Unawareness related to brain injury has implications for participation in rehabilitation, functional outcomes, and the emotional well being of patients after an acquired brain injury. However, the development of interventions for improving self-awareness is at an early stage, and research on the effectiveness of interventions is limited. The present paper is an investigation into the efficacy of a metacognitive program on self-awareness in people who have had an acquired brain injury. An experimental group of three patients were included in a “cross-over design” protocol including data from neuropsychological evaluations, cognitive complaints, behavioral and emotional changes. In comparison, a social intervention (communicative abilities, social interaction) was proposed to four other patients in order to estimate the specific effects of the metacognitive program. While no specific effect of the metacognitive program was highlighted on cognitive impairments, a post-intervention assessment indicated that participants had significantly improved behavioral limitations, suggesting a benefit of the metacognitive and social rehabilitations on behavior skills. Because benefits are similar whatever the program, it seems that social functioning implication in rehabilitation process needs to be taken into account in forthcoming interventions
