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创伤性脑损伤青少年每周日程计划活动的初步验证。

Initial Validation of the Weekly Calendar Planning Activity With Adolescents With ABI.

机构信息

Saint Louis University, MO, USA.

Washington University in St. Louis School of Medicine, MO, USA.

出版信息

OTJR (Thorofare N J). 2022 Oct;42(4):305-314. doi: 10.1177/15394492221087191. Epub 2022 Apr 19.

Abstract

The purpose of this study was to assess the validity of the Weekly Calendar Planning Activity Middle/High School (WCPA) in adolescents with acquired brain injuries (ABI). We recruited neurotypical controls ( = 27) and adolescents with ABI ( = 14) to complete a 90-min battery of cognitive tests. Adolescents with ABI were further divided into mild and severe groups by Glasgow Coma Scale Score and compared with controls. Mann-Whitney tests revealed significant differences ( = .05) on the WCPA between groups in total time to complete and rules followed. Between the controls and severe group, a significant difference ( = .05) was found for total time spent, errors, rules followed, strategies used, and accurate appointments ( = .01). Moderate correlations were found between the WCPA and neuropsychological tests (ρ = .31-.45). The WCPA is a valid performance-based assessment of functional cognition that can be used to detect deficits in adolescents with severe ABI.

摘要

本研究旨在评估《每周日程规划活动(中学版)》(WCPA)在后天脑损伤青少年中的有效性。我们招募了神经典型对照组(n=27)和后天脑损伤组青少年(n=14),让他们完成 90 分钟的认知测试。根据格拉斯哥昏迷量表评分,将后天脑损伤组青少年进一步分为轻度和重度组,并与对照组进行比较。曼-惠特尼 U 检验显示,在总完成时间和遵守规则方面,各组之间在 WCPA 上存在显著差异(p=.05)。在对照组和重度组之间,总用时、错误、遵守规则、使用策略和准确约会方面存在显著差异(p=.05)。WCPA 与神经心理学测试之间存在中度相关性(ρ=.31-.45)。WCPA 是一种有效的基于表现的功能性认知评估方法,可用于检测严重后天脑损伤青少年的缺陷。

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