Grinblat Nufar, Rosenblum Sara
M.S. Learning center of students with learning disabilities and Attention deficit hyperactivity disorder-"Mahut Center," Tel-Mond, Israel.
The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, Israel.
Res Dev Disabil. 2016 Dec;59:105-114. doi: 10.1016/j.ridd.2016.07.012. Epub 2016 Aug 12.
While a deficient ability to perform daily tasks on time has been reported among students with learning disabilities (LD), the underlying mechanism behind their 'being late' is still unclear. This study aimed to evaluate the organization in time, time estimation abilities, actual performance time pertaining to specific daily activities, as well as the executive functions of students with LD in comparison to those of controls, and to assess the relationships between these domains among each group. The participants were 27 students with LD, aged 20-30, and 32 gender and age-matched controls who completed the Time Organization and Participation Scale (TOPS) and the Behavioral Rating Inventory of Executive Function-Adult version (BRIEF-A). In addition, their ability to estimate the time needed to complete the task of preparing a cup of coffee as well as their actual performance time were evaluated. The results indicated that in comparison to controls, students with LD showed significantly inferior organization in time (TOPS) and executive function abilities (BRIEF-A). Furthermore, their time estimation abilities were significantly inferior and they required significantly more time to prepare a cup of coffee. Regression analysis identified the variables that predicted organization in time and task performance time among each group. The significance of the results for both theoretical and clinical implications are discussed. What this paper adds? This study examines the underlying mechanism of the phenomena of being late among students with LD. Following a recent call for using ecologically valid assessments, the functional daily ability of students with LD to prepare a cup of coffee and to organize time were investigated. Furthermore, their time estimation and executive control abilities were examined as a possible underlying mechanism for their lateness. Although previous studies have indicated executive control deficits among students with LD, to our knowledge, this is the first analysis of the relationships between their executive control and time estimation deficits and their influence upon their daily function and organization in time abilities. Our findings demonstrate that students with LD need more time in order to execute simple daily activities, such as preparing a cup of coffee. Deficient working memory, retrospective time estimation ability and inhibition predicted their performance time and organization in time abilities. Therefore, this paper sheds light on the mechanism behind daily performance in time among students with LD and emphasizes the need for future development of focused intervention programs to meet their unique needs.
虽然有报道称学习障碍(LD)学生在按时完成日常任务方面能力不足,但其“迟到”背后的潜在机制仍不清楚。本研究旨在评估LD学生与对照组学生在时间组织、时间估计能力、特定日常活动的实际执行时间以及执行功能方面的差异,并评估每组中这些领域之间的关系。参与者为27名年龄在20 - 30岁之间的LD学生和32名性别与年龄匹配的对照组学生,他们完成了时间组织与参与量表(TOPS)和成人版执行功能行为评定量表(BRIEF - A)。此外,还评估了他们估计冲泡一杯咖啡所需时间的能力以及实际执行时间。结果表明,与对照组相比,LD学生在时间组织(TOPS)和执行功能能力(BRIEF - A)方面明显较差。此外,他们的时间估计能力明显较差,冲泡一杯咖啡所需时间明显更长。回归分析确定了预测每组时间组织和任务执行时间的变量。讨论了结果在理论和临床意义方面的重要性。本文补充了什么?本研究探讨了LD学生迟到现象的潜在机制。继最近呼吁使用生态有效评估之后,研究了LD学生冲泡一杯咖啡和组织时间的功能性日常能力。此外,还考察了他们的时间估计和执行控制能力,作为其迟到的可能潜在机制。尽管先前的研究表明LD学生存在执行控制缺陷,但据我们所知,这是首次分析他们的执行控制和时间估计缺陷之间的关系及其对日常功能和时间组织能力的影响。我们的研究结果表明,LD学生执行简单日常活动(如冲泡一杯咖啡)需要更多时间。工作记忆不足、回顾性时间估计能力和抑制能力不足预测了他们的执行时间和时间组织能力。因此,本文阐明了LD学生日常时间执行背后的机制,并强调未来需要制定针对性的干预计划以满足他们的独特需求。