Occurrence and measurement of transfer in cognitive rehabilitation: A critical review

J Rehabil Med. 2007 Jul;39(6):425-39. doi: 10.2340/16501977-0092.

Abstract

Objective: To investigate the occurrence of transfer of cognitive strategy training for persons with acquired brain injury, and to investigate the way in which transfer is measured.

Methods: Electronic searches in PubMed, PsychINFO, EMBASE and CINAHL using combinations of search terms in the following categories: type of brain injury, transfer, type of disorder, type of intervention. A total of 39 papers was included in the review. The following aspects were judged: study design and participant characteristics, intervention characteristics and type of outcome measures used.

Results: Transfer outcome measures could be classified into 3 groups: non-trained items, standardized daily tasks and daily life. Most studies reported at least one type of transfer; however, the methodological quality of the studies was low. Cognitive strategy training in the evaluated studies focused on 7 domains of functioning: information processing, problem solving/executive functioning, memory/attention, language, neglect, apraxia and daily activities.

Conclusion: Transfer of training effects of cognitive strategy training has been evaluated in a relatively small number of studies. Outcome measures used in these studies could be classified into 3 groups. Most studies reported the occurrence of transfer of training effects, although some serious remarks can be made concerning the methodological quality of the studies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Brain Injuries / complications
  • Brain Injuries / psychology
  • Brain Injuries / rehabilitation*
  • Cognition Disorders / etiology
  • Cognition Disorders / rehabilitation*
  • Humans
  • Middle Aged
  • Outcome Assessment, Health Care
  • Stroke / complications
  • Stroke / psychology
  • Stroke Rehabilitation*