Metacognition in Neurological Injury

Longitudinal Examination of Metacognition in Neurological Samples

The purpose of this study is to investigate the trajectory of metacognitive functioning throughout phases of recovery from neurological insult, and to determine its relationship to rehabilitation compliance and functional outcome. It is hypothesized that metacognitive accuracy improves over time, and is a significant predictor of engagement in rehabilitation activities.

Study Overview

• Status: Recruiting
• Conditions: Brain Injuries
• Intervention / Treatment: Behavioral: metacognitive performance

Detailed Description

This study will examine the trajectory of metacognitive functioning through different phases of recovery from neurological insult, and document its relationship to rehabilitation compliance. Individuals currently completing rehabilitation programs and individuals from the community who meet study criteria are invited to participate. After consenting and enrolling in the study, participants complete 2 study sessions: a baseline session, and a follow-up session either at time of completion of rehabilitation program or 3 months later if not in a rehabilitation program. During the study sessions, participants will complete paper-and-pencil and computerized tests of cognition (including metacognitive tasks).

• Study Type: Observational
• Enrollment (Estimated): 100

Contacts and Locations

• Study Contact: Name: Kathy Chiou, Ph.D.; Phone Number: 402-472-5843; Email: kchiou2@unl.edu

Study Locations

• United States
  • Nebraska
    • Lincoln, Nebraska, United States, 68588-0308
      • Recruiting
      • University of Nebraska-Lincoln
      • Contact: Kathy Chiou, Ph.D.; Phone Number: 402-472-5843; Email: kchiou2@unl.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

participants in rehabilitation facility and community-dwelling individuals

Description

Inclusion Criteria:

• history of brain and/or spinal cord injury
• no history of brain or neurological injury/insult (for healthy control group)
• fluent in spoken and written English
• adequate gross motor abilities to provide a button push on a keyboard

Exclusion Criteria:

• exclusion criteria for healthy controls include:
• current/past history of psychiatric illness
• learning disorder
• developmental disorder
• diagnosis of Attention Deficit Disorder/Attention Deficit Hyperactive Disorder

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Neurological injury; Paper and pencil/computerized assessments of cognitive functioning and metacognitive performance will be administered.	Behavioral: metacognitive performance; Paper and pencil/computerized tests of metacognition
Healthy control; Paper and pencil/computerized assessments of cognitive functioning and metacognitive performance will be administered.	Behavioral: metacognitive performance; Paper and pencil/computerized tests of metacognition

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from baseline metamemory performance to completion of rehabilitation	The computerized metamemory test produces scores that are used to calculate a gamma coefficient, which is a quantitative measure of the individual's metacognitive performance/accuracy.	At baseline and at end of length of stay in rehabilitative setting (on average 3 months)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in rehabilitative engagement	The rehabilitative engagement questionnaire is a clinician-report measure that queries the clinician's perception of their client's participation in rehabilitation services.	At baseline and at end of length of stay in rehabilitative setting (on average 3 months)

Collaborators and Investigators

• Sponsor: University of Nebraska Lincoln
• Collaborators: Quality Living, Inc.
• Investigators: Principal Investigator: Kathy Chiou, Ph.D., University of Nebraska Lincoln

Study record dates

Study Major Dates

• Study Start (Actual): December 13, 2018
• Primary Completion (Estimated): June 1, 2025
• Study Completion (Estimated): June 1, 2025

Study Registration Dates

• First Submitted: September 25, 2018
• First Submitted That Met QC Criteria: November 21, 2018
• First Posted (Actual): November 26, 2018

Study Record Updates

• Last Update Posted (Actual): January 12, 2024
• Last Update Submitted That Met QC Criteria: January 10, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Keywords: metacognition; self-assessment
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Wounds and Injuries; Craniocerebral Trauma; Trauma, Nervous System; Brain Injuries
• Other Study ID Numbers: 18123

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No