RT Journal Article
T1 The Moderating Role of Online Awareness in the Association between Strategy Use and Performance Accuracy on a Test of Functional Cognition in Individuals with Acquired Brain Injury
A1 Salazar-Frías, Daniel
A1 Funes, Maria Jesus
A1 Szot, Ana Clara
A1 Laffarga, Lucia
A1 Navarro-Egido, Alba
A1 Rodriguez-Bailon, Maria
K1 Isquemia cerebral - Fisioterapia
AB Objective: Deficits in online self-awareness (SA) are common after acquired brain injury (ABI), leading to safety concerns and impacting dailyactivities and rehabilitation outcomes. Early identification is recommended as a critical first step in cognitive rehabilitation following ABI. Theaim of this observational study was to examine differences in online SA and strategy use between individuals with ABI and healthy controls.It also investigated whether online SA moderates the relationship between strategy use and performance accuracy on a test designed to assess cognitive-functional deficits.Method: 80 individuals with ABI and 76 controls completed the Spanish Weekly Calendar Planning Activity-10. Measures of online SA included strategy use and self-recognized errors assessed during task. An after-task interview assessed individuals’ self-evaluation of task difficulty and accuracy of performance.Results: Individuals with ABI performed worse than controls on most measures of online SA. They were less likely to self-recognize errors and use self-monitoring strategies. They also tended to overestimate their performance and showed greater discrepancy between self-rated and actual performance. Moderation analyses show that better performance was significantly associated with greater strategy use among ABI individuals who were aware of their performance.Conclusions: Online SA appears to moderate the use of cognitive strategies during functional cognitive performance after ABI. Therefore, it is important to include assessments of online SA and strategy use for individuals with ABI. Furthermore, these findings highlight the importance of focusing on SA and self-generated strategies as key goals of cognitive rehabilitation aimed at improving daily functioning after ABI.
PB Oxford Academic
YR 2024
FD 2024
LK https://hdl.handle.net/10630/44855
UL https://hdl.handle.net/10630/44855
LA eng
NO Salazar-Frías, D., Funes, M. J., Szot, A. C., Laffarga, L., Navarro-Egido, A., & Rodríguez-Bailón, M. (2024). The Moderating Role of Online Awareness in the Association between Strategy Use and Performance Accuracy on a Test of Functional Cognition in Individuals with Acquired Brain Injury. Archives of Clinical Neuropsychology: The Official Journal of the National Academy of Neuropsychologists, acae114. https://doi.org/10.1093/arclin/acae114
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 27 feb 2026