Late Breaking Research Poster 1841571| Volume 103, ISSUE 3, e43, March 2022

Enhancing Goal Management Training with Attention Drill Training

      This paper is only available as a PDF. To read, Please Download here.

      Research Objectives

      To investigate whether Goal Management Training (GMT) combined with attention drill training improves executive function over GMT alone.


      Quasi-experimental two group comparison, before and after.


      Veterans’ Administration Outpatient Rehabilitation.


      Veterans with blast-related mild Traumatic Brain Injury (mTBI) previously enrolled to GMT only treatment (n=7) were compared to Veterans with blast-related mTBI treated with GMT plus attention drill training (n=8).


      GMT is a metacognitive group intervention, presented in 10-weekly, 2-hour PowerPoint interactive sessions. GMT combined with attention drill training included GMT with 10 additional, 2-hour sessions employing three different types of additional attention training: (1) Attention Process Training version-III; (2) use of a Smartphone application called the Veterans’ Task Manager to set functional attention goals in a naturalistic setting; and (3) Brain HQ attention tasks 2-3 hours per week.

      Main Outcome Measures

      Executive Composite Score of the National Institutes of Health Executive Abilities: Measures and Instruments for Neurobehavioral Evaluation and Research (NIH EXAMINER).


      GMT alone did not result in a significant pre-/post treatment improvement (p=0.44: effect size 0.12) according to the NIH EXAMINER Executive Composite Score. However, GMT plus attention drill training resulted in a significant improvement with a large Cohen's d effect size (p=.006; effect size = 2.23) and had a significantly greater improvement than GMT alone (p=.01).


      The addition of attention drill training to GMT significantly improved overall executive function over GMT alone. In a meta-analysis of GMT, effect size was related to the number of sessions (Strenova, 2019), supporting our large effect size findings with the addition of attention training sessions to GMT. A randomized control study is needed to determine whether GMT plus attention drill training improves functioning over GMT alone.

      Author(s) Disclosures

      The authors have no conflicts to declare.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect