Stapleton Sally, Adams Malcolm, Atterton Linda
Southern Team, Julian Hospital, Norwich, UK.
Brain Inj. 2007 Apr;21(4):401-11. doi: 10.1080/02699050701252030.
To investigate the use of a 'reminders' function on a mobile phone as a compensatory memory aid for five individuals with traumatic brain injury (TBI).
A series of five single case ABAB reversal design.
A mobile phone was given to each participant during two intervention phases. Target behaviours were recorded for the length of the study.
The phone was programmed to prompt a number of identified target behaviours.
For two participants, there was an increase in the target behaviours achieved when the phone was used, with percentages rising from 51% to 95% for Participant 1 (P1) and 58% to 88% for Participant 5 (P5). The percentage of target behaviours achieved did not return to initial baseline levels when the phone was removed, indicating that the intervention may have facilitated P1 and, in particular, P5 in the learning of their routines. The participants who did not benefit from the mobile phone differed from P1 and P5 as they fell in the category of 'severe memory impairment' on the RBMT, were significantly impaired on an assessment of executive functioning (Tower Test) and required 24-hour care.
The preliminary investigation with five participants suggests that this system may be of best use with individuals who do not require 24-hour care and do not experience severe memory and executive functioning difficulties. However, further research with a larger sample is highly recommended.
研究手机的“提醒”功能作为5名创伤性脑损伤（TBI）患者的代偿性记忆辅助工具的使用情况。
一系列5个单病例ABAB反转设计。
在两个干预阶段，给每位参与者一部手机。在研究期间记录目标行为。
手机被编程以提示一些确定的目标行为。
对于两名参与者，使用手机时实现的目标行为有所增加，参与者1（P1）的百分比从51%上升到95%，参与者5（P5）从58%上升到88%。当手机被移除时，实现的目标行为百分比未回到初始基线水平，这表明干预可能促进了P1，特别是P5对日常活动的学习。未从手机中受益的参与者与P1和P5不同，因为他们在RBMT上属于“严重记忆障碍”类别，在执行功能评估（塔楼测试）中明显受损，并且需要24小时护理。
对5名参与者的初步调查表明，该系统可能最适合不需要24小时护理且没有严重记忆和执行功能困难的个体。然而，强烈建议进行更大样本的进一步研究。
