Objective: Difficulty applying cognitive strategies during task performance is a hallmark feature of brain injury. This study aimed to develop a cognitive strategy profile of people living in a transitional living unit for people with brain injury.Research design: Prospective, longitudinal study (n = 16)Method: Cognitive strategy application was assessed using the Perceive, Recall, Plan, and Perform (PRPP) System of Task Analysis. Functional measures were also administered. Data were examined using Rasch analysis (FACETS 3.71.4) and relationships between variables were analyzed.Results: Rasch analysis of PRPP data generated a hierarchy of cognitive strategies: from the most complex executive processing strategies to the simplest perceptual and recall strategies. The functional profile revealed a more impaired group of clients than has been previously reported in similar residential programs. Cognitive strategy use (PRPP Total score) was correlated with functional independence (r = .61), the performance of instrumental activities of daily living (r = .45), and community participation (r = -.63).Conclusions: The PRPP System enabled assessment of cognitive strategy difficulties and generation of individual profiles that allowed for individualized intervention planning. More efficient and effective application of cognitive strategies was related to the improved functional performance of everyday tasks and activities, greater independence and community participation.

中文翻译：

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认知策略在成人获得性脑损伤中的使用。

目的：在任务执行过程中难以应用认知策略是脑损伤的一个标志性特征。本研究旨在为脑损伤患者制定生活在过渡性生活单元中的人们的认知策略概况。 研究设计：前瞻性、纵向研究 (n = 16) 方法：使用感知、回忆、计划、和执行 (PRPP) 任务分析系统。还实施了功能措施。使用 Rasch 分析 (FACETS 3.71.4) 检查数据并分析变量之间的关系。结果：PRPP 数据的 Rasch 分析生成了认知策略的层次结构：从最复杂的执行处理策略到最简单的感知和回忆策略。功能概况显示出比以前在类似住宅项目中报告的更受损的客户群。认知策略的使用（PRPP 总分）与功能独立性 (r = .61)、日常生活工具性活动的表现 (r = .45) 和社区参与 (r = -.63) 相关。结论：PRPP系统能够评估认知策略困难并生成允许个性化干预计划的个人档案。更有效地应用认知策略与改善日常任务和活动的功能表现、更大的独立性和社区参与有关。日常生活的工具性活动的表现 (r = .45) 和社区参与 (r = -.63)。结论：PRPP 系统能够评估认知策略困难并生成允许个性化干预计划的个人档案。更有效地应用认知策略与改善日常任务和活动的功能表现、更大的独立性和社区参与有关。日常生活的工具性活动的表现 (r = .45) 和社区参与 (r = -.63)。结论：PRPP 系统能够评估认知策略困难并生成允许个性化干预计划的个人档案。更有效地应用认知策略与改善日常任务和活动的功能表现、更大的独立性和社区参与有关。