Focus Forward: Journey Through the Fog

Focus Forward is a research study and educational intervention developed by occupational therapists at Courage Kenny Rehabilitation Institute. It is designed to help individuals with breast cancer understand and manage their thinking challenges—or "chemo brain."

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Focus Forward Administration Manual

Focus Forward Client Handbook

Research publications


Radomski MV, Anheluk M, Arulanantham C, Finkelstein M, Flinn N (in press). “Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper limb rehabilitation,” British Journal of Occupational Therapy.

Radomski MV, Davidson LF, Smith L, Finkelstein M, Cecchini A, Heaton KJ, McCulloch K, Scherer M, Weightman M M (in press). “Toward return to duty decision-making after military mild traumatic brain injury: Preliminary validation of the Charge of Quarters Duty Test,” Military Medicine.

Scherer MR, Weightman MM, Radomski MV, Smith L, Finkelstein M, Cecchini A, Heaton KJ, McCulloch K. “Measuring soldier performance during the Patrol-Exertion Multitask: Preliminary validation of a post-concussive functional return-to-duty metric,” Archives of Physical Medicine and Rehabilitation, 2017 online ahead of print.

Eakman A, Radomski MV. “Occupational therapy past and present: Responding to physical, cognitive and emotional consequences of war,”British Journal of Occupational Therapy, 2017; 80(12):697-698.

Radomski MV, Giles GM, Finkelstein M, Owens J, Showers M,Zola J (in press). “Implementation intentions for self-selected occupational therapy goals: Two case reports,” American Journal of Occupational Therapy.

Lyons K, Radomski MV, Alfano C, Finkelstein M, Sleight A,Marshall T, McKenna R, Fu J. “A Delphi study to determine rehabilitation research priorities for older adults with cancer,” Archives of Physical Medicine and Rehabilitation, 2017; 98:904-14.

Weightman MM, McCulloch KL, Radomski MV, Finkelstein M, Cecchini AS, Davidson LF, Heaton KJ, Smith

LB, Scherer MR. “Further development of the Assessment of Military Multitasking Performance: Iterative reliability testing 2017,” PLOS ONE, 12(1), e0169104.doi:10.1371/journal.pone.0169104.

Dawa T, Randolph M, Moyers P, Finch Guthrie P, Frie B, Filer D. “Rehabilitation nurses’ knowledge, attitudes and behaviors for preventing urinary tract infections from intermittent catheterization,” Rehabil Nurs, 2017 Dec 13.doi:10.1097/rnj.0000000000000125.

Walker KR, Novotny SA, Krach LE. “Does intrathecal Baclofen therapy increase prevalence and/or progression of neuro muscular scoliosis?” Spine Deform, 2017 Nov; 5(6):424-429. doi: 10.1016/j.jspd.2017.03.006. PubMed PMID: 29050720.

Munger ME, Aldahondo N, Krach LE, Novacheck TF, Schwartz MH. “Long-term outcomes after selective dorsal rhizotomy: a retrospective matched cohort study,”Dev Med Child Neurol, 2017 Nov; 59(11):1196-1203. doi: 10.1111/dmcn.13500. Epub2017 Aug 8. PubMed PMID: 28786493.

Schmitz NS, Krach LE, Coles LD, Mishra U, Agarwal SK, CloydJC, Kriel RL. “A randomized dose escalation study of intravenous baclofen in healthy volunteers: Clinical tolerance and pharmacokinetics,” PM R. 2017 Aug; 9(8):743-750.doi:10.1016/j.pmrj.2016.11.002. Epub 2016 Nov 17. PubMed PMID: 27867020.

Carey JR, Chappuis DM, Finkelstein MJ, Frost KL, Leuty LK, McNulty AL, Oddsson LIE, Seifert EM, Kimberley TJ. “Importance and difficulties of pursuing rTMS research in acute stroke,” Phys Ther. 2017 Mar 1; 97(3):310-319.

