Behavioral and cognitive predictors of educational outcomes in pediatric traumatic brain injury.
Behavioral and cognitive predictors of educational outcomes in pediatric traumatic brain injury.
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DOI：
10.1017/s1355617713000635
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发表时间：
2013-09
影响因子：
2.6
通讯作者：
Wade, Shari L.
中科院分区：
文献类型：
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作者：
Arnett, Anne B.;Peterson, Robin L.;Kirkwood, Michael W.;Taylor, H. Gerry;Stancin, Terry;Brown, Tanya M.;Wade, Shari L.
研究揭示了关于标准化认知和学术测试的效用的混合结果，以预测创伤性脑损伤（TBI）后青年的教育成果。然而，在儿童TBI后，日常学校成果的赤字是普遍的。目前的研究使用路径模型来检验这一假设，即父母对青少年与执行功能（EF）相关的日常行为的评分可以预测儿童TBI后的长期功能性教育结果，即使模型中包括损伤严重程度和患者人口统计学。此外，我们将EF行为评级的预测强度与普通的非文字记忆测量进行了对比。共招募了132名因中度至重度TBI住院的青少年参加随机临床干预试验。在受伤后6个月内测量EF评分和非文字记忆; 12个月后测量功能性教育结果。EF评分和言语记忆增加了伤害严重程度的预测受伤后的教育能力，但没有预测受伤后开始特殊教育。结果表明，EF行为的测量是一个重要的研究和临床工具，用于预测儿童TBI的功能结果。
Research reveals mixed results regarding the utility of standardized cognitive and academic tests to predict educational outcomes in youth following a traumatic brain injury (TBI). Yet, deficits in everyday school-based outcomes are prevalent after pediatric TBI. The current study used path modeling to test the hypothesis that parent ratings of adolescents’ daily behaviors associated with executive functioning (EF) would predict long-term functional educational outcomes following pediatric TBI, even when injury severity and patient demographics were included in the model. Furthermore, we contrasted the predictive strength of the EF behavioral ratings with that of a common measure of verbal memory. A total of 132 adolescents who were hospitalized for moderate to severe TBI were recruited to participate in a randomized clinical intervention trial. EF ratings and verbal memory were measured within 6 months of the injury; functional educational outcomes were measured 12 months later. EF ratings and verbal memory added to injury severity in predicting educational competence post injury but did not predict post-injury initiation of special education. The results demonstrated that measurement of EF behaviors is an important research and clinical tool for prediction of functional outcomes in pediatric TBI.