Error self-regulation following traumatic brain injury: A single case study evaluation of metacognitive skills training and behavioural practice interventions

T. Ownsworth, H. Quinn, J. Fleming, M. Kendall, Ho Keung David Shum

Research output: Journal article publicationJournal articleAcademic researchpeer-review

55 Citations (Scopus)


The objective of the study was to evaluate the effects of metacognitive skills training (MST) and behavioural practice on error self-regulation during a naturalistic task after traumatic brain injury (TBI). A single-case study design was used and three participants (two males, one female) aged 26-43 years with severe TBI were included in the study. In the first study, after a four-session baseline of behavioural practice, two participants received eight MST sessions followed by four maintenance sessions. In the second study, a third participant received 16 sessions of behavioural practice to assess the extent to which error self-regulation improves through long-term task practice and therapist corrections. Participants prepared two different meals with a novel meal introduced later to examine skills generalisation. Behavioural outcomes included error frequency, checking and self-corrections. Data analysis involved a combination of visual analysis and two standard deviation (2-SD) band analysis. In the MST study, the two participants demonstrated a 38% and 76% reduction in error frequency (p .05), a significant decrease in checks (p .05), and a significant increase in self-corrections (p .05) relative to baseline. In the behavioural practice study, the participant demonstrated reduced errors (25%), although this was not statistically significant, and a significant increase in checks (p .05), but self-corrections did not significantly change (p .05). This exploratory research suggests that, firstly, by targeting error self-regulation MST can potentially promote independence on complex everyday tasks; and secondly, although behavioural practice alone may facilitate some functional gains, it fails to promote more independent self-regulatory behaviours. © 2009 Psychology Press.
Original languageEnglish
Pages (from-to)59-80
Number of pages22
JournalNeuropsychological Rehabilitation
Issue number1
Publication statusPublished - 1 Jan 2010
Externally publishedYes


  • Behavioural observation
  • Error self-regulation
  • Metacognitive skills training
  • Rehabilitation
  • Traumatic brain injury

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Rehabilitation
  • Arts and Humanities (miscellaneous)
  • Applied Psychology

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