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注意缺陷多动障碍的工作记忆训练:控制参与度、动机和改善预期(初步研究)

Working Memory Training in ADHD: Controlling for Engagement, Motivation, and Expectancy of Improvement (Pilot Study).

作者信息

Mawjee Karizma, Woltering Steven, Lai Nathan, Gotlieb Howell, Kronitz Reena, Tannock Rosemary

机构信息

1 University of Toronto, Ontario, Canada.

2 Texas A&M University, Texas, USA.

出版信息

J Atten Disord. 2017 Sep;21(11):956-968. doi: 10.1177/1087054714557356. Epub 2014 Dec 10.

Abstract

OBJECTIVE

The aim of this study was to evaluate whether a shortened-length session of CogMed Working Memory Training (CWMT) would be a suitable active control group and evaluate study protocol to aid in design refinements for a larger randomized controlled trial (RCT).

METHOD

Thirty-eight post-secondary students diagnosed with ADHD were randomized into 25 sessions of standard (45 min/session) or shortened (15 min/session) CWMT, or into a waitlist control group.

RESULTS

There was no significant difference in completion rate or training index score between the standard- and shortened-length groups indicating that both groups showed improvement and put forth good effort during training.

CONCLUSION

Preliminary findings suggest that shorter training sessions may induce similar levels of engagement, motivation, and expectancy of improvement in participants. We conclude that a larger scale RCT that utilizes shortened-length training as an active control group is warranted, but that a few modifications to the study protocol will be required.

摘要

目的

本研究的目的是评估缩短时长的CogMed工作记忆训练(CWMT)是否会成为一个合适的活性对照组,并评估研究方案,以协助为一项更大规模的随机对照试验(RCT)完善设计。

方法

38名被诊断患有注意力缺陷多动障碍(ADHD)的大专学生被随机分为接受25节标准时长(每节45分钟)或缩短时长(每节15分钟)的CWMT训练组,或进入候补对照组。

结果

标准时长组和缩短时长组在完成率或训练指数得分上没有显著差异,这表明两组在训练期间均有进步且付出了很大努力。

结论

初步研究结果表明,较短的训练课程可能会在参与者中引发相似程度的参与度、积极性和改善预期。我们得出结论,有必要开展一项更大规模的RCT,将缩短时长的训练作为活性对照组,但需要对研究方案进行一些修改。

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