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Acquired Brain InjuryNCT06604000

Goal Management Training (GMT) for Improvement of Cognitive Control Function After Acquired Brain Injury

A study testing GMT Usual, GMT Cuing and GMT Boost in people with Acquired Brain Injury and Executive Function Disorder, run by St. Olavs Hospital at 1 site in Norway.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to investigate predictors of treatment outcome, and the effect of individual treatment components of Goal Management Training (GMT) for improvement of cognitive control function in people with acquired brain injury (ABI). Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
GMT Usual, GMT Cuing and GMT Boost
Could I receive a placebo?
No, everyone receives an active treatment
How many people
116 participants
Where
1 siteNorway
Study dates
26 Sep 2023to 1 Jan 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged 18-65 with acquired brain injury with no concomitant diseases minimum 12 months' post-injury/surgery, reporting cognitive control problems by structured interview or clinical performance measures.

Who cannot join

  • Non-fluency in Norwegian Language
  • Major psychiatric disorder or reported ongoing alcohol or substance abuse.
  • Premorbid neurological disease or insult and/or comorbid neurological disease.
  • Aphasia or other specified language problems causing potential communication problems.
  • Impaired basic linguistic, mnemonic, motor, or perceptual function that can interfere with the ability to engage with training or estimated IQ < 85

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Alexander Olsen, PhD contact

+4791722824

alexander.olsen@ntnu.no

Janne-Birgitte Børke contact

41283909

Janne-Birgitte.Borke@stolav.no

Norway1 site, 1 recruiting
  • St. Olavs Hospital

    Trondheim, 7030

    Alexander Olsen, PhD, +4791722824, alexander.olsen@ntnu.no

    alexander.olsen@ntnu.no

    Recruiting

Other trials in Norway

About this study

The goal of this clinical trial is to investigate predictors of treatment outcome, and the effect of individual treatment components of Goal Management Training (GMT) for improvement of cognitive control function in people with acquired brain injury (ABI).

Primary aim: To identify demographic, clinical and cognitive predictors of treatment response in Goal Management Training after acquired brain injury (ABI)?

Read more

Secondary aims: To investigate the effects of a) extended cuing (via a smartphone) and b) a booster module?

  • All included participants will receive Goal Management Training in groups of 4-6 patients, as implemented in a rehabilitation hospital setting (St. Olavs Hospital, Trondheim University Hospital). The standard treatment ("GMT Usual") consists of 10 sessions, delivered as 2 sessions a day, one day per week, over 5 weeks.
  • All participants will be asked to complete self-report measures and performance-based cognitive testing at baseline (T1), immediately after the main treatment period (T2), at 6 months (T3), and 1 year (T4) after treatment.
  • After baseline assessment, 50% of participants will be randomized to receive extended cuing through a smartphone application ("GMT Cuing") - intended to facilitate the effect of between-session tasks (homework) completed by the participants. These participants will, in addition to the standard treatment, on a daily basis receive a message that says "STOP" as a reminder to do their home assignments.
  • After completion of the 10 GMT sessions and the first post-treatment assessment immediately after the main treatment period, 50% of the participants will be randomized to receive an additional booster module ("GMT Boost") 3 months after the last ordinary GMT module - intended to facilitate a prolonged treatment response. The remaining 50% will receive no booster module ("GMT No Boost")
  • Randomization will be carried out on treatment group-level (all patients in the same group receive the same treatment). The total anticipated sample size is N = 116 patients.
  • The Global Executive Composite (GEC) score derived from BRIEF-A will be used as the primary outcome measure. A selection of other included measures will be used as secondary outcome measures.
Read the detailed description

