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移动应用程序在获得性脑损伤记忆干预中的学习:训练持续时间的神经心理学关联。

Mobile app learning in memory intervention for acquired brain injury: Neuropsychological associations of training duration.

机构信息

Neuropsychology & Cognitive Health, Baycrest, Toronto, Canada.

Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.

出版信息

Neuropsychol Rehabil. 2022 Jul;32(6):1048-1074. doi: 10.1080/09602011.2020.1866620. Epub 2021 Jan 5.

Abstract

Memory impairment is a common consequence of acquired brain injury, often leading to functional difficulties day-to-day and decreased independence. Memory Link is a theory-driven training programme for individuals with moderate-to-severe memory dysfunction, which enables the acquisition of digital device skills for functional compensation. The present study examined how neuropsychological functioning and initial training performance contribute to training duration in our outpatient memory rehabilitation programme. A retrospective chart review was conducted, extending 12 years into the past, yielding data from 37 eligible participants. All participants demonstrated skill learning of the calendar function in their digital device to the criterion point. The results showed that performance on neuropsychological tests of explicit memory (e.g., CVLT-II, BVMT-R), processing speed (e.g., Digit Symbol Coding, Trail Making sequencing), executive functioning (e.g., Trail Making switching), and perceptual ability (i.e., Block Design) were significantly associated with training duration to learn the core steps of calendar use. Furthermore, linear regression revealed that initial training performance was a significant predictor of training duration. Lastly, profile of cognitive impairment, with regard to severity of memory functioning and the presence of additional deficits, was found to be a significant factor contributing to how many training trials were required to learn application skills.

摘要

记忆损伤是获得性脑损伤的常见后果,常导致日常功能困难和独立性降低。记忆链接是一个针对中重度记忆功能障碍患者的理论驱动型训练计划,使他们能够获得数字设备技能以实现功能补偿。本研究探讨了神经心理学功能和初始训练表现如何影响我们的门诊记忆康复计划的训练持续时间。进行了回顾性图表审查,回溯到过去 12 年,从 37 名符合条件的参与者中获得数据。所有参与者都在数字设备上的日历功能达到了标准点,表现出技能学习。结果表明,神经心理学测试中明显记忆(例如,CVLT-II、BVMT-R)、加工速度(例如,数字符号编码、追踪测试序列)、执行功能(例如,追踪测试转换)和知觉能力(即,方块设计)的表现与学习日历使用的核心步骤的训练持续时间显著相关。此外,线性回归显示,初始训练表现是训练持续时间的重要预测因素。最后,认知损伤的概况,包括记忆功能的严重程度和其他缺陷的存在,是影响学习应用技能所需训练次数的重要因素。

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