Generating Attention, Inhibition, and Memory: A Pilot Randomized Trial for Preschoolers With Executive Functioning Deficits.
Generating Attention, Inhibition, and Memory: A Pilot Randomized Trial for Preschoolers With Executive Functioning Deficits.
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DOI：
10.1080/15374416.2016.1266645
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Halperin JM
中科院分区：
文献类型：
--
作者：
Tamm L;Epstein JN;Loren REA;Becker SP;Brenner SB;Bamberger ME;Peugh J;Halperin JM
这项研究的目的是评估以执行功能(EF)和亲子关系为目标的基于游戏的干预的初步可行性和有效性，并与积极控制组进行比较。有EF缺陷的学龄前儿童(男性=3.7±0.47，主要是白人男孩)和他们的父母被随机分为干预组(n=36)和积极对照组(n=32)。在基线、基线后3个月和6个月收集儿童在EF任务中的表现、家长和蒙面教师对EF和行为的评分，以及蒙面临床医生对严重程度的评分。比较两组的表现，部分ETA平方效应大小为0.02或更高，被认为是有意义的干预效果的证据，尽管影响很小。观察干预效果，包括家长对注意力不集中、多动/冲动的评分，以及在各种家庭情况下遇到的问题的数量/严重程度，教师对各种学校情况下的问题严重程度的评分，家长和教师对总体损害的评分，以及临床医生对损害的评分。在6个月的随访中，保持了功能改善的干预效果。尽管干预组儿童的父母情绪控制评分有所改善，但在客观EF测量上没有观察到干预效果。利用针对EF的游戏活动进行干预，当父母以结构化的方式实施时，是一种有希望的方法，可以改善有自我调节缺陷的学龄前儿童的行为。需要更多的工作来研究对EF的潜在影响，并解开作用机制。这可能是因为干预的重点是亲子互动的结构和质量，而不是改善的EFS。
This goal of this study was to assess the initial feasibility and efficacy of a play-based intervention targeting executive functions (EF) and parent–child relationships in preschoolers compared with an active control group. Preschoolers with EF deficits (M age = 3.7 ± 0.47, predominantly White boys) and their parents were randomized to intervention (n = 36) or active control (n = 32) conditions. Child performance on EF tasks, parent and masked teacher ratings of EF and behavior, and masked clinician ratings of severity were collected at baseline and at 3 and 6 months postbaseline. Partial eta-squared effect sizes at .02 or higher comparing performance across the two groups was considered evidence of meaningful, albeit small, intervention effects. Intervention effects were observed for parent ratings of inattention, hyperactivity/impulsivity, and number/severity of problems experienced in various home situations, teacher ratings of severity of problems in various school situations, parent and teacher ratings of overall impairment, and clinician ratings of impairment. Intervention effects for functional improvements were maintained at the 6-month follow-up. No effect of the intervention was observed on the objective EF measures, although parent ratings of emotional control were improved for children in the intervention group. An intervention utilizing play-based activities targeting EF, when administered in a structured way by parents, is a promising approach for improving behavior in preschoolers with self-regulation deficits. More work is needed to investigate potential impact on EF and to disentangle mechanisms of action. It may be that the intervention's focus on the structure and quality of parent–child interactions is a mediator of outcomes, rather than improved EFs.
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DOI：
10.1111/j.1469-7610.2007.01811.x
发表时间：
2007-10-01
影响因子：
7.6
作者：
Brocki, Karin C.;Nyberg, Lilianne;Bohlin, Gunilla
通讯作者：
Bohlin, Gunilla
影响因子：
2
作者：
Chang, Hyein;Shaw, Daniel S.;Wilson, Melvin N.
通讯作者：
Wilson, Melvin N.
影响因子：
4.6
作者：
DELOACHE, JS;SUGARMAN, S;BROWN, AL
通讯作者：
BROWN, AL
影响因子：
3.6
作者：
Chang, Hyein;Olson, Sheryl L.;Sameroff, Arnold J.;Sexton, Holly R.
通讯作者：
Sexton, Holly R.
影响因子：
4.6
作者：
Bernier, Annie;Carlson, Stephanie M.;Whipple, Natasha
通讯作者：
Whipple, Natasha