Figures & data
Table 1. Summary of GMT studies.
Table 2. Number of samples and number of participants according to etiology included in the meta-analysis.
Figure 2. Forest plot of studies examining everyday executive functions tasks immediately after training and at follow-up.
Solid squares = effect size of each study; size of squares = study weight (weighted by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. TAP-A = Test of Attentional Performance Alertness, CFT = Category Fluency Test, LF = Letter Fluency, CPT = Continuous Performance Test II, CWI = Color-Word Interference Test, VF = Verbal Fluency, TMTB = Trail Making Test B, TEA = Test of Everyday Attention, SART = Sustained Attetion to Response Task, PASAT = Paced Auditory Serial Addition Test, CANTAB IST = Information Sampling Task, SOC = Stocking of cambridge, TMT = Trail Making Test, DF = Design Fluency, DV = Digit Vigilance Test, FAS = FAS Verbal Fluency Test, WCST = Wisconsin Card Sorting Test.
![Figure 2. Forest plot of studies examining everyday executive functions tasks immediately after training and at follow-up.Solid squares = effect size of each study; size of squares = study weight (weighted by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. TAP-A = Test of Attentional Performance Alertness, CFT = Category Fluency Test, LF = Letter Fluency, CPT = Continuous Performance Test II, CWI = Color-Word Interference Test, VF = Verbal Fluency, TMTB = Trail Making Test B, TEA = Test of Everyday Attention, SART = Sustained Attetion to Response Task, PASAT = Paced Auditory Serial Addition Test, CANTAB IST = Information Sampling Task, SOC = Stocking of cambridge, TMT = Trail Making Test, DF = Design Fluency, DV = Digit Vigilance Test, FAS = FAS Verbal Fluency Test, WCST = Wisconsin Card Sorting Test.](/cms/asset/3ccd2fc9-9525-4917-8e42-f22a6b2c9295/pnrh_a_1438294_f0002_oc.jpg)
Figure 3. Forest plot of studies examining everyday executive functions tasks immediately after training and at follow-up.
Solid squares = effect size of each study; size of squares = study weight (weighted by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. MSET = Modified Six Elements Test, BADS = Behavioural Assessment of the Dysexecutive Syndrome, MET = Multiple Errand Test, R-SAT = Revised Strategy Application Test, UPSA = UCSD Performance-Based Skills Assessment, MET-CV = Multiple Errands Test − contextualised version, VPT = Virtual Planning Test, SRLT = simulated real-life tasks.
![Figure 3. Forest plot of studies examining everyday executive functions tasks immediately after training and at follow-up.Solid squares = effect size of each study; size of squares = study weight (weighted by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. MSET = Modified Six Elements Test, BADS = Behavioural Assessment of the Dysexecutive Syndrome, MET = Multiple Errand Test, R-SAT = Revised Strategy Application Test, UPSA = UCSD Performance-Based Skills Assessment, MET-CV = Multiple Errands Test − contextualised version, VPT = Virtual Planning Test, SRLT = simulated real-life tasks.](/cms/asset/7070311e-58a2-4308-93b5-d1eeb57ee2bf/pnrh_a_1438294_f0003_oc.jpg)
Figure 4. Forest plot of studies examining subjective ratings of executive functions by patient immediately after training and at follow-up.
Solid squares = effect size of each study; size of squares = study weight (weigthed by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. EFI = Executive Function Index, EOS = Executive Observation Scale, CFQ = Cognitive Failures Questionnaire, DEX = Dysexecutive Questionnaire, BRIEF-A = Behavior Rating Inventory of Executive Function – Adult, GMT-Q = Goal Management Training Questionnaire.
![Figure 4. Forest plot of studies examining subjective ratings of executive functions by patient immediately after training and at follow-up.Solid squares = effect size of each study; size of squares = study weight (weigthed by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. EFI = Executive Function Index, EOS = Executive Observation Scale, CFQ = Cognitive Failures Questionnaire, DEX = Dysexecutive Questionnaire, BRIEF-A = Behavior Rating Inventory of Executive Function – Adult, GMT-Q = Goal Management Training Questionnaire.](/cms/asset/82dcea3b-97f6-4fca-905c-a07ab845a279/pnrh_a_1438294_f0004_oc.jpg)
Figure 5. Forest plot of studies examining subjective ratings of executive functions by proxy immediately after training and at follow-up.
Solid squares = effect size of each study; size of squares = study weight (weigthed by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. EOS = Executive Observation Scale, CFQ = Cognitive Failures Questionnaire, DEX = Dysexecutive Questionnaire, BRIEF-A = Behavior Rating Inventory of Executive Function – Adult, GMT-Q = Goal Management Training Questionnaire. *rated by both spouse/caregiver and therapist.
![Figure 5. Forest plot of studies examining subjective ratings of executive functions by proxy immediately after training and at follow-up.Solid squares = effect size of each study; size of squares = study weight (weigthed by sample size); Lines = 95% confidence interval; diamond = summary effect; width of diamond = precision. EOS = Executive Observation Scale, CFQ = Cognitive Failures Questionnaire, DEX = Dysexecutive Questionnaire, BRIEF-A = Behavior Rating Inventory of Executive Function – Adult, GMT-Q = Goal Management Training Questionnaire. *rated by both spouse/caregiver and therapist.](/cms/asset/612e0119-7ba6-48fd-80a8-99242aba5b04/pnrh_a_1438294_f0005_oc.jpg)
Figure 6. Forest plot of studies examining working memory and speed of processing immediately after training.
