Soong Wallace, Tam Sing-Fai, Man Wai-Kwong, Hui-Chan Christina
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
Int J Rehabil Res. 2005 Dec;28(4):341-7. doi: 10.1097/00004356-200512000-00006.
People with brain injuries must often deal with cognitive problems, including social problem solving. The present study evaluated the effectiveness of a 20-session, online, interactive, skill-training programme on the solving of problems using analogies. It was hypothesized that the programme could help people with brain injuries learn better problem-solving skills through systematic, theoretically driven learning strategies. Fifteen Hong Kong-Chinese with brain injuries participated in this pilot study. They were randomly assigned to an online programme, a computer-assisted programme or a therapist-administered programme. The three programmes had a similar structure and contents, including basic components problem solving, reflective sessions and functional problem solving. Outcome measures included the Category Test of Halstead-Reitan Test Battery, and a daily problem-solving performance and self-efficacy checklist. The results showed that the subjects of the three programmes generally demonstrated higher post-training self-efficacy and basic problem-solving skills. The group using the online programme, however, showed better and quicker improvements in problem-solving performance, and demonstrated a general trend towards making fewer errors in complex problem-solving tasks. In conclusion, people with brain injuries can use the successful problem-solving experiences obtained in the training programmes with different delivery modes to solve daily living problems that are similar in nature. However, the generalizability of the effects of the programme is still to be determined.
脑损伤患者常常必须应对认知问题，包括解决社会问题。本研究评估了一个为期20节的在线交互式技能培训项目在使用类比解决问题方面的有效性。研究假设该项目能够通过系统的、理论驱动的学习策略，帮助脑损伤患者更好地学习解决问题的技能。15名患有脑损伤的中国香港人参与了这项试点研究。他们被随机分配到在线项目组、计算机辅助项目组或治疗师指导项目组。这三个项目具有相似的结构和内容，包括解决问题的基本组成部分、反思环节和功能性问题解决。结果测量包括霍尔斯特德-雷坦测验电池组的类别测验，以及每日解决问题的表现和自我效能清单。结果表明，三个项目的受试者在训练后总体上表现出更高的自我效能和基本解决问题的技能。然而，使用在线项目的组在解决问题的表现上有更好、更快的改善，并且在复杂问题解决任务中表现出错误更少的总体趋势。总之，脑损伤患者可以利用在不同交付模式的训练项目中获得的成功解决问题的经验，来解决本质上相似的日常生活问题。然而，该项目效果的普遍性仍有待确定。
