Strengthening neuro-cognitive skills for success in school, work and beyond

为了促进远程康复的发展，以解决与脑创伤有关的问题 损伤(TBI)、创伤后应激障碍(PTSD)和相关问题，该项目将部署和测试两个 旨在建立对实现个人目标有价值的优势的干预措施，例如在学校和工作中。 这些干预措施将基于改善目标导向功能的两种不同理论， 瞄准目标导向的大脑状态调节技能(GSR)或优化大脑的知识 功能(OPT)。这两种干预措施都将利用远程康复方面的进展(例如，在线资源， 数字应用程序和远程视频辅导)，为退伍军人提供指导学习体验 不同的地点和环境。我们将研究这些干预措施对多个层面的影响 目标导向功能，我们将研究假设的神经认知路径的变化。 9/11事件后有脑外伤病史的退伍军人(年龄25-60岁)将被分配到两个培训中的一个 随机对照设计的干预措施。评估将重点放在目标导向的索引层 功能(神经认知测试、复杂任务的功能表现和目标实现 个人生活)，并将收集双基线，培训后，并在3个月的跟踪。 该项目产生的知识将为以退伍军人为中心的干预发展提供信息，包括 告知并提供远程康复工具，退伍军人可以在家里、学校和其他地方使用 远离退伍军人管理局设施的设置。

In order to advance the development of tele-rehabilitation that addresses issues related to traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and related issues, this project will deploy and test two interventions designed to build strengths valuable for achieving personal goals such as in school and work. The interventions will be based on two different lines of theory for improving goal-directed functioning, targeting either goal-directed brain state regulation skills (GSR) or knowledge for optimizing brain functioning (OPT). Both interventions will utilize advances in tele-rehabilitation (e.g., online resources, digital apps, and coaching over tele-video) to provide access to guided learning experiences for Veterans in different locations and settings. We will examine the impact of these interventions on multiple levels of goal-directed functioning, and we will investigate changes in hypothesized neurocognitive pathways. Post-9/11 Veterans with a history of TBI (age 25-60) will be allocated to one of the two training interventions in a randomized, controlled design. Assessments will focus on indexing tiers of goal-directed functioning (neurocognitive tests, functional performance with complex tasks, and goal attainment in personal life) and will be collected for double-baseline, after training, and at 3 months follow-up. The knowledge generated by this project will inform Veteran-centered intervention development, including informing and providing tools for tele-rehabilitation that Veterans can access at home, in school, and other settings remote from VA facilities.