Text messages reduce memory failures in adults with brain injury: A single-case experimental design

Text messages reduce memory failures in adults with brain injury: A single-case experimental design
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DOI:
10.1177/0308022616640299
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发表时间:
2016-10-01
影响因子:
1.3
通讯作者:
Evans, Jonathan
Evans, Jonathan
中科院分区:
医学4区
文献类型:
--
作者:
Cruz, Gabriela;Petrie, Susan;Evans, Jonathan

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简介 本研究评估了低成本提醒系统在创伤性脑损伤后支持前瞻性记忆的功效,并确定了导致结果的因素。方法描述了两个跨活动具有多个基线的单案例实验设计。一名参与者出现中度至重度认知障碍,另一名则出现脑震荡后综合症。两人都报告了日常活动中的记忆问题。使用加拿大职业绩效衡量标准选择目标活动。参与者学习如何通过 Google 日历向手机发送提醒。结果 加拿大职业绩效衡量标准显示,他们对绩效和满意度的自我认知得到了改善。使用所有对的非重叠统计分析,大多数(但不是全部)目标活动显示出统计上显着的改善,非重叠范围从 47% 到 98%。需要根据每个参与者的活动和认知能力来调整提醒的使用,以便最大限度地发挥效益。结论提醒系统可以有效地提高日常生活常规活动的完成频率。为了提高无处不在的技术支持脑损伤后认知的有效性,应考虑与认知问题共存的几个因素。
Introduction This study evaluated the efficacy of a low-cost reminder system to support prospective memory after traumatic brain injury and identified factors that contributed to the outcome.Method Two single-case experimental designs with multiple baselines across activities are described. Participants presented moderate-to-severe cognitive impairments in one case and post-concussion syndrome in the other. Both reported memory problems in everyday activities. Target activities were selected using the Canadian Occupational Performance Measure. Participants were taught how to send reminders through Google Calendar to their mobile phones.Results The Canadian Occupational Performance Measure showed improved self-perception of performance and satisfaction levels. Using non-overlap of all pairs statistical analysis, most, but not all, target activities showed statistically significant improvement, with non-overlap ranging from 47% to 98%. Adjustments in the use of the reminders based on each participant's activities and cognitive abilities were required in order to maximise the benefits.Conclusion The reminder system was effective in increasing the frequency of completion of routine activities of daily living. To increase the effectiveness of ubiquitous technology in supporting cognition after brain injury, several factors co-existing with cognitive problems should be taken into account.