Use of a Portable Voice Organizer to Remember Therapy Goals in Traumatic Brain Injury Rehabilitation

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Abstract
To test the efficacy of a portable voice organizer in helping people with traumatic brain injury (TBI) to recall therapy goals and plans discussed with their clinical case managers.Prospective within-subjects trial, in which individualized therapy goals were randomly assigned to intervention or no intervention.Comprehensive postacute TBI rehabilitation program.Ten people with moderate to severe TBI enrolled from 3 months to 18 years after injury.Memory for therapy goals. Clinicians generated statements describing six current therapy goals, half of which were randomly assigned to be recorded on a voice organizer during the next case management session. Participants selected three times per day to listen to the recorded goals, prompted by an alarm. One-week recall was tested using both free- and cued-recall formats.Recorded goals were recalled better than unrecorded goals and appeared to be associated with better awareness or follow-through with therapy objectives.Portable electronic devices have the potential to assist with treatment areas beyond tasks involving prospective memory.

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