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Event-based prospective memory performance during subacute recovery following moderate to severe traumatic brain injury in children: Effects of monetary incentives

Published online by Cambridge University Press:  29 January 2010

STEPHEN R. McCAULEY ,
CLAUDIA PEDROZA ,
SANDRA B. CHAPMAN ,
LORI G. COOK ,
GILLIAN HOTZ ,
ANA C. VÁSQUEZ  and
HARVEY S. LEVIN
STEPHEN R. McCAULEY*
Affiliation:
Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and the University of Texas–Houston Medical School, Houston, Texas Department of Pediatrics, Section of Hematology–Oncology, Baylor College of Medicine, Houston, Texas Department of Neurology, Baylor College of Medicine, Houston, Texas
CLAUDIA PEDROZA
Affiliation:
Center for Clinical Research and Evidence-Based Medicine at the University of Texas Medical School at Houston, Houston, Texas
SANDRA B. CHAPMAN
Affiliation:
Center for Brain Health, Institute of Biomedical Sciences and Technology, University of Texas at Dallas, Dallas, Texas
LORI G. COOK
Affiliation:
Center for Brain Health, Institute of Biomedical Sciences and Technology, University of Texas at Dallas, Dallas, Texas
GILLIAN HOTZ
Affiliation:
University of Miami School of Medicine, Miami, Florida
ANA C. VÁSQUEZ
Affiliation:
Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and the University of Texas–Houston Medical School, Houston, Texas
HARVEY S. LEVIN
Affiliation:
Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and the University of Texas–Houston Medical School, Houston, Texas
*
*Correspondence and reprint requests to: Stephen R. McCauley, Ph.D., Cognitive Neuroscience Laboratory, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, 1709 Dryden Road, Suite 1200, Houston, TX 77030. E-mail: mccauley@bcm.edu
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Abstract

There are very few studies investigating remediation of event-based prospective memory (EB-PM) impairments following traumatic brain injury (TBI). To address this, we used 2 levels of motivational enhancement (dollars vs. pennies) to improve EB-PM in children with moderate to severe TBI in the subacute recovery phase. Children with orthopedic injuries (OI; n = 61), moderate (n = 28), or severe (n = 30) TBI were compared. Significant effects included Group × Motivation Condition (F(2, 115) = 3.73, p < .03). The OI (p < .002) and moderate TBI (p < .03) groups performed significantly better under the high- versus low-incentive condition; however, the severe TBI group failed to demonstrate improvement (p = .38). EB-PM performance was better in adolescents compared to younger children (p < .02). These results suggest that EB-PM can be significantly improved in the subacute phase with this level of monetary incentives in children with moderate, but not severe, TBI. Other strategies to improve EB-PM in these children at a similar point in recovery remain to be identified and evaluated. (JINS, 2010, 16, 335–341.)

Keywords

Event-based prospective memoryTraumatic brain injuryIncentiveMotivationMemory rehabilitationPediatrics
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 16 , Issue 2 , March 2010 , pp. 335 - 341
Copyright
Copyright © The International Neuropsychological Society 2010

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