Palmer Shawna L, Leigh Laurie, Ellison Susan C, Onar-Thomas Arzu, Wu Shengjie, Qaddoumi Ibrahim, Armstrong Gregory T, Wright Karen, Wetmore Cynthia, Broniscer Alberto, Gajjar Amar
Department of Psychology, St. Jude Children's Research Hospital, Mail Stop 740, 262 Danny Thomas Place, Memphis, TN 38105, USA.
J Pediatr Psychol. 2014 May;39(4):450-8. doi: 10.1093/jpepsy/jst095. Epub 2013 Dec 25.
To investigate the feasibility of a computer-based reading intervention completed by patients diagnosed with a brain tumor.
Patients were randomized to the intervention (n = 43) or standard of care group (n = 38). The intervention consisted of 30 sessions using Fast ForWord® exercises in a game-like format. Change in reading decoding scores over time since diagnosis was examined. Gender, race, parent education, parent marital status, and age at diagnosis were examined as covariates.
17 patients (39.5%) were able to complete the target goal of 30 intervention sessions. Females had significantly greater training time than males (p = .022). Age at diagnosis was associated with average training time/session for females (r = .485, p = .041). No significant differences were found in reading scores between the randomized groups.
The study was well accepted by families and adherence by patients undergoing radiation therapy for medulloblastoma was moderate. Suggestions for improved methodology are discussed.
探讨脑肿瘤患者完成基于计算机的阅读干预的可行性。
将患者随机分为干预组（n = 43）或标准治疗组（n = 38）。干预包括以游戏形式进行30节使用Fast ForWord®练习的课程。检查自诊断以来阅读解码分数随时间的变化。将性别、种族、父母教育程度、父母婚姻状况和诊断时的年龄作为协变量进行检查。
17名患者（39.5%）能够完成30节干预课程的目标。女性的训练时间明显长于男性（p = 0.022）。诊断时的年龄与女性的平均每次训练时间相关（r = 0.485，p = 0.041）。随机分组之间的阅读分数没有显著差异。
该研究受到家庭的广泛接受，接受髓母细胞瘤放射治疗的患者的依从性中等。讨论了改进方法的建议。
