Rehabilitation Foundation, Helsinki, Finland.
Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
J Int Neuropsychol Soc. 2024 Mar;30(3):295-312. doi: 10.1017/S1355617723000565. Epub 2023 Sep 25.
The effectiveness of neuropsychological rehabilitation is supported by the evidence found in previous reviews, but there is a lack of research regarding the effectiveness of remotely conducted neuropsychological rehabilitation. This review aimed to identify and evaluate the results of studies investigating the effectiveness of teleneuropsychological rehabilitation.
Relevant articles were extracted from electronic databases and filtered to include studies published in 2016 or later to focus on recent practices. Data were synthesized narratively.
A total of 14 randomized controlled studies were included in the synthesis (9 for children/adolescents, 5 for adults). The most common type of intervention was computerized cognitive training with regular remote contact with the therapist (seven studies). Regarding children and adolescents, the evidence for the effectiveness was found only for these types of interventions with improvements in cognitive outcomes. The results regarding the family-centered interventions were mixed with improvements only found in psychosocial outcomes. No support was found for the effectiveness of interventions combining cognitive and motor training. Regarding adults, all included studies offered support for the effectiveness, at least to some extent. There were improvements particularly in trained cognitive functions. Long-term effects of the interventions with generalization to global functioning remained somewhat unclear.
Remote interventions focused on computerized cognitive training are promising methods within teleneuropsychological rehabilitation. However, their impact on long-term meaningful, everyday functioning remained unclear. More research is needed to reliably assess the effectiveness of teleneuropsychological interventions, especially with more comprehensive approaches.
先前的综述已经证实了神经心理康复的有效性，但远程神经心理康复的效果仍缺乏研究。本综述旨在确定和评估关于远程神经心理康复效果的研究结果。
从电子数据库中提取相关文章，并进行筛选，以纳入 2016 年或之后发表的研究，重点关注近期的实践。数据以叙述性方式进行综合。
共有 14 项随机对照研究被纳入综合分析（9 项针对儿童/青少年，5 项针对成年人）。最常见的干预类型是计算机化认知训练，并定期与治疗师进行远程联系（7 项研究）。对于儿童和青少年，仅在这些类型的干预措施中发现了认知结果改善的有效性证据。以家庭为中心的干预措施的结果喜忧参半，仅在心理社会结果方面有所改善。没有证据支持将认知和运动训练相结合的干预措施的有效性。对于成年人，所有纳入的研究都至少在某种程度上支持了干预措施的有效性。在训练有素的认知功能方面有明显的改善。干预措施的长期效果及其对整体功能的泛化仍然不太清楚。
专注于计算机化认知训练的远程干预是远程神经心理康复中很有前途的方法。然而，它们对长期有意义的日常功能的影响仍不清楚。需要更多的研究来可靠地评估远程神经心理干预的效果，特别是采用更全面的方法。
