Cognitive Rehabilitation of Everyday Goals With GMT: How Different Ways of Delivery Work

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter evaluation uses Goal Management Training, a structured cognitive rehabilitation program, to address executive dysfunction such as goal neglect. It examines how variations in mode of delivery, frequency, and intensity affect the ability to start, plan, monitor, and complete goals in daily life. Participants include adults with acquired brain injury or chronic pain who are engaged in team-based rehabilitation and show executive difficulties. The study emphasizes generalization of cognitive strategies to real-world activities. Results will inform how best to implement GMT across different clinical settings.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Inclusion criteria meeting either of the following clinical profiles:

1 a) Acquired brain injury (ABI) with an indicated need for rehabilitation and presenting with self-reported and/or test-verified executive dysfunction or working memory deficits.

1 b) Referred to the Pain Section at the Regional University Hospital (RUS) for standard pain rehabilitation and presenting with self-reported and/or test-verified executive dysfunction or working memory deficits.

2\. Aged between 18 and 67 years. 3. Participating in team-based rehabilitation at one of the participating multicenter sites.

4\. Provided written informed consent to participate in the study from the patient or a next of kin/legally authorized representative.

The intervention requires at least moderate illness insight, some awareness of how difficulties manifest in daily life, and adequate memory retention to learn and generalize strategies outside of session. Consequently, the following exclusion criteria apply:

1. Impaired fluid/logical reasoning, defined as scoring 1.5 standard deviations (SD) or more below the mean on the WAIS Matrices subtest (scaled score \< 6).
2. Severe insight deficits that significantly diminish motivation to engage in the treatment.
3. Severe memory impairment that prevents the development of clinical insight and the ability to generalize learned strategies.
4. Insufficient proficiency in the Swedish language to comprehend and actively participate in the treatment protocol.
5. Extensive or severe psychiatric comorbidities that interfere with active participation.
6. Substance abuse/dependence, ongoing use of heavily sedating medications, or presence of a progressive neurological disease.

Where it's running

• Garnis Rehabiliteringscenter
  Luleå, Norrbotten County, Sweden Recruiting
• Danderyd Hospital
  Stockholm, Stokcholm, Sweden Recruiting
• Östersunds Rehabcentrum
  Stockholm, Östersund, Sweden Active not recruiting

Study contacts

• Study coordinator: Gabriela Markovic, PhD
• Email: gabriela.markovic@ki.se
• Phone: 0046707777452

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.