic brain injury
  • TBI
  • Neurorehabilitation
  • executive dysfunction
  • functional performance
  • learning sciences

ASJC Scopus subject areas

  • Occupational Therapy

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