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童年脑损伤后注意力与记忆干预的初步疗效

Preliminary efficacy of an attention and memory intervention post-childhood brain injury.

作者信息

Catroppa Cathy, Stone Kate, Rosema Stefanie, Soo Cheryl, Anderson Vicki

机构信息

Murdoch Children's Research Institute .

出版信息

Brain Inj. 2014;28(2):252-60. doi: 10.3109/02699052.2013.860471.

Abstract

OBJECTIVE

Impairments in attention and memory are common consequences following paediatric acquired brain injury (ABI). Despite this, there is a scarcity of evidence-based interventions for these difficulties. The current study aimed to pilot the feasibility and efficacy of the English version of the Amsterdam Memory and Attention Test for Children (Amat-c) and to identify ecologically valid measures sensitive to post-evaluation improvements. It was expected that children with attention and memory difficulties post-TBI would show improved performance post-intervention on traditional cognitive measures and on measures of everyday performance.

METHODS AND PROCEDURES

Three children (case study design) with an acquired brain injury (near drowning, birth delivery complications, fall from a horse) and currently between the ages of 8-13 were identified through audits of presentations to a metropolitan paediatric hospital. Each child underwent screening, pre-intervention and post-intervention assessments (immediate and 6 months).

OUTCOMES/RESULTS: Results indicated improved performance in the areas of attention and memory from pre- to post-intervention, with gains maintained at 6 months post-intervention.

CONCLUSIONS AND IMPLICATIONS

Findings demonstrate initial support for efficacy of the Amat-c and its use with survivors of child ABI to alleviate common cognitive and functional consequences. A larger study is needed to further confirm these findings.

摘要

目的

注意力和记忆力受损是儿童获得性脑损伤(ABI)后的常见后果。尽管如此,针对这些困难的循证干预措施却很匮乏。本研究旨在试行英文版儿童阿姆斯特丹记忆与注意力测试(Amat-c)的可行性和有效性,并确定对评估后改善情况敏感的生态有效测量方法。预计创伤性脑损伤(TBI)后存在注意力和记忆困难的儿童在干预后,传统认知测量方法和日常表现测量方法上的表现会有所改善。

方法与程序

通过对一家大都市儿科医院就诊情况的审核,确定了三名患有获得性脑损伤(近乎溺水、分娩并发症、从马背上摔落)且年龄在8至13岁之间的儿童(案例研究设计)。每个孩子都接受了筛查、干预前和干预后评估(即时评估和6个月后评估)。

结果

结果表明,从干预前到干预后,注意力和记忆力方面的表现有所改善,且在干预后6个月仍保持进步。

结论与启示

研究结果初步证明了Amat-c的有效性,以及它对儿童ABI幸存者的作用,可减轻常见的认知和功能后果。需要进行更大规模的研究来进一步证实这些发现。

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