Catroppa Cathy, Stone Kate, Rosema Stefanie, Soo Cheryl, Anderson Vicki
Murdoch Children's Research Institute .
Brain Inj. 2014;28(2):252-60. doi: 10.3109/02699052.2013.860471.
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.
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.
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.
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。
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。
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。