Uraporn Chuaykarn MSN, RN, Ratsiri Thato PhD, RN, Elizabeth A. Crago PhD, RN
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Two independent researchers conducted study selection, data extraction, and data quality assessment.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Twenty-one studies met inclusion criteria, numbering a total of 757 participants. Six groups of NPIs were effective in improving cognitive functioning among persons with traumatic brain injury, including multimodal cognitive training, technology innovation, memory training, executive function training, physical activity, and sensory stimulation programs. Pooled evidence revealed that NPIs had a large effect on memory (<i>d</i> = 0.80, <i>p</i> < 0.05 to <i>d</i> = 2.03, <i>p</i> < 0.000), processing speed (<i>d</i> = 1.58, <i>p</i> < 0.05), and cognitive behavior (<i>d</i> = 1.63, <i>p</i> < 0.001 to <i>d</i> = 8.91, <i>p</i> 0.003). There was a medium effect on executive function (<i>d</i> = 0.5, <i>p</i> < 0.01 to <i>d</i> = 0.62, <i>p</i> < 0.05), attention (<i>d</i> = 0.5, <i>p</i> < 0.01), and intelligence (<i>d</i> = 0.57 to <i>d</i> = 0.59, <i>p</i> = 0.000). For visuospatial function and language, there was a significant increase post-intervention.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Evidence from this systematic review indicates that NPIs, specifically the use of multimodal cognitive training and sensory stimulation programs, were effective in improving cognitive function outcomes among persons with traumatic brain injury, with medium to large effect sizes.</p>\n </section>\n \n <section>\n \n <h3> Clinical Relevance</h3>\n \n <p>Nonpharmacological interventions (NPIs) can enhance cognitive function in individuals with traumatic brain injury. These findings can guide healthcare professionals in clinical settings and support the development of technology applications for cognitive rehabilitation using NPIs.</p>\n </section>\n </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"56 5","pages":"653-663"},"PeriodicalIF":2.4000,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nonpharmacological interventions to improve the cognitive function among persons with traumatic brain injury: A systematic review\",\"authors\":\"Uraporn Chuaykarn MSN, RN, Ratsiri Thato PhD, RN, Elizabeth A. 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Two independent researchers conducted study selection, data extraction, and data quality assessment.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Findings</h3>\\n \\n <p>Twenty-one studies met inclusion criteria, numbering a total of 757 participants. Six groups of NPIs were effective in improving cognitive functioning among persons with traumatic brain injury, including multimodal cognitive training, technology innovation, memory training, executive function training, physical activity, and sensory stimulation programs. Pooled evidence revealed that NPIs had a large effect on memory (<i>d</i> = 0.80, <i>p</i> < 0.05 to <i>d</i> = 2.03, <i>p</i> < 0.000), processing speed (<i>d</i> = 1.58, <i>p</i> < 0.05), and cognitive behavior (<i>d</i> = 1.63, <i>p</i> < 0.001 to <i>d</i> = 8.91, <i>p</i> 0.003). There was a medium effect on executive function (<i>d</i> = 0.5, <i>p</i> < 0.01 to <i>d</i> = 0.62, <i>p</i> < 0.05), attention (<i>d</i> = 0.5, <i>p</i> < 0.01), and intelligence (<i>d</i> = 0.57 to <i>d</i> = 0.59, <i>p</i> = 0.000). For visuospatial function and language, there was a significant increase post-intervention.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Evidence from this systematic review indicates that NPIs, specifically the use of multimodal cognitive training and sensory stimulation programs, were effective in improving cognitive function outcomes among persons with traumatic brain injury, with medium to large effect sizes.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Clinical Relevance</h3>\\n \\n <p>Nonpharmacological interventions (NPIs) can enhance cognitive function in individuals with traumatic brain injury. 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Nonpharmacological interventions to improve the cognitive function among persons with traumatic brain injury: A systematic review
Purpose
The systematic review aimed to evaluate the effectiveness of nonpharmacological interventions (NPIs) for improving cognitive function among persons with traumatic brain injury.
Design
A systematic review.
Methods
This systematic review was registered in PROSPERO and followed the PRISMA guideline. PubMed, ScienceDirect, Scopus, SpringerLink, Wiley Online Library, JSTOR, and Taylor & Francis were systematically searched for relevant articles of peer-reviewed studies published between 2008 and 2022. Two independent researchers conducted study selection, data extraction, and data quality assessment.
Findings
Twenty-one studies met inclusion criteria, numbering a total of 757 participants. Six groups of NPIs were effective in improving cognitive functioning among persons with traumatic brain injury, including multimodal cognitive training, technology innovation, memory training, executive function training, physical activity, and sensory stimulation programs. Pooled evidence revealed that NPIs had a large effect on memory (d = 0.80, p < 0.05 to d = 2.03, p < 0.000), processing speed (d = 1.58, p < 0.05), and cognitive behavior (d = 1.63, p < 0.001 to d = 8.91, p 0.003). There was a medium effect on executive function (d = 0.5, p < 0.01 to d = 0.62, p < 0.05), attention (d = 0.5, p < 0.01), and intelligence (d = 0.57 to d = 0.59, p = 0.000). For visuospatial function and language, there was a significant increase post-intervention.
Conclusion
Evidence from this systematic review indicates that NPIs, specifically the use of multimodal cognitive training and sensory stimulation programs, were effective in improving cognitive function outcomes among persons with traumatic brain injury, with medium to large effect sizes.
Clinical Relevance
Nonpharmacological interventions (NPIs) can enhance cognitive function in individuals with traumatic brain injury. These findings can guide healthcare professionals in clinical settings and support the development of technology applications for cognitive rehabilitation using NPIs.
期刊介绍：
This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers.
Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.
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