Evald Lars
a Central Denmark Region , Hammel Neurorehabilitation Centre and University Research Clinic , Hammel , Denmark.
b Department of Psychology and Behavioural Sciences , Aarhus University , Aarhus , Denmark.
Disabil Rehabil. 2018 Sep;40(19):2250-2259. doi: 10.1080/09638288.2017.1333633. Epub 2017 Jun 7.
The aim of the present study was to investigate the effectiveness of a prospective memory aid that combines smartphones with Internet-based calendars among community-dwelling patients with traumatic brain injury.
An uncontrolled pre- and post-assessment design was employed to study the use of unmodified, low-cost, off-the-shelf smartphones combined with Internet-calendars as a compensatory memory strategy in community-dwelling patients with traumatic brain injury. Thirteen participants received a 6-week group-based intervention with pre-, post- and 2-month follow-up-assessments by questionnaires and by daily assessment of target behaviors for 2-week periods.
Participants reported significantly fewer retro- and prospective memory problems on questionnaires after the intervention and at follow-up with large effect sizes. The performance of target behaviors, however, improved insignificantly with moderate effect sizes. There were no changes in quality of life or symptoms of emotional distress.
This study adds to a growing body of evidence that smartphones are a useful compensatory aid in rehabilitation of prospective memory that should routinely be considered in rehabilitation of traumatic brain injury patients. Implication for rehabilitation Smartphones are easy-to-use and accessible assistive technology for compensatory memory rehabilitation to most traumatic brain injury patients. By using low-cost, off-the-shelf devices, the technology becomes available to a broader range of patients. By combining smartphones with Internet-based and cross-platform services (e.g., calendars, contacts) the participants are less device-dependent and less vulnerable to data loss. Smartphones should routinely be considered as compensatory aid in rehabilitation of prospective memory of traumatic brain injured patients.
本研究旨在调查一种前瞻性记忆辅助工具的有效性，该工具将智能手机与基于互联网的日历相结合，应用于社区居住的创伤性脑损伤患者。
采用无对照的前后评估设计，研究未改装的、低成本的现成智能手机与互联网日历相结合，作为社区居住的创伤性脑损伤患者的一种代偿性记忆策略。13名参与者接受了为期6周的小组干预，并通过问卷调查以及对目标行为进行为期2周的每日评估，进行前后评估和2个月的随访评估。
参与者在干预后和随访时通过问卷调查报告，逆行性和前瞻性记忆问题显著减少，效应量较大。然而，目标行为的表现改善不显著，效应量中等。生活质量或情绪困扰症状没有变化。
本研究增加了越来越多的证据，表明智能手机是前瞻性记忆康复中一种有用的代偿辅助工具，在创伤性脑损伤患者的康复中应常规予以考虑。对康复的启示 智能手机是大多数创伤性脑损伤患者进行代偿性记忆康复易于使用且可获取的辅助技术。通过使用低成本的现成设备，该技术可供更广泛的患者使用。通过将智能手机与基于互联网的跨平台服务（如日历、联系人）相结合，参与者对设备的依赖性降低，数据丢失的风险也降低。在创伤性脑损伤患者的前瞻性记忆康复中，应常规将智能手机视为代偿辅助工具。
