Executive Function Treatment

Question 1

Goal Management Training

Answer 1

Levine et. al.

Based on theory of goal neglect

5 stages:

1) General purpose
2) Evaluate relevant goals in a situation
3) Create sub-goals
4) Monitor attempts at a solution
5) If mismatch, repeat entire process

Apply this process to functional tasks

Question 2

EF recommendation

Answer 2

Therapy should incorporate or adapt Goal Management Trainign (GMT) looking for relevant goals in a situation, creating sub-goals, and monitoring the result of an attempted solution to the situation

Question 3

Effectiveness of GMT

Answer 3

GMT has been found to reduce errors & time to complete a task

Question 4

Planning/Self-Monitoring strategies

Answer 4

Ciccerone & Wood: self-instructional training procedure to encourage planning & self-monitoring

3 stages of self-verbalization

1) overt verbalization
2) verbal instruction ending
3) covert verbal mediation of appropriate responses

Should lead to less task-related errors and gradual reduction in off task behaviors

Question 5

Rick’s “anticipate, anticipate, anticipate”

Answer 5

• anticipate any event/situation that will increase the cognitive burden
• need to plan in times for breaks “cognitive breaks” and anticipate what you will need to do/cognitive resources needed to get through day efficiently

Question 6

External cues and organizers

Answer 6

Ylvisaker et al. 1998

organizers, checklists, note taking strategies