Definition
Goal Management Training® (GMT) is a standardized metacognitive rehabilitation program designed to improve executive functions. GMT contains approximately 20 h of training, including psychoeducation, narrative examples, mindfulness practice, and assignments completed both between and within sessions. The main objectives of GMT are to train individuals to periodically “STOP” what they are doing, attend to task goals, evaluate their performance, and monitor or check their performance as they proceed.
Historical Background
GMT was first conceived by Robertson at the Medical Research Council Applied Psychology Unit at Cambridge, UK (Robertson 1996). The first published report of GMT, led by Levine and Robertson, included a case study of executive impairment due to limbic encephalitis and a separate experimental probe of a brief (1-hr) trial of GMT in patients with traumatic brain injury (TBI) (Levine et al. 2000). Subsequent trials involved implementation of multi-session...
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References and Readings
Alfonso, J. P., Caracuel, A., Delgado-Pastor, L. C., & Verdejo-Garcia, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and Alcohol Dependence, 117(1), 78–81. https://doi.org/10.1016/j.drugalcdep.2010.12.025.
Bertens, D., Kessels, R. P., Fiorenzato, E., Boelen, D. H., & Fasotti, L. (2015). Do old errors always lead to new truths? A randomized controlled trial of errorless goal management training inbrain-injuredpatients. Journal of the International Neuropsychological Society,1–11. https://doi.org/10.1017/S1355617715000764.
Broadbent, D. E., Cooper, P. F., FitzGerald, P., & Parkes, K. R. (1982). The Cognitive Failures Questionnaire(CFQ) and its correlates. The British Journal of Clinical Psychology, 21(Pt 1), 1–16. https://doi.org/10.1111/j.2044-8260.1982.tb01421.x
Burgess, P. W., Alderman, N., Evans, J. J., Wilson, B. A., & Emslie, H. (1996). The dysexecutive questionnaire. In B. A. Wilson, N. Alderman, P. W. Burgess, H. Emslie, & J. J. Evans (Eds.), Behavioral assessment of the dysexecutive syndrome. Bury St. Edmunds: Thames Valle Test Company.
Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis-Kaplan Executive Functioning System (D-KEFS). San Antonio: The Psychological Corporation.
Duncan, J. (1986). Disorganisation of behaviour after frontal lobe damage. Cognitive Neuropsychology, 3(3), 271–290. https://doi.org/10.1080/02643298608253360.
In de Braek, D. M., Dijkstra, J. B., Ponds, R. W., & Jolles, J. (2012). Goal management training in adults with ADHD: An intervention study. Journal of Attention Disorders. https://doi.org/10.1177/1087054712468052.
Jackson, J. C., Ely, E. W., Morey, M. C., Anderson, V. M., Denne, L. B., Clune, J., Siebert, C. S., Archer, K. R., Torres, R., Janz, D., Schiro, E., Jones, J., Shintani, A. K., Levine, B., Pun, B. T., Thompson, J., Brummel, N. E., & Hoenig, H. (2012). Cognitive and physical rehabilitation of intensive care unit survivors: Results of the RETURN randomized controlled pilot investigation. Critical Care Medicine, 40(4), 1088–1097. https://doi.org/10.1097/CCM.0b013e3182373115
Krasny-Pacini, A., Limond, J., Evans, J., Hiebel, J., Bendjelida, K., & Chevignard, M. (2014). Context-sensitive goal management training for everyday executive dysfunction in children after severe traumatic brain injury. The Journal of Head Trauma Rehabilitation, 29(5), E49–E64. https://doi.org/10.1097/htr.0000000000000015.
Levaux, M. N., Laroi, F., Malmedier, M., Offerlin-Meyer, I., Danion, J. M., & Van der Linden, M. (2012). Rehabilitation of executive functions in a real-life setting: Goal management training applied to a person with schizophrenia. Case Reports in Psychiatry, 2012, 503023. https://doi.org/10.1155/2012/503023
Levine, B., Robertson, I. H., Clare, L., Carter, G., Hong, J., Wilson, B. A., …, Stuss, D. T. (2000). Rehabilitation of executive functioning: An experimental-clinical validation of goal management training. Journal of the International Neuropsychological Society, 6(3), 299–312.