The Global Executive Composite (GEC) score derived from BRIEF-A will be used as the primary outcome measure. A selection of other included measures will be used as secondary outcome measures. Data will be analyzed based on an intention-to-treat approach. Penalized linear regression by the elastic net approach (a combination of the Lasso and Ridge regression approaches) will be used to identify demographic, clinical and cognitive predictors of outcome at 6 months after treatment (T3), which is the primary aim of the study. For the secondary aim of investigating the differences in outcome for primary and secondary outcomes between "GMT Cuing" and "GMT Usual", and between "GMT Boost" and "GMT No Boost", linear mixed models (LMMs) will be used. Data for all time points will be included, but of primary interest are differences at T2 (immediately after treatment) for assessing the effect of cuing, and at T3 (6 months after treatment) for the effect of boosting. The LMMs can account for within-subject correlations due to repeated measurements. In addition, the investigators will perform exploratory moderation and mediation analyses across both treatment groups. For the penalized regression models, complete case analyses will be performed as long as the number of missing observations is small. Otherwise, imputation will be considered, but imputation is not straightforward for variable selection models. Linear mixed models can handle missing data for the outcome variable. Considering multiple testing linked to several secondary outcomes, p-values will be interpreted with care rather than using a formal p-value adjustment. Results will be interpreted according to the magnitude of the group difference (effect size) as well as the p-values. Data will be analyzed using IBM SPSS, STATA and R.

Being tested
GMT Usual, GMT Cuing, GMT Boost
Keywords
acquired brain injury, goal management training, executive function, cognitive control, GMT, cognitive rehabilitation
Medical subject headings
Brain Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GMT UsualBehavioural

    Participants will receive Goal Management Training in groups of 4-6 patients, as implemented in a rehabilitation hospital setting (St. Olavs Hospital, Trondheim University Hospital). The standard treatment ("GMT Usual") consists of 10 sessions, delivered as 2 sessions a day, one day per week, over 5 weeks.

  • GMT CuingBehavioural

    The participants will receive extended cuing through a smartphone application ("GMT Cuing") - intended to facilitate the effect of between-session tasks (homework) completed by the participants. These participants will, in addition to the standard treatment (as in "GMT Usual"), on a daily basis receive a message that says "STOP" as a reminder to do their home assignments. An sms with the the text "STOP"; as a reminder everyday from the third session until the fifth session. The message is pseudorandomly sent on different timepoints ranging from 11am to 8pm, including in weekends.

  • GMT BoostBehavioural

    After completion of the 10 GMT sessions and the first post-treatment assessment immediately after the main treatment period, the participants will receive an additional booster module ("GMT Boost") 3 months after the last ordinary GMT module - intended to facilitate a prolonged treatment response.

Study groups in NCT06604000
Study groupRoleWhat they receive
GMT Usual (+ GMT No Boost)Active comparatorParticipants will receive Goal Management Training in groups of 4-6 patients, as implemented in a rehabilitation hospital setting (St. Olavs Hospital, Trondheim University Hospital). The standard treatment ("GMT Usual") consists of 10 sessions, delivered as 2 sessions a day, one day per week, over 5 weeks.
Receives: Behavioral: GMT Usual
GMT Usual + GMT BoostExperimentalParticipants will receive Goal Management Training in groups of 4-6 patients, as implemented in a rehabilitation hospital setting (St. Olavs Hospital, Trondheim University Hospital). The standard treatment ("GMT Usual") consists of 10 sessions, delivered as 2 sessions a day, one day per week, over 5 weeks. After completion of the 10 GMT sessions and the first post-treatment assessment immediately after the main treatment period, the participants will receive an additional booster module ("GMT Boost") 3 months after the last ordinary GMT module - intended to facilitate a prolonged treatment response.
Receives: Behavioral: GMT Usual; Behavioral: GMT Boost
GMT Usual + GMT Cuing (+ GMT No Boost)ExperimentalParticipants will receive Goal Management Training in groups of 4-6 patients, as implemented in a rehabilitation hospital setting (St. Olavs Hospital, Trondheim University Hospital). The standard treatment ("GMT Usual") consists of 10 sessions, delivered as 2 sessions a day, one day per week, over 5 weeks. In this arm participants will also receive extended cuing through a smartphone application ("GMT Cuing") - intended to facilitate the effect of between-session tasks (homework) completed by the participants. These participants will, in addition to the standard treatment (as in "GMT Usual"), on a daily basis receive a message that says "STOP" as a reminder to do their home assignments. An sms with the the text "STOP" as a reminder everyday from the third session until the fifth session. The message is pseudorandomly sent on different timepoints ranging from 11am to 8pm, including in weekends.
Receives: Behavioral: GMT Usual; Behavioral: GMT Cuing
GMT Usual + GMT Cuing + GMT BoostExperimentalParticipants will receive GMT Usual + GMT Cuing (see description above). In this arm, after completion of the 10 GMT sessions and the first post-treatment assessment immediately after the main treatment period, the participants will also receive an additional booster module ("GMT Boost") 3 months after the last ordinary GMT module - intended to facilitate a prolonged treatment response.
Receives: Behavioral: GMT Usual; Behavioral: GMT Cuing; Behavioral: GMT Boost

