Reducing everyday memory and planning problems by means of a paging system: a randomised control crossover study
Reducing everyday memory and planning problems by means of a paging system: a randomised control crossover study
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通过分页系统减少日常记忆和计划问题：随机对照交叉研究
DOI：
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发表时间：
2001
影响因子：
11
通讯作者：
Jonathan Evans
中科院分区：
文献类型：
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作者：
B. Wilson;H. Emslie;Kirsten Quirk;Jonathan Evans
目的：评估一种旨在提高记忆问题和执行能力障碍患者独立性的寻呼系统。方法在一项成功的前期研究后，对143名年龄在8岁至83岁之间的人进行了一项随机对照试验，涉及交叉设计。所有人都有以下一项或多项问题：记忆、计划、注意力或组织问题。大多数人头部外伤或中风，尽管少数人有发育性学习困难或其他情况。交叉设计确保一些人在2周基线后收到寻呼机，而其他人则需要在基线后等待7周才能收到寻呼机。参与者在三个时间段进行评估，即基线、7周和基线后14周。结果：与基线期相比，超过80%完成16周试验的患者在使用寻呼机进行日常活动（如自我护理、自我用药和预约）方面明显更成功。对于大多数人来说，在归还寻呼机7周后进行监测时，他们的病情仍有显著改善。结论：这种特殊的寻呼系统显著减少了脑损伤患者的日常记忆和计划失败。
OBJECTIVES To evaluate a paging system designed to improve independence in people with memory problems and executive deficits. METHODS After a successful pilot study, a randomised control trial was conducted involving a crossover design with 143 people aged between 8 and 83 years. All had one or more of the following: memory, planning, attention, or organisation problems. Most had sustained a traumatic head injury or a stroke although a few had developmental learning difficulties or other conditions. The crossover design ensured that some people received a pager after a 2 week baseline whereas others were required to wait for 7 weeks after the baseline before receiving the pager. Participants were assessed at three time periods—namely, at baseline, 7 weeks, and at 14 weeks postbaseline. RESULTS More than 80% of those who completed the 16 week trial were significantly more successful in carrying out everyday activities (such as self care, self medication, and keeping appointments) when using the pager in comparison with the baseline period. For most of these, significant improvement was maintained when they were monitored 7 weeks after returning the pager. CONCLUSIONS This particular paging system significantly reduces everyday failures of memory and planning in people with brain injury.