The purpose of this study is to investigate the trajectory of metacognitive functioning throughout phases of recovery from neurological insult, and to determine its relationship to rehabilitation compliance and functional outcome. It is hypothesized that metacognitive accuracy improves over time, and is a significant predictor of engagement in rehabilitation activities.

This study will examine the trajectory of metacognitive functioning through different phases of recovery from neurological insult, and document its relationship to rehabilitation compliance. Individuals currently completing rehabilitation programs and individuals from the community who meet study criteria are invited to participate. After consenting and enrolling in the study, participants complete 2 study sessions: a baseline session, and a follow-up session either at time of completion of rehabilitation program or 3 months later if not in a rehabilitation program. During the study sessions, participants will complete paper-and-pencil and computerized tests of cognition (including metacognitive tasks).

Inclusion Criteria:

• history of brain and/or spinal cord injury
• no history of brain or neurological injury/insult (for healthy control group)
• fluent in spoken and written English
• adequate gross motor abilities to provide a button push on a keyboard

Exclusion Criteria:

• exclusion criteria for healthy controls include:
• current/past history of psychiatric illness
• learning disorder
• developmental disorder
• diagnosis of Attention Deficit Disorder/Attention Deficit Hyperactive Disorder

participants in rehabilitation facility and community-dwelling individuals