Asher A, Van Dyk K, Patel SK, Newman R, Engle J, Hutchison N, Padgett L; Cognitive Rehabilitation Committee through the ACRM Cancer Rehabilitation Task Force. “Cancer-related cognitive changes,” Arch Phys Med Rehabil. 2017 Dec; 98(12):2595-2596. doi: 10.1016/j.apmr.2017.05.011. Epub 2017 Sep 12. PubMed PMID: 28916183.

McLaughlin SA, Staley AC, Vicini F, Thiruchelvam P, Hutchison NA, Mendez J, MacNeill F, Rockson SG, DeSnyder SM, Klimberg S, Alatriste M, Boccardo F, Smith ML, Feldman SM. “Considerations for clinicians in the diagnosis, prevention and treatment of breast cancer-related lymphedema: Recommendations from a multidisciplinary expert,” ASBrS Panel: Part 1 Definitions, Assessments, Education and Future Directions, Ann Surg Oncol. 2017Oct; 24(10):2818-2826. doi:10.1245/s10434-017-5982-4. Epub 2017 Aug 1. PubMedPMID: 28766232.

McLaughlin SA, DeSnyder SM, Klimberg S, Alatriste M,Boccardo F, Smith ML, Staley AC, Thiruchelvam PTR, Hutchison NA, Mendez J,MacNeill F, Vicini F, Rockson SG, Feldman SM. “Considerations for clinicians in the diagnosis, prevention and treatment of breast cancer-related lymphedema, Recommendations from an expert panel Part 2: Preventive and Therapeutic Options,”Ann Surg Oncol. 2017 Oct; 24(10):2827-2835. doi: 10.1245/s10434-017-5964-6.Epub 2017 Aug 1.PubMed PMID: 28766218.


Radomski MV, Cogan A, Davidson L, Eakman A, Mortera M, Owens J, Rolle N, Schelly C, Showers M, Smith L. “Translating post-911 era military/veteran occupational therapy research to civilian practice: Addressing social-behavioral consequences of war,” American Occupational Therapy Association Annual Conference. Philadelphia, PA. March 30,2017.

Flinn N, Kelley T, Kreiger R. “Medical Home for persons with disabilities:  Integrating primary care with long-term social supports improves Health, decreases cost and meets patient needs,” July 24 2017, Academy Health Annual Research Meeting, New Orleans, LA.

Chappuis DM, Flinn N, Trammell M, Henley J, Woolsey A T, Shamblott S, Vega M, Patterson K.  2017.  “Optimizing transitions of care in stroke rehabilitation, from day tone to community integration,” American Congress of Rehabilitation Medicine Annual Conference, October 25, 2017, Atlanta, GA.

N Flinn, Kelley, T. “Addressing the social determinants of health in a medical home for individuals with physical disabilities,” American Congress of Rehabilitation Medicine Conference,Atlanta, GA, October 28, 2017. 

Weightman MM. Department of Defense Return to Duty Subject Matter Expert Meeting (via TCON to Fort Detrick,MD) on recommendations for assessments for mild traumatic brain injury. February 2017.


Hutchison N, Deval N, Rabusch S, Rich H, Kelley T, Flinn N, Banerji N. “PT-based exercise protocol for debilitated cancer patients: Outcomes for cardiopulmonary performance and fatigue,” American Congress of Rehabilitation Medicine Annual Conference,Atlanta, GA, October 26, 2017.

Radomski MV, Showers M, Owens J, Zola J, Giles G, Kreiger R, Kath K, Rabusch S, Shoemaker E. “Feasibility evaluation of combining implementation intentions with meta cognitive strategy instruction for service members with mild traumatic brain injury,” American Congress of Rehabilitation Medicine Annual Conference, Atlanta, GA, October 26,2017.

Weightman MM, Harvison K, Leuty L, Masemer S, Lund D. “Feasibility study of graded exercise testing and aerobic exercise intervention for adults with residual concussion symptoms,” International Brain Injury Association meeting, New Orleans, LA, March 2017.

Wellner C, Shippee T, Flinn N. “Effectiveness of a community-based fall prevention class in changing fall risk behaviors.”Accepted for PT Combined Sections Meeting.