Li Kitsum, Alonso Jonathan, Chadha Nisha, Pulido Jennifer
Department of Occupational Therapy, School of Health and Natural Sciences, Dominican University of California, San Rafael, CA, USA.
Occup Ther Health Care. 2015;29(3):283-96. doi: 10.3109/07380577.2015.1010246. Epub 2015 May 20.
Computer-based cognitive retraining (CBCR) intervention has gained great popularity in recent years. This study aimed to investigate the occurrence of skill generalization to daily living task for individuals with acquired brain injury (ABI) after completion of eight modules of a commercially available CBCR program, the Parrot Software. The study investigated changes in individuals' global cognition as measured by the Montreal Cognitive Assessment, and changes in individuals' performance during a medication-box sorting task, a novel instrumental activity of daily living. The medication-box sorting task resembled real life medication management with daily prescribed and over-the-counter medications. Twelve individuals with ABI from a community-based program completed the study. Results indicated that CBCR intervention brought about improvement in global cognition, but the improvement did not appear in any particular cognitive domain. Additionally, the gains in global cognition failed to enhance performance in the medication-box sorting task. This exploratory study demonstrated that while CBCR may be a promising intervention for improving global cognition in individuals with ABI, additional intervention might be needed for generalization to occur to a novel daily task. Future studies should look for the ultimate therapeutic outcome from CBCR interventions or include interventions that could bridge the gap between CBCR intervention and performance improvement in daily living occupations.
近年来，基于计算机的认知康复训练（CBCR）干预越来越受欢迎。本研究旨在调查在完成一个商业可用的CBCR程序（鹦鹉软件）的八个模块后，获得性脑损伤（ABI）个体的技能泛化到日常生活任务的情况。该研究调查了通过蒙特利尔认知评估测量的个体整体认知的变化，以及个体在药盒分类任务（一种新的日常生活工具性活动）中的表现变化。药盒分类任务类似于使用每日处方和非处方药物进行的现实生活中的药物管理。来自一个社区项目的12名ABI个体完成了该研究。结果表明，CBCR干预带来了整体认知的改善，但这种改善并未出现在任何特定的认知领域。此外，整体认知的提高未能提升药盒分类任务中的表现。这项探索性研究表明，虽然CBCR可能是改善ABI个体整体认知的一种有前景的干预措施，但可能需要额外的干预才能泛化到新的日常任务中。未来的研究应该寻找CBCR干预的最终治疗效果，或者纳入能够弥合CBCR干预与日常生活职业表现改善之间差距的干预措施。
