Metacognitive knowledge and functional outcomes in adults with acquired brain injury: A meta-analysis

Yong Xiang Yeo, Carmela F Pestell, Romola S Bucks, Fiona Allanson, Michael Weinborn

Research output: Contribution to journalReview article

Abstract

Pronounced difficulties in functional outcomes often follow acquired brain injury (ABI), and may be due, in part, to deficits in metacognitive knowledge (being unaware of one's cognitive strengths and limitations). A meta-analytic review of the literature investigating the relationship between metacognitive knowledge and functional outcomes in ABI is timely, particularly given the presence of apparently inconsistent findings. Twenty-two articles revealed two distinct methods of measuring metacognitive knowledge: (1) absolute (the degree of inaccurate self-appraisal regardless of whether the error tends towards under- or over-confident estimations) and (2) relative (the degree and the direction of the inaccuracy) discrepancy. Separate meta-analyses were conducted for absolute and relative discrepancy studies to assess the relationship between metacognitive knowledge and functional outcomes (affect-related quality of life, family and community integration, and work outcomes). The pattern of results found suggested that better metacognitive knowledge is related to better overall functional outcomes, but the relationship may differ depending on the outcome domain. These findings generally support the importance of focusing on metacognitive knowledge to improve outcomes following ABI. Nonetheless, the relatively small effect sizes observed suggest that other predictors of functional outcome should be investigated, including other subdomains of metacognition.

Original languageEnglish
Pages (from-to)1-26
Number of pages26
JournalNeuropsychological Rehabilitation
DOIs
Publication statusE-pub ahead of print - 26 Dec 2019

Cite this

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title = "Metacognitive knowledge and functional outcomes in adults with acquired brain injury: A meta-analysis",
abstract = "Pronounced difficulties in functional outcomes often follow acquired brain injury (ABI), and may be due, in part, to deficits in metacognitive knowledge (being unaware of one's cognitive strengths and limitations). A meta-analytic review of the literature investigating the relationship between metacognitive knowledge and functional outcomes in ABI is timely, particularly given the presence of apparently inconsistent findings. Twenty-two articles revealed two distinct methods of measuring metacognitive knowledge: (1) absolute (the degree of inaccurate self-appraisal regardless of whether the error tends towards under- or over-confident estimations) and (2) relative (the degree and the direction of the inaccuracy) discrepancy. Separate meta-analyses were conducted for absolute and relative discrepancy studies to assess the relationship between metacognitive knowledge and functional outcomes (affect-related quality of life, family and community integration, and work outcomes). The pattern of results found suggested that better metacognitive knowledge is related to better overall functional outcomes, but the relationship may differ depending on the outcome domain. These findings generally support the importance of focusing on metacognitive knowledge to improve outcomes following ABI. Nonetheless, the relatively small effect sizes observed suggest that other predictors of functional outcome should be investigated, including other subdomains of metacognition.",
keywords = "Metacognitive knowledge, Self-awareness, Functional outcomes, Acquired brain injury (ABI), Meta-analysis, QUALITY-OF-LIFE, IMPAIRED SELF-AWARENESS, EXECUTIVE FUNCTION, GENDER-DIFFERENCES, HEAD-INJURY, DEPRESSION, REHABILITATION, DEFICITS, STROKE, DISABILITY",
author = "Yeo, {Yong Xiang} and Pestell, {Carmela F} and Bucks, {Romola S} and Fiona Allanson and Michael Weinborn",
year = "2019",
month = "12",
day = "26",
doi = "10.1080/09602011.2019.1704421",
language = "English",
pages = "1--26",
journal = "Neuropsychological Rehabilitation",
issn = "0960-2011",
publisher = "Taylor & Francis",

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T1 - Metacognitive knowledge and functional outcomes in adults with acquired brain injury

T2 - A meta-analysis

AU - Yeo, Yong Xiang

AU - Pestell, Carmela F

AU - Bucks, Romola S

AU - Allanson, Fiona

AU - Weinborn, Michael

PY - 2019/12/26

Y1 - 2019/12/26

N2 - Pronounced difficulties in functional outcomes often follow acquired brain injury (ABI), and may be due, in part, to deficits in metacognitive knowledge (being unaware of one's cognitive strengths and limitations). A meta-analytic review of the literature investigating the relationship between metacognitive knowledge and functional outcomes in ABI is timely, particularly given the presence of apparently inconsistent findings. Twenty-two articles revealed two distinct methods of measuring metacognitive knowledge: (1) absolute (the degree of inaccurate self-appraisal regardless of whether the error tends towards under- or over-confident estimations) and (2) relative (the degree and the direction of the inaccuracy) discrepancy. Separate meta-analyses were conducted for absolute and relative discrepancy studies to assess the relationship between metacognitive knowledge and functional outcomes (affect-related quality of life, family and community integration, and work outcomes). The pattern of results found suggested that better metacognitive knowledge is related to better overall functional outcomes, but the relationship may differ depending on the outcome domain. These findings generally support the importance of focusing on metacognitive knowledge to improve outcomes following ABI. Nonetheless, the relatively small effect sizes observed suggest that other predictors of functional outcome should be investigated, including other subdomains of metacognition.

AB - Pronounced difficulties in functional outcomes often follow acquired brain injury (ABI), and may be due, in part, to deficits in metacognitive knowledge (being unaware of one's cognitive strengths and limitations). A meta-analytic review of the literature investigating the relationship between metacognitive knowledge and functional outcomes in ABI is timely, particularly given the presence of apparently inconsistent findings. Twenty-two articles revealed two distinct methods of measuring metacognitive knowledge: (1) absolute (the degree of inaccurate self-appraisal regardless of whether the error tends towards under- or over-confident estimations) and (2) relative (the degree and the direction of the inaccuracy) discrepancy. Separate meta-analyses were conducted for absolute and relative discrepancy studies to assess the relationship between metacognitive knowledge and functional outcomes (affect-related quality of life, family and community integration, and work outcomes). The pattern of results found suggested that better metacognitive knowledge is related to better overall functional outcomes, but the relationship may differ depending on the outcome domain. These findings generally support the importance of focusing on metacognitive knowledge to improve outcomes following ABI. Nonetheless, the relatively small effect sizes observed suggest that other predictors of functional outcome should be investigated, including other subdomains of metacognition.

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KW - Self-awareness

KW - Functional outcomes

KW - Acquired brain injury (ABI)

KW - Meta-analysis

KW - QUALITY-OF-LIFE

KW - IMPAIRED SELF-AWARENESS

KW - EXECUTIVE FUNCTION

KW - GENDER-DIFFERENCES

KW - HEAD-INJURY

KW - DEPRESSION

KW - REHABILITATION

KW - DEFICITS

KW - STROKE

KW - DISABILITY

U2 - 10.1080/09602011.2019.1704421

DO - 10.1080/09602011.2019.1704421

M3 - Review article

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EP - 26

JO - Neuropsychological Rehabilitation

JF - Neuropsychological Rehabilitation

SN - 0960-2011

ER -