Fogel Yael
Ariel University, Israel.
Hong Kong J Occup Ther. 2025 Mar 27;38(1):33-40. doi: 10.1177/15691861251315120. eCollection 2025 Jun.
Adolescents with executive function deficits have difficulties performing complex daily tasks. Process-oriented dynamic testing with graded prompts training offers valuable insights to improve adolescents' thinking and performance abilities in occupational therapy interventions. This study explores the effectiveness of graded prompts training in improving performance during the Rey-Osterrieth Complex Figure (ROCF) task.
This secondary analysis included data from 41 adolescents with executive function deficit profiles who had participated in the therapeutic occupational therapy intervention program 'Functional Individualized Therapy for Teenagers'. Dynamic pre- and post-test phases, focused on copying and immediate recall, were assessed using accuracy, placement, and organization strategy scores.
Results indicate significant improvements following graded prompts training in copying and memory accuracy (67% and 180%), placement (49% and 237%), and organization strategy (66% and 99%). Positive correlations were observed between improved copying accuracy and organization, memory accuracy and organization, and copying and memory organization ( < .001).
Graded prompts training may improve the performance of adolescents with executive function deficits during complex tasks (e.g., ROCF). Future research should explore the training's long-term effects and applications in diverse clinical settings to validate further and expand these promising results. This training could become integral to therapeutic interventions for enhancing this population's daily functioning and overall well-being.
患有执行功能缺陷的青少年在执行复杂日常任务时存在困难。以过程为导向的动态测试与分级提示训练为职业治疗干预中提高青少年的思维和执行能力提供了有价值的见解。本研究探讨分级提示训练在改善雷伊-奥斯特里茨复杂图形（ROCF）任务表现方面的有效性。
这项二次分析纳入了41名具有执行功能缺陷特征的青少年的数据，他们参与了治疗性职业治疗干预项目“青少年功能个体化治疗”。使用准确性、位置和组织策略得分评估了专注于临摹和即时回忆的动态测试前和测试后阶段。
结果表明，分级提示训练后，在临摹和记忆准确性（分别提高67%和180%）、位置（分别提高49%和237%）以及组织策略（分别提高66%和99%）方面有显著改善。在临摹准确性与组织、记忆准确性与组织以及临摹与记忆组织之间观察到正相关（<.001）。
分级提示训练可能会提高患有执行功能缺陷的青少年在复杂任务（如ROCF）中的表现。未来的研究应探索该训练的长期效果及其在不同临床环境中的应用，以进一步验证并扩展这些有前景的结果。这种训练可能会成为增强这一人群日常功能和整体幸福感的治疗干预不可或缺的一部分。
