Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and the University of Texas-Houston Medical School, Houston, Texas 77030, USA.
J Int Neuropsychol Soc. 2010 Mar;16(2):335-41. doi: 10.1017/S135561770999138X. Epub 2010 Jan 29.
There are very few studies investigating remediation of event-based prospective memory (EB-PM) impairments following traumatic brain injury (TBI). To address this, we used 2 levels of motivational enhancement (dollars vs. pennies) to improve EB-PM in children with moderate to severe TBI in the subacute recovery phase. Children with orthopedic injuries (OI; n = 61), moderate (n = 28), or severe (n = 30) TBI were compared. Significant effects included Group x Motivation Condition (F(2, 115) = 3.73, p < .03). The OI (p < .002) and moderate TBI (p < .03) groups performed significantly better under the high- versus low-incentive condition; however, the severe TBI group failed to demonstrate improvement (p = .38). EB-PM performance was better in adolescents compared to younger children (p < .02). These results suggest that EB-PM can be significantly improved in the subacute phase with this level of monetary incentives in children with moderate, but not severe, TBI. Other strategies to improve EB-PM in these children at a similar point in recovery remain to be identified and evaluated.
几乎没有研究调查创伤性脑损伤 (TBI) 后事件型前瞻性记忆 (EB-PM) 损伤的修复。为了解决这个问题，我们使用了 2 个动机增强水平（美元与便士），以改善亚急性期中度至重度 TBI 儿童的 EB-PM。比较了骨科损伤（OI；n = 61）、中度（n = 28）或重度（n = 30）TBI 儿童。显著影响包括组 x 动机条件（F(2, 115) = 3.73，p <.03）。OI（p <.002）和中度 TBI（p <.03）组在高激励条件下表现明显更好；然而，重度 TBI 组未能表现出改善（p =.38）。与年龄较小的儿童相比，青少年的 EB-PM 表现更好（p <.02）。这些结果表明，在亚急性期，通过这种程度的金钱激励，可以显著改善中度 TBI 儿童的 EB-PM，但不能改善重度 TBI 儿童的 EB-PM。在类似康复阶段，仍需确定和评估其他改善这些儿童 EB-PM 的策略。