Levine, B., Stuss, D. T., Winocur, G., Binns, M. A., Fahy, L., Mandic, M., …, Robertson, I. H. (2007). Cognitive rehabilitation in the elderly: Effects on strategic behavior in relation to goal management. Journal of the International Neuropsychological Society, 13(1), 143–152. https://doi.org/10.1017/S1355617707070178
Levine, B., Schweizer, T. A., O’Connor, C., Turner, G., Gillingham, S., Stuss, D. T., …, Robertson, I. H. (2011). Rehabilitation of executive functioning in patients with frontal lobe brain damage with goal management training. Frontiers in Human Neuroscience, 5, 9. https://doi.org/10.3389/fnhum.2011.00009.
Levine, B., Manly, T., & Robertson, I. H. (2012). Goal management training, trainer’s manual. Toronto: Baycrest Centre for Geriatric Care.
Manly, T., Hawkins, K., Evans, J., Woldt, K., & Robertson, I. H. (2002). Rehabilitation of executive function: Facilitation of effective goal management on complex tasks using periodic auditory alerts. Neuropsychologia, 40(3), 271–281. https://doi.org/10.1016/S0028-3932(01)00094-X
Miotto, E. C., Evans, J. J., Souza De Lucia, M. C., & Scaff, M. (2009). Rehabilitation of executive dysfunction: A controlled trial of an attention and problem solving treatment group. Neuropsychological Rehabilitation, 19(4), 517–540. https://doi.org/10.1080/09602010802332108
Norman, D. A., & Shallice, T. (1986). Attention to action. In R. J. Davidson, G. E. Schwartz, & D. Shapiro (Eds.), Consciousness and self-regulation: Advances in research and theory (Vol. 4, pp. 1–18). Boston: Springer US.
Novakovic-Agopian, T., Chen, A. J. W., Rome, S., Abrams, G., Castelli, H., Rossi, A., …, D’Esposito, M. (2011). Rehabilitation of executive functioning with training in attention regulation applied to individually defined goals: A pilot study bridging theory, assessment, and treatment. The Journal of Head Trauma Rehabilitation, 26(5), 325–338. https://doi.org/10.1097/HTR.0b013e3181f1ead2.
Petersen, S. E., & Posner, M. I. (2012). The attention system of the human brain: 20 years after. Annual Review of Neuroscience, 35, 73–89. https://doi.org/10.1146/annurev-neuro-062111-150525.
Robertson, I. H. (1996). Goal management training: A clinical manual. Cambridge: PsyConsult.
Robertson, I. H., & Garavan, H. (2000). Vigilant attention. In M. Gazzaniga (Ed.), The new cognitive neurosciences (2nd ed., pp. 563–578). Cambridge, MA: MIT Press.
Robertson, I. H., Manly, T., Andrade, J., Baddeley, B. T., & Yiend, J. (1997). ‘Oops!’: Performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia, 35(6), 747–758. https://doi.org/10.1016/S0028-3932(97)00015-8
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.
Spikman, J. M., Boelen, D. H., Lamberts, K. F., Brouwer, W. H., & Fasotti, L. (2010). Effects of a multifaceted treatment program for executive dysfunction after acquired brain injury on indications of executive functioning in daily life. Journal of the International Neuropsychological Society, 16(1), 118–129. https://doi.org/10.1017/S1355617709991020.
Stubberud, J., Langenbahn, D., Levine, B., Stanghelle, J., & Schanke, A. K. (2013). Goal management training of executive functions in patients with spina bifida: A randomized controlled trial. Journal of the International Neuropsychological Society, 19(6), 672–685. https://doi.org/10.1017/s1355617713000209.
Tornas, S., Lovstad, M., Solbakk, A. K., Evans, J., Endestad, T., Hol, P. K., …, Stubberud, J. (2016). Rehabilitation of executive functions in patients with chronic acquired brain injury with goal management training, external cuing, and emotional regulation: A randomized controlled trial. Journal of the International Neuropsychological Society, 22(4), 436–452. https://doi.org/10.1017/s1355617715001344.
Valls-Serrano, C., Caracuel, A., & Verdejo-Garcia, A. (2016). Goal management training and mindfulness meditation improves executive functions and transfers to ecological tasks of daily life in polysubstance users enrolled in therapeutic community treatment. Drug and Alcohol Dependence. https://doi.org/10.1016/j.drugalcdep.2016.04.040.
van Hooren, S. A., Valentijn, S. A., Bosma, H., Ponds, R. W., van Boxtel, M. P., Levine, B., …, Jolles, J. (2007). Effect of a structured course involving goal management training in older adults: A randomised controlled trial. Patient Education and Counseling, 65(2), 205–213. https://doi.org/10.1016/j.pec.2006.07.010.
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Levine, B., Stamenova, V. (2018). Goal Management Training. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_9048
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DOI: https://doi.org/10.1007/978-3-319-57111-9_9048
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