Solid squares = effect size of each study; size of squares = study weight (weigthed by sample size); Lines= 95% confidence interval; diamond = summary effect; width of diamond = precision. SOPT = Self-Ordered Pointing Test, CT = Consonant Trigrams, DS = Digit Span, LNS = Letter Number Sequencing, AS = Arithmetic Span, TMT = Trail Making Test, VAT = Visual Attention Test, DSMT = Digit Symbol Modalities Test.
![Figure 6. Forest plot of studies examining working memory and speed of processing immediately after training.Solid squares = effect size of each study; size of squares = study weight (weigthed by sample size); Lines= 95% confidence interval; diamond = summary effect; width of diamond = precision. SOPT = Self-Ordered Pointing Test, CT = Consonant Trigrams, DS = Digit Span, LNS = Letter Number Sequencing, AS = Arithmetic Span, TMT = Trail Making Test, VAT = Visual Attention Test, DSMT = Digit Symbol Modalities Test.](/cms/asset/0fbaba32-fc3f-40b2-9350-5a2d5e573d8e/pnrh_a_1438294_f0006_oc.jpg)
Figure 7. Forest plot of studies examining Instrumental Activities of Daily Living (iADL) immediately after training and at follow-up.
QOLIBRI = Quality of Life after Brain Injury, GAS = Goal attainment scaling, RRL = Role Resumption List, CIBIC-Clinician’s Interview-Based Impression of Severity and Change.
![Figure 7. Forest plot of studies examining Instrumental Activities of Daily Living (iADL) immediately after training and at follow-up.QOLIBRI = Quality of Life after Brain Injury, GAS = Goal attainment scaling, RRL = Role Resumption List, CIBIC-Clinician’s Interview-Based Impression of Severity and Change.](/cms/asset/879bdefe-1346-4868-bba1-e03fb9eae94a/pnrh_a_1438294_f0007_oc.jpg)
Figure 8. Forest plot of studies examining mental health status immediately after training and at follow-up.
SF-36 = The Short Form (36) Health Survey, HSCL-25 = Hopkins Symptom Checklist, BREQ = The Brain Injury Rehabilitation Trust Regulation of Emotions Questionnaire, PSS = Perceived Stress Scale, SCL-90 = Symptom Check List–90, POMS TMD = Profile of Mood States Total Mood Disturbance.
![Figure 8. Forest plot of studies examining mental health status immediately after training and at follow-up.SF-36 = The Short Form (36) Health Survey, HSCL-25 = Hopkins Symptom Checklist, BREQ = The Brain Injury Rehabilitation Trust Regulation of Emotions Questionnaire, PSS = Perceived Stress Scale, SCL-90 = Symptom Check List–90, POMS TMD = Profile of Mood States Total Mood Disturbance.](/cms/asset/76e69499-e788-46f0-83b7-2bf322c19295/pnrh_a_1438294_f0008_oc.jpg)
Figure 9. Forest plot of studies examining memory immediately after training. RBMT = Rivermead Behavioural Memory test; DR = Delayed Recall, IR = Immediate Recall; LM = Logical Memory; BVMT = Brief Visuospatial Memory Test, HVMT = Hopkins Verbal Learning Test.
![Figure 9. Forest plot of studies examining memory immediately after training. RBMT = Rivermead Behavioural Memory test; DR = Delayed Recall, IR = Immediate Recall; LM = Logical Memory; BVMT = Brief Visuospatial Memory Test, HVMT = Hopkins Verbal Learning Test.](/cms/asset/2f9c17b1-c391-42c6-a1e2-61f632cb4ed1/pnrh_a_1438294_f0009_oc.jpg)
Table 3. Summary of effect sizes across cognitive measures domains.
Table 4. Meta-regression analyses.
Figure 10. Relationship between GMT treatment hours and effect size in Executive Function Tasks.
GMT = Goal Management Training; Ctrl = Control, f/u = follow up; subj.= subjective, ICU = Intensive Care Unit; TBI = Traumatic Brain injury; ABI = Acquired Brain injury; ADHD, Attention Deficit Hyperactivity Disorder, MS = Multiple Sclerosis, SUD = Substance Use Disorder; CVD = Cerebrovascular Disease.
![Figure 10. Relationship between GMT treatment hours and effect size in Executive Function Tasks.GMT = Goal Management Training; Ctrl = Control, f/u = follow up; subj.= subjective, ICU = Intensive Care Unit; TBI = Traumatic Brain injury; ABI = Acquired Brain injury; ADHD, Attention Deficit Hyperactivity Disorder, MS = Multiple Sclerosis, SUD = Substance Use Disorder; CVD = Cerebrovascular Disease.](/cms/asset/f5f3de23-0bb5-46a5-8194-92068935c1b6/pnrh_a_1438294_f0010_ob.jpg)