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

为了促进远程康复的发展，解决与创伤性脑损伤有关的问题， 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（如在学校和工作中）有价值的优势的干预措施。 这些干预措施将基于两种不同的理论，以改善目标导向功能， 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，并通过电视视频辅导），为退伍军人提供指导学习经验， 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，我们将调查假设的神经认知通路的变化。 有TBI病史的9/11后退伍军人（25-60岁）将被分配到两个培训之一 采用随机对照设计进行干预。评估将侧重于为目标导向的 功能（神经认知测试，复杂任务的功能表现，以及 个人生活），并将在训练后和3个月随访时收集用于双基线。 该项目产生的知识将为以退伍军人为中心的干预措施的发展提供信息，包括 告知和提供退伍军人可以在家里，学校和其他地方访问的远程康复工具 远离VA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.