The Self-regulation Skills Interview (SRSI) is a clinical tool designed to measure a range of metacognitive skills essential for rehabilitation planning, monitoring an individual's progress, and evaluating the outcome of treatment interventions. The results of the present study indicated that the SRSI has sound interrater reliability and test-retest reliability. A principle components analysis revealed three SRSI factors: Awareness, Readiness to Change, and Strategy Behavior. A comparison between a group of 61 participants with acquired brain injury (ABI) and a group of 43 non-brain-injured participants indicated that the participants with ABI had significantly lower levels of Awareness and Strategy Behavior, but that level of Readiness to Change was not significantly different between the two groups. The significant relationship observed between the SRSI factors and measures of neuropsychological functioning confirmed the concurrent validity of the scale and supports the value of the SRSI for post-acute assessment. Yes Yes
"In addition, the SCoTS highlights the importance of assessing patients' cognitive deficits in considering post-stroke adjustment. In this regard, assessments of awareness, such as the Self-Regulatory Skills Interview (Ownsworth et al., 2000), may be useful in addition to more commonly used cognitive screening measures. "
[Show abstract][Hide abstract] ABSTRACT: Patients report a wide variety of emotional responses following stroke. Some individuals find the process of adjusting to their changed circumstances extremely difficult, while others cope well. Predicting and understanding patients' adjustment to stroke therefore poses challenges within rehabilitation settings. While research has revealed some of the variables associated with increased emotional distress (i.e., post-stroke depression) after stroke, a general model of post-stroke emotional adjustment has not yet been put forward. This article proposes that the Social Cognitive Transition model provides a sound theoretical basis upon which to build an understanding of post-stroke adjustment. The essential elements of a Social Cognitive Transition Model for Stroke are summarised, and clinical examples are used to discuss this model. The implications for psychological assessment, formulation and treatment are also discussed.
[Show abstract][Hide abstract] ABSTRACT: To examine a theoretical model which suggests that a contribution of both psychological and neuropsychological factors underlie deficits in self-awareness and self-regulation.
Multivariate design including correlations and analysis of variance (ANOVA).
Sixty-one subjects with acquired brain injury (ABI) were administered standardized measures of self-awareness and self-regulation. Psychological factors included measures of coping-related denial, personality-related denial and personality change. Neuropsychological factors included an estimate of IQ and two measures of executive functioning that assess capacity for volition and purposive behaviour.
The findings indicated that the relative contribution of neuropsychological factors to an outcome of deficits in self-awareness and self-regulation had a more direct effect than psychological factors. In general, measures of executive functioning had a direct relationship, while measures of coping-related and personality-related denial had an indirect relationship with measures of self-awareness and self-regulation.
The findings highlighted the importance of measuring both neuropsychological and psychological factors and demonstrated that the relative contribution of these variables varies according to different levels of self-awareness and self-regulation.
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