Affect Recognition: Enhancing Performance of Persons With Acquired Brain Injury (ABI)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2012 by University at Buffalo.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
U.S. Department of Education
Massey University
Carolinas Healthcare System
Brock University
Information provided by (Responsible Party):
Barry Willer, University at Buffalo
ClinicalTrials.gov Identifier:
NCT00283153
First received: January 24, 2006
Last updated: April 5, 2012
Last verified: April 2012
  Purpose

The purpose of this research is to evaluate the effectiveness of three training programs designed to teach persons with acquired brain injury (ABI) to recognize emotions. It is hypothesized that the training programs will enhance several aspects of emotion recognition in persons with ABI. Furthermore, it is expected that these effects will be maintained over time, and will positively influence participants' social behavior and integration.


Condition Intervention Phase
Acquired Brain Injury (Including Stroke)
Behavioral: Facial Affect Recognition Training
Other: Stories of Emotional Inference
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Controlled Study of Affect Recognition Training for Individuals With Acquired Brain Injury

Resource links provided by NLM:


Further study details as provided by University at Buffalo:

Primary Outcome Measures:
  • Diagnostic Assessment of Nonverbal Affect-Adult Faces (DANVA2-AF) [ Time Frame: Seven months ] [ Designated as safety issue: No ]
  • Emotional Inference From Stories Test [ Time Frame: Seven months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Interpersonal Reactivity Index [ Time Frame: Seven Months ] [ Designated as safety issue: No ]
  • Neuropsychiatric Inventory [ Time Frame: Seven Months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 90
Study Start Date: October 2008
Estimated Study Completion Date: September 2012
Estimated Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Facial Affect Recognition Training
    A series of pictures of faces displaying various emotions are presented one at a time using a computerized training program.Participants are taught to recognize how emotions affect facial features such as the mouth and eyes.Participants are also taught how to recognize their own emotions.
    Other: Stories of Emotional Inference
    Participants are presented with a series of short stories one at a time. Each story presents various contextual cues regarding the emotions the characters are likely to experience. Participants learn to connect the cues to specific emotions.
    Other Name: Cognitive intervention
Detailed Description:

Research has demonstrated that persons with acquired brain injury (ABI) often have difficulty recognizing emotions. This includes emotions portrayed in facial expressions, as well as inferring emotions based on social context. The ability to identify emotions in others is an essential component for the engagement of successful social interactions. It has been suggested that a decreased ability to recognize emotions may result in inappropriate behaviors and have a detrimental impact on social relationships. Despite the significance of this problem, very few studies have addressed this need in the ABI population.

Comparisons: Three groups receiving computer-based training programs. Two of the groups are trained to learn how to identify emotions of happy, sad, angry and fearful. The third training experience presents participants with a variety of learning tasks from managing money to grocery shopping.

  1. Facial Affect Recognition (FAR) group: This group is shown faces on the computer and asked to identify the emotion being expressed. Subjects are also asked to describe situations that they associate with the emotions being trained, as well as mimic facial expressions in a mirror.
  2. Stories of Emotional Inference (SEI) group: This group is asked to read stories on the computer that describe the interaction of events with characters' beliefs, wants and behaviors. From this information, subjects are asked to infer the emotions of the characters throughout the stories.
  3. Cognitive Training Group (CTG): This group is given educational experiences in a variety of life skill areas including banking and applying for a job. This training is aimed at resolving some of the frustrations experienced by persons with ABI. Subjects may learn various computer skills including, Word, Excel, Internet Search or Games.

Before and after training, emotion recognition will be measured with pictures of faces; vocal recordings; stories that give the contextual cues to emotion; and hypothetical situations. In addition, participants' cognitive skills, social behavior and integration will also be assessed.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age between eighteen and sixty-five years old.
  • At minimum, one year post-injury.
  • Glasgow Coma Score (GCS) of 12 or less, or stroke with hemi-paresis signifying a moderate to severe acquired brain injury.
  • A TBI that resulted in either a closed or open head injury or a stroke that resulted in severe disability
  • Perform at least one standard deviation below the norm on the DANVA2-Adult Faces test, a standardized assessment of facial affect recognition.
  • Verbally able to express a basic understanding of emotional descriptors (e.g. Happy, sad, angry, fearful).
  • Demonstrate basic comprehension for short paragraphs presented in 2 ways: 1)auditorily and 2)silent reading. This measure is part of the Discourse Comprehension Test.

Exclusion Criteria:

  • Diagnosed mental illness.
  • Uncorrected visual acuity.
  • Uncorrected hearing impairment.
  • Perceptual impairment (visual neglect and/or visual discrimination).
  • Impaired verbal expression/ aphasia
  • Alcohol or substance abuse.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00283153

Contacts
Contact: Barry Willer, Ph.D. (716) 829-2300 bswiller@buffalo.edu

Locations
United States, New York
University at Buffalo Active, not recruiting
Buffalo, New York, United States, 14215
United States, North Carolina
Carolinas HealthCare System Active, not recruiting
Charlotte, North Carolina, United States, 28203
Canada, Ontario
Brock University Recruiting
St. Catharines, Ontario, Canada
Contact: Barbra Zupan, PhD       bzupan@brocku.ca   
Principal Investigator: Barbra Zupan, PhD         
Sub-Investigator: John Davis, PhD         
New Zealand
Massey University Active, not recruiting
Wellington, New Zealand
Sponsors and Collaborators
University at Buffalo
U.S. Department of Education
Massey University
Carolinas Healthcare System
Brock University
Investigators
Principal Investigator: Barry Willer, Ph.D. University at Buffalo, Department of Psychiatry
  More Information

Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Barry Willer, Professor, University at Buffalo
ClinicalTrials.gov Identifier: NCT00283153     History of Changes
Other Study ID Numbers: DR-050573-BW-2300, NIDRR H133G080043A
Study First Received: January 24, 2006
Last Updated: April 5, 2012
Health Authority: United States: Institutional Review Board
New Zealand: Health and Disability Ethics Committees
Canada: Ethics Review Committee

Keywords provided by University at Buffalo:
Traumatic Brain Injury
Stroke
Emotion Recognition
Affect
Interventions

Additional relevant MeSH terms:
Stroke
Brain Injuries
Wounds and Injuries
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Craniocerebral Trauma
Trauma, Nervous System

ClinicalTrials.gov processed this record on April 14, 2014