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Global Executive Composite score from BRIEF-A

    Assessed with the Behavior Rating Inventory of Executive Function for Adults (BREIF-A), a 75 item questionnaire that that captures views of an adult\&#39;s executive functions or self- regulation in his or her everyday environment. Items are rated on a 3-point scale (Never a problem - sometimes a problem - often a problem).

    Range:70-210. Higher score indicate greater executive dysfunction.

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

Secondary outcomes (25)
  1. Conners Continuous Performance Test -III (CPT-III)

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  2. Wechslers Adult Inteligence Scale IV (WAIS-IV): Block Design

    Measured: Baseline

  3. Wechslers Adult Inteligence Scale IV (WAIS-IV): Matrix

    Measured: Baseline

  4. Wechslers Adult Inteligence Scale IV (WAIS-IV): Vocabulary

    Measured: Baseline

  5. Wechslers Adult Inteligence Scale IV (WAIS-IV): Similarities

    Measured: Baseline

  6. California Verbal Learning Test 2 (CVLT-2)

    Measured: Baseline

  7. Rey Complex Figure Test (Rey-O)

    Measured: Baseline

  8. Behavior rating Inventory of Executive function (BRIEF-A): significant other

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  9. D-KEFS: Tower

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  10. D-KEFS: Trail Making Test (TMT)

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  11. D-KEFS: Word Fluency

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  12. D-KEFS: Stroop Color-Word Interference Test

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  13. Hopkins Symptom Checklist

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  14. Achenbach System of Empirically Based Assessment (ASEBA): adult self-report

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  15. Achenbach System of Empirically Based Assessment (ASEBA): adult behavior checklist (ABCL)

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  16. Resilience Scale for Adults

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  17. The Metacognition questionnaire (MCQ-30)

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  18. SF-12

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  19. Pittsburg Sleep Quality Index

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  20. Insomnia Severity Index

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  21. Epworth Sleepiness Scale

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  22. Fatigue Severity Scale

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  23. Community Integration Questionnaire

    Measured: Baseline, Immediately after treatment, 6 months and 1 year after treatment

  24. Group Session Rating Scale (GSRS)

    Measured: After each "GMT usual" treatment session (5 times throughout 5-weeks) and after the booster session ("GMT boost" at 3 months after last "GMT usual" session)

  25. Week to week change rating scale ORS

    Measured: After each "GMT usual" treatment session (5 times throughout 5-weeks) and after the booster session ("GMT boost" at 3 months after last "GMT usual" session)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2024
  2. Study start26 Sep 2023
  3. Primary completion18 Dec 2029 (estimated)
  4. Study completion1 Jan 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
116 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06604000
Sponsor's protocol ID
62983
Status last verified
Dec 2025
First submitted
13 Aug 2024
Last updated
2 Dec 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual patient data cannot be shared in this study due to laws and regulations in Norway.

Questions about this trial

What is this clinical trial studying?

A study testing GMT Usual, GMT Cuing and GMT Boost in people with Acquired Brain Injury and Executive Function Disorder, run by St. Olavs Hospital at 1 site in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 2 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Alexander Olsen, PhD (+4791722824, alexander.olsen@ntnu.no), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Global Executive Composite score from BRIEF-A (time frame: Baseline, Immediately after treatment, 6 months and 1 year after treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Dec 2025.

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