Executive functioning in TBI from rehabilitation to social reintegration: COMPASS<sup>goal</sup>, a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&amp;D, 2013–2016)

Alexander V. Libin; Joel Scholten; Manon Maitland Schladen; Ellen Danford; Nawar Shara; Walter Penk; Jordan Grafman; Linda Resnik; Dwan Bruner; Samantha Cichon; Miriam Philmon; Brenda Tsai; Marc Blackman; Alexander Dromerick

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Executive functioning in TBI from rehabilitation to social reintegration: COMPASS^goal, a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013–2016)

STUDY PROTOCOL | Updated：2026-03-12

- Executive functioning in TBI from rehabilitation to social reintegration: COMPASS^goal, a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013–2016)
- Military Medical Research Vol. 2, Issue 4, Pages: 181-200(2015)
- Affiliations：
  
  1.Mental Health Service, Washington DC VA Medical Center, 50 Irving Street, NW, Washington, DC 20422, USA
  2.MedStar National Rehabilitation Hospital, 102 Irving Street, NW, Washington, DC 20010, USA
  3.Physical Medicine and Rehabilitation Service, Washington DC VA Medical Center, 50 Irving Street, NW, Washington, DC 20422, USA
  4.Research Service, Washington DC VA Medical Center, 50 Irving Street, NW, Washington 20422DC, USA
  5.MedStar Health Research Institute, 6525 Belcrest Rd #700, Hyattsville, MD 20782, USA
  6.Texas A&M College of Medicine, 8447 TX-47, Bryan, TX 77807, USA
  7.Rehabilitation Institute of Chicago, 345 E Superior St., Chicago, IL 60611, USA
  8.Research Service, Providence VA Medical Center, 830 Chalkstone Ave, Providence, RI 02908, USA
- Author bio：
  
  *: alexander.libin2@va.gov
- Funds：
- DOI：
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- Published：2015-12
- Accepted：
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Alexander V. Libin, Joel Scholten, Manon Maitland Schladen, et al. Executive functioning in TBI from rehabilitation to social reintegration: COMPASS^goal, a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013–2016)[J]. Military Medical Research, 2015, 2(4): 181-200.
DOI：

Alexander V. Libin, Joel Scholten, Manon Maitland Schladen, et al. Executive functioning in TBI from rehabilitation to social reintegration: COMPASS^goal, a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013–2016)[J]. Military Medical Research, 2015, 2(4): 181-200. DOI：

摘要

Abstract

Background:

Traumatic brain injury is a major health problem that frequently leads to deficits in executive function. Self-regulation processes

such as goal-setting

may become disordered after traumatic brain injury

particularly when the frontal regions of the brain and their connections are involved. Such impairments reduce injured veterans’ ability to return to work or school and to regain satisfactory personal lives. Understanding the neurologically disabling effects of brain injury on executive function is necessary for both the accurate diagnosis of impairment and the individual tailoring of rehabilitation processes to help returning service members recover independent function.

Methods/design:

The COMPASS

goal

(Community Participation through Self-Efficacy Skills Development) program develops and tests a novel patient-centered intervention framework for community reintegration psychosocial research in veterans with mild traumatic brain injury. COMPASS

goal

integrates the principles and best practices of goal self-management. Goal setting is a core skill in self-management training by which persons with chronic health conditions learn to improve their status and decrease symptom effects. Over a three-year period

COMPASS

goal

will recruit 110 participants with residual executive dysfunction three months or more post-injury. Inclusion criteria combine both clinical diagnosis and standardized scores that are

1 SD from the normative score on the Frontal Systems Rating Scale. Participants are randomized into two groups: goal-management (intervention) and supported discharge (control). The intervention is administered in eight consecutive

weekly sessions. Assessments occur at enrollment

post-intervention/supported discharge

and three months post-treatment follow-up.

Discussion:

Goal management is part of the "natural language" of rehabilitation. However

collaborative goal-setting between clinicians/case managers and clients can be hindered by the cognitive deficits that follow brain injury. Re-training returning veterans with brain injury in goal management

with appropriate help and support

would essentially treat deficits in executive function. A structured approach to goal self-management may foster greater independence and self-efficacy

help veterans gain insight into goals that are realistic for them at a given time

and help clinicians and veterans to work more effectively as true collaborators.

关键词

Keywords

references

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⁰

Executive functioning in TBI from rehabilitation to social reintegration: COMPASSgoal, a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013–2016)

DOI：

摘要

Abstract

关键词

Keywords

references

Executive functioning in TBI from rehabilitation to social reintegration: COMPASS^goal, a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013–2016)