Biomedical subjects

R L Glueckauf

Publications and source records attributed to R L Glueckauf.

5 recordsLinked to original sources

PubMed1997

The effectiveness of computer-assisted cognitive rehabilitation for persons with traumatic brain injury.

This study examined the efficacy of computer-assisted cognitive rehabilitation (CACR) in persons with traumatic brain injury (TBI). Twenty persons with TBI who received hierarchically based CACR following inpatient neurorehabilitation were compared to a group of 20 persons with TBI matched for age, education, days in coma and time between testing. The comparison group received various other therapies including speech therapy and occupational therapy. The difference between pre- and post-treatment neuropsychological test scores was used to measure improvements in the domains of attention, visual spatial ability, memory and problem-solving. CACR and the comparison group showed significant post-treatment gains on the neuropsychological test scores, with CACR making significant gains on 15 measures and the comparison group on seven measures. However, we found no significant differences between the groups on their post-treatment gains. Results from this preliminary study found that, though significant cognitive gains were obtained after CACR, the extent and nature of these gains remains to be shown in controlled, prospective group studies.

Adult↗

PubMed1992

Assertiveness training for disabled adults in wheelchairs: self-report, role-play, and activity pattern outcomes.

Thirty-four physically disabled adults participated in an 11-week assertiveness training (AT) program. Ss were randomly assigned to either AT or a waiting-list (WL) condition. Each was asked to complete three self-report measures, a role-play test, and a social and recreational activity diary. The AT Ss showed significant improvements on both self-reported assertiveness and role-play performance from pre- to posttreatment, whereas WL controls showed no changes on these measures. No significant changes in frequency of social or recreational activities were found at posttest for either AT or control Ss. A mixed pattern of results was shown at 6-month follow-up. Posttest gains were maintained across all self-report measures of assertiveness and acceptance of disability, whereas role-play performance approached baseline levels at 6-month follow-up. Overall results support the use of AT in enhancing perceived social efficacy and interpersonal skill of physically disabled adults in wheelchairs.

Activities of Daily Living↗

PubMed1990

Chronic parenting stress: moderating versus mediating effects of social support.

The present study contrasted the widely cited "buffer" model of social support with an alternative mediator model. Distinctions were drawn between the functions of social support under chronic vs. acute stress conditions, and between situation-specific stressors and major life events. Ongoing parenting stress was assessed in 96 mothers of deaf children and 118 matched controls. Tests of the competing models showed no moderating effects for social support. However, path analyses suggested that social support mediated the relationship between stressors and outcomes. Chronic parenting stress was associated with lowered perceptions of emotional support, and greater symptoms of depression and anxiety. Furthermore, parenting stress accounted for a substantial proportion of the variance in psychological distress scores in contrast to life event stress, which was only weakly related to psychological outcomes. The implications of mediational models for understanding adaptation to chronic stress are discussed.

Adaptation, Psychological↗

PubMed1990

Consistency of seizure frequency estimates across time, methods, and observers.

Assessed the consistency of seizure frequency reports across observers, time, and methods. Thirty-two persons with intractable, partial seizures and 17 observers participated in a two-phase assessment procedure. During the first phase, subjects and observers provided retrospective seizure frequency estimates for two consecutive 30-day intervals. During the second phase, subjects and observers completed a daily seizure diary for 30 days. Patients' and observers' retrospective estimates were highly stable over a 2-month period. Substantial consistency was also found between two different recording methods (recall vs. diary) for subjects with epilepsy. In contrast, the observers' retrospective estimates were only moderately correlated with their prospective diary counts. Agreement between subjects' and observers' retrospective reports was also high. However, no significant association was found between their diary counts. Contrary to expectation, seizure frequency reports of patients with partial epilepsy showed moderately high consistency across time and between patient and observer pairs.

Adult↗

PubMed1990

Program evaluation guidelines for the rehabilitation professional.

The overall purpose of the present chapter was to provide a set of guidelines to new rehabilitation investigators for conducting program evaluation in the burgeoning field of clinical rehabilitation. The specific objectives were to encourage investigators to develop a research consultation network, consider the benefits of utilizing a theoretical framework in specifying program objectives, assess program implementation, and to discuss the need and methods for ensuring high quality data. There is currently a widening gap in the United States and Canada between rehabilitation professionals who provide clinical services and those who conduct research on the effects of rehabilitation interventions. This is a matter of great concern and consequence. Without a firm commitment to evaluation, clinical rehabilitation practice may ultimately flounder in the mire of conjecture and ad hominem debate characteristic of therapeutic movements that have come and gone (e.g., the human potential movement). It is essential for the life of the discipline that rehabilitation programs be firmly grounded in both humanitarian and scientific principles.

Goals↗