Relationship between Self-Administered Cues and Rehabilitation Outcomes in Individuals with Aphasia: Understanding Individual Responsiveness to a Technology-Based Rehabilitation Program
Relationship between Self-Administered Cues and Rehabilitation Outcomes in Individuals with Aphasia: Understanding Individual Responsiveness to a Technology-Based Rehabilitation Program
复制标题
DOI：
10.3389/fnhum.2017.00007
复制
发表时间：
2017-02-01
影响因子：
2.9
通讯作者：
Kiran, Swathi
中科院分区：
文献类型：
--
作者：
Des Roches, Carrie A.;Mitko, Annette;Kiran, Swathi
在计算机或平板电脑上进行康复的一个优点是任务可以自我管理，并且可以监控完成任务所需的提示。尽管提示的类型有很多种，但很少有研究探讨参与者对康复的反应如何受到自我管理提示的影响，自我管理的提示是始终可用的提示，但由个人决定何时以及使用哪种提示。在这项研究中，参与者接受了基于平板电脑的康复治疗，其中的任务是自定进度的，并由临床医生远程监控。这项研究的有效性结果已于之前发表（Des Roches et al., 2015）。目前的研究着眼于线索对准确性和康复结果的影响。 51 名失语症患者使用 iPad 上的 Constant Therapy 完成了为期 10 周的项目，旨在改善语言和认知缺陷。审查了三个问题。第一个研究检查了线索对准确性的影响随着时间的推移而崩溃。结果显示，提示使用越多，准确性就越低，尽管一些参与者表现出相反的效果。该分析根据提示的使用和准确性将参与者分为不同的类型。第二个问题检查了每个配置文件在线索使用百分比和基线标准化测量方面有何不同。结果显示，四种情况在 WAB-R、CLQT、BNT 和 ASHA-FACS 上的提示频率和分数上存在显着差异，这表明标准化测试得分较低的参与者使用较高百分比的提示，这是无益的，而标准化测试得分较高的参与者使用较低频率的提示是有益的。第三个问题考察了治疗过程如何影响线索和准确性之间的关系。结果显示，随着时间的推移，严重程度较高和较不严重的参与者都显示出线索使用的减少和准确性的增加，尽管较严重的参与者继续使用更多的线索。自我管理的暗示有可能帮助一些人获取原本无法获取的信息，即使不会立即产生效果。最终，结果表明需要在康复期间单独调整援助水平。
An advantage of rehabilitation administered on computers or tablets is that the tasks can be self-administered and the cueing required to complete the tasks can be monitored. Though there are many types of cueing, few studies have examined how participants response to rehabilitation is influenced by self-administered cueing, which is cueing that is always available but the individual decides when and which cue to administer. In this study, participants received a tablet-based rehabilitation where the tasks were selfpaced and remotely monitored by a clinician. The results of the effectiveness of this study were published previously (Des Roches et al., 2015). The current study looks at the effect of cues on accuracy and rehabilitation outcomes. Fifty-one individuals with aphasia completed a 10-week program using Constant Therapy on an iPad targeted at improving language and cognitive deficits. Three questions were examined. The first examined the effect of cues on accuracy collapsed across time. Results showed a trend where the greater the cue use, the lower the accuracy, although some participants showed the opposite effect. This analysis divided participants into profiles based on cue use and accuracy. The second question examined how each profile differed in percent cue use and on standardized measures at baseline. Results showed that the four profiles were significantly different in frequency of cues and scores on WAB-R, CLQT, BNT, and ASHA-FACS, indicating that participants with lower scores on the standardized tests used a higher percentage of cues, which were not beneficial, while participants with higher scores on the standardized tests used a lower frequency of cues, which were beneficial. The third question examined how the relationship between cues and accuracy was affected by the course of treatment. Results showed that both more and less severe participants showed a decrease in cue use and an increase in accuracy over time, though more severe participants continued to used a greater number of cues. It is possible that self-administered cues help some individuals to access information that is otherwise inaccessible, even if there is not an immediate effect. Ultimately, the results demonstrate the need for individually modifying the levels of assistance during rehabilitation.