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

This study has been completed.
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: August 1, 2014
Last verified: August 2014
  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 ]

Enrollment: 71
Study Start Date: October 2008
Study Completion Date: August 2014
Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: FAR
Facial affect recognition training (with computer assistance)
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.
Experimental: SEI
Stories of Emotional Inference
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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00283153

Locations
United States, New York
University at Buffalo
Buffalo, New York, United States, 14215
United States, North Carolina
Carolinas HealthCare System
Charlotte, North Carolina, United States, 28203
Canada, Ontario
Brock University
St. Catharines, Ontario, Canada
New Zealand
Massey University
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:
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: August 1, 2014
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:
Brain Injuries
Brain Diseases
Central Nervous System Diseases
Craniocerebral Trauma
Nervous System Diseases
Trauma, Nervous System
Wounds and Injuries

ClinicalTrials.gov processed this record on November 23, 2014