Metacognition in Neurological Injury

Recruiting

• Conditions: Brain Injuries
• Interventions: Behavioral: metacognitive performance

• Registration Number: NCT03752697
• Lead Sponsor: University of Nebraska Lincoln

Brief Summary

The purpose of this study is to investigate the trajectory of metacognitive functioning throughout phases of recovery from neurological insult, and to determine its relationship to rehabilitation compliance and functional outcome. It is hypothesized that metacognitive accuracy improves over time, and is a significant predictor of engagement in rehabilitation activities.

Detailed Description

This study will examine the trajectory of metacognitive functioning through different phases of recovery from neurological insult, and document its relationship to rehabilitation compliance. Individuals currently completing rehabilitation programs and individuals from the community who meet study criteria are invited to participate. After consenting and enrolling in the study, participants complete 2 study sessions: a baseline session, and a follow-up session either at time of completion of rehabilitation program or 3 months later if not in a rehabilitation program. During the study sessions, participants will complete paper-and-pencil and computerized tests of cognition (including metacognitive tasks).

Study Timeline

• Study First Submitted: 2018-09-25
• Study First Submitted QC: 2018-11-21
• Study First Posted: 2018-11-26
• Study Start: 2018-12-13
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-10
• Last Update Posted: 2024-01-12
• Primary Completion: 2025-06
• Study Completion: 2025-06

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• history of brain and/or spinal cord injury
• no history of brain or neurological injury/insult (for healthy control group)
• fluent in spoken and written English
• adequate gross motor abilities to provide a button push on a keyboard

Exclusion Criteria

• exclusion criteria for healthy controls include:
• current/past history of psychiatric illness
• learning disorder
• developmental disorder
• diagnosis of Attention Deficit Disorder/Attention Deficit Hyperactive Disorder

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Neurological injury	metacognitive performance	Paper and pencil/computerized assessments of cognitive functioning and metacognitive performance will be administered.
Healthy control	metacognitive performance	Paper and pencil/computerized assessments of cognitive functioning and metacognitive performance will be administered.

Primary Outcome Measures

Name	Time	Method
Change from baseline metamemory performance to completion of rehabilitation	At baseline and at end of length of stay in rehabilitative setting (on average 3 months)	The computerized metamemory test produces scores that are used to calculate a gamma coefficient, which is a quantitative measure of the individual's metacognitive performance/accuracy.

Secondary Outcome Measures

Name	Time	Method
Change in rehabilitative engagement	At baseline and at end of length of stay in rehabilitative setting (on average 3 months)	The rehabilitative engagement questionnaire is a clinician-report measure that queries the clinician's perception of their client's participation in rehabilitation services.

Trial Locations

Locations (1)

University of Nebraska-Lincoln; 🇺🇸 Lincoln, Nebraska, United States