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新冠疫情后支持儿童认知的数字干预:一项试点试验。

A digital intervention to support childhood cognition after the COVID-19 pandemic: a pilot trial.

机构信息

School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia.

Faculty of Education, Monash University, Melbourne, VIC, Australia.

出版信息

Sci Rep. 2024 Jun 18;14(1):14065. doi: 10.1038/s41598-024-63473-2.


DOI:10.1038/s41598-024-63473-2
PMID:38890384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11189556/
Abstract

Difficulties in executive functioning (EF) can result in impulsivity, forgetfulness, and inattention. Children living in remote/regional communities are particularly at risk of impairment in these cognitive skills due to reduced educational engagement and poorer access to interventions. This vulnerability has been exacerbated by the COVID-19 pandemic and strategies are needed to mitigate long-term negative impacts on EF. Here we propose a pilot trial investigating the benefits, feasibility, and acceptability of a school-based EF intervention for primary school students (6-8 years) living in regional, developmentally vulnerable, and socio-economically disadvantaged communities. Students were randomised to a digital intervention or teaching as usual, for 7 weeks. Children completed measures of EF and parents/educators completed ratings of everyday EF and social/emotional wellbeing at pre-intervention, post-intervention, and 3-month follow-up. Change in EFs (primary outcome), everyday EF, and social/emotional wellbeing (secondary outcomes) from pre- to post-intervention and pre-intervention to 3-month follow-up were examined. Feasibility and acceptability of the intervention was assessed through educator feedback and intervention adherence.Protocol Registration: The stage 1 protocol for this Registered Report was accepted in principle on 20 April 2023. The protocol, as accepted by the journal, can be found at: https://doi.org/10.17605/OSF.IO/WT3S2 . The approved Stage 1 protocol is available here: https://osf.io/kzfwn .

摘要

执行功能(EF)困难可导致冲动、健忘和注意力不集中。由于受教育程度降低以及获得干预措施的机会减少,生活在偏远/地区社区的儿童在这些认知技能受损的风险特别高。这种脆弱性因 COVID-19 大流行而加剧,因此需要采取策略来减轻对 EF 的长期负面影响。在这里,我们提出了一项试点试验,研究针对生活在地区、发育脆弱和社会经济劣势社区的小学生(6-8 岁)的基于学校的 EF 干预措施的益处、可行性和可接受性。学生被随机分配到数字干预组或常规教学组,进行 7 周的干预。在干预前、干预后和 3 个月随访时,儿童完成 EF 测量,家长/教育者完成日常 EF 和社会/情绪健康的评定。从干预前到干预后以及从干预前到 3 个月随访,检查 EF 的变化(主要结局)、日常 EF 和社会/情绪健康(次要结局)。通过教育者反馈和干预依从性评估干预的可行性和可接受性。方案注册:本注册报告的第 1 阶段方案于 2023 年 4 月 20 日原则上被接受。该方案在期刊上的接受版本可在以下网址找到:https://doi.org/10.17605/OSF.IO/WT3S2。 这里提供了经过批准的第 1 阶段方案:https://osf.io/kzfwn。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/badf/11189556/87e0279c9e2c/41598_2024_63473_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/badf/11189556/74f3f72eb16b/41598_2024_63473_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/badf/11189556/87e0279c9e2c/41598_2024_63473_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/badf/11189556/74f3f72eb16b/41598_2024_63473_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/badf/11189556/87e0279c9e2c/41598_2024_63473_Fig2_HTML.jpg

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本文引用的文献

[1]
Why doesn't executive function training improve academic achievement? Rethinking individual differences, relevance, and engagement from a contextual framework.

J Cogn Dev. 2023

[2]
Computerized cognitive training in attention-deficit/hyperactivity disorder (ADHD): a meta-analysis of randomized controlled trials with blinded and objective outcomes.

Mol Psychiatry. 2023-4

[3]
Executive function and mathematics in preschool children: Training and transfer effects.

J Exp Child Psychol. 2023-8

[4]
Editorial Perspective: When to start de-implementation of interventions: the case of cognitive training for children with ADHD.

J Child Psychol Psychiatry. 2023-9

[5]
Developmental trajectories of executive functions from preschool to kindergarten.

Dev Sci. 2022-9

[6]
Learning loss during Covid-19: An early systematic review.

Prospects (Paris). 2022

[7]
OSARI, an Open-Source Anticipated Response Inhibition Task.

Behav Res Methods. 2022-6

[8]
A preliminary randomized, controlled trial of executive function training for children with autism spectrum disorder.

Autism. 2022-2

[9]
Promoting EF With Preschool Interventions: Lessons Learned From 15 Years of Conducting Large-Scale Studies.

Front Psychol. 2021-6-24

[10]
Learning loss due to school closures during the COVID-19 pandemic.

Proc Natl Acad Sci U S A. 2021-4-27

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