Feasibility and Acceptability of a Remotely Delivered Executive Function Intervention That Combines Computerized Cognitive Training and Metacognitive Strategy Training in Chronic Stroke

Abhishek Jaywant (), Leah Mautner, Rachel Waldman, Michael W. O’Dell, Faith M. Gunning and Joan Toglia ()
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Abhishek Jaywant: Departments of Psychiatry & Rehabilitation Medicine, Weill Cornell Medicine, New York, NY 10065, USA
Leah Mautner: Department of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY 10065, USA
Rachel Waldman: Department of Psychiatry, Weill Cornell Medicine, New York, NY 10065, USA
Michael W. O’Dell: Department of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY 10065, USA
Faith M. Gunning: Department of Psychiatry, Weill Cornell Medicine, New York, NY 10065, USA
Joan Toglia: Department of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY 10065, USA

IJERPH, 2023, vol. 20, issue 9, 1-14

Abstract: Executive dysfunction after stroke is associated with limitations in daily activities and disability. Existing interventions for executive dysfunction show inconsistent transfer to everyday activities and require frequent clinic visits that can be difficult for patients with chronic mobility challenges to access. To address this barrier, we developed a telehealth-based executive function intervention that combines computerized cognitive training and metacognitive strategy. The goal of this study was to describe intervention development and to provide preliminary evidence of feasibility and acceptability in three individuals who completed the treatment protocol. The three study participants were living in the community and had experienced a stroke >6 months prior. We assessed satisfaction (Client Satisfaction Questionnaire-8 [CSQ-8]), credibility (Credibility and Expectancy Questionnaire), and feasibility (percent of sessions completed). All three subjects rated the treatment in the highest satisfaction category on the CSQ-8, found the treatment to be credible, and expected improvement. Participants completed a median of 96% of computerized cognitive training sessions and 100% of telehealth-delivered metacognitive strategy training sessions. Individuals with chronic stroke may find a remotely delivered intervention that combines computerized cognitive training and metacognitive strategy training to be feasible and acceptable. Further evaluation with larger samples in controlled trials is warranted.

Keywords: stroke recovery; cognitive rehabilitation; telerehabilitation; executive function (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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