Riley Child and Adolescent Psychiatry Clinic/Department of Psychiatry, Indianapolis, IN, USA.
J Speech Lang Hear Res. 2011 Aug;54(4):1182-96. doi: 10.1044/1092-4388(2010/10-0119). Epub 2010 Dec 20.
This study investigated the feasibility and efficacy of a working memory training program for improving memory and language skills in a sample of 9 children who are deaf (age 7-15 years) with cochlear implants (CIs).
All children completed the Cogmed Working Memory Training program on a home computer over a 5-week period. Feasibility and acceptability of the program were evaluated using parent report and measures of children's performance on the training exercises. Efficacy measures of working memory and sentence repetition were obtained prior to training, immediately after training, and 1 month and 6 months after training.
Children's performance improved on most training exercises, and parents reported no problems with children's hearing or understanding of the exercises. After completion of working memory training, children demonstrated significant improvement on measures of verbal and nonverbal working memory, parent-reported working memory behavior, and sentence-repetition skills. The magnitude of improvement in working memory decreased slightly at the 1-month follow-up and more substantially at 6-month follow-up. However, sentence repetition continued to show marked improvement at 6-month follow-up.
Working memory training may produce benefit for some memory and language skills for children with CIs, supporting the importance of conducting a large-scale, randomized clinical trial with this population.
本研究调查了一项工作记忆训练计划在改善 9 名（7-15 岁）植入人工耳蜗的聋童的记忆和语言技能方面的可行性和疗效。
所有儿童均在家用电脑上完成为期 5 周的 Cogmed 工作记忆训练计划。通过家长报告和儿童在训练练习中的表现来评估该计划的可行性和可接受性。在训练前、训练后即刻、训练后 1 个月和 6 个月时，获得工作记忆和句子重复的疗效指标。
儿童在大多数训练练习中表现有所提高，家长报告说儿童的听力或对练习的理解没有问题。完成工作记忆训练后，儿童在言语和非言语工作记忆、家长报告的工作记忆行为以及句子重复技能方面的测量上均有显著改善。工作记忆的改善幅度在 1 个月的随访时略有下降，在 6 个月的随访时下降更为明显。然而，句子重复在 6 个月的随访时仍持续显著改善。
工作记忆训练可能对植入人工耳蜗的儿童的某些记忆和语言技能有益，支持对该人群进行大规模、随机临床试验的重要性。
