Uncovering Key Elements of an Executive Functioning Intervention in Adolescents: Epilepsy Journey.
Uncovering Key Elements of an Executive Functioning Intervention in Adolescents: Epilepsy Journey.
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DOI：
10.1037/cpp0000410
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发表时间：
2022-06
影响因子：
1.1
通讯作者：
Modi, Avani C
中科院分区：
文献类型：
--
作者：
Gutierrez-Colina, Ana M;Clifford, Lisa;Wade, Shari L;Modi, Avani C
量身定制的执行功能（EF）干预措施在多大程度上导致癫痫青少年其他功能领域的改善尚不清楚。青年人在有针对性的干预措施中选择练习EF技能的问题类型尚未记录在案。本研究旨在系统地评估：1）在针对癫痫青年的EF干预期间选择的EF问题和策略，以及2）针对选择在这些领域练习EF技能的亚组的特定问题的定制干预的影响。我们对一项针对青少年癫痫患者定制的基于网络的EF干预的概念验证临床试验进行了次要数据分析。包括基线和干预后2个月的问卷调查数据。开发了一个编码系统，以确定青少年在治疗过程中针对的问题域。描述性统计和配对样本t检验被用来检查是否青少年谁确定特定EF问题改善特定领域。编码揭示了八个领域：学术，日常生活活动，家庭，社会，坚持，健康习惯/自我护理，睡眠和情绪/压力。对于那些将EF技能应用于这些领域的人来说，在“学术”，“情绪/压力”和“睡眠”领域有显着改善。量身定制的EF干预措施，如癫痫之旅，不仅与广泛的EF技能的改善有关，而且与青少年认为重要的功能领域的改善有关。临床上，当青少年直接将EF技能应用于他们认为最突出的问题时，EF技能可能会更有效地学习。ClinicalTrials.gov：NCT02925663
The extent to which tailored executive functioning (EF) interventions lead to improvements in other areas of functioning in adolescents with epilepsy is unknown. The types of problems that youth select to practice EF skills during tailored interventions has not been documented. This study aimed to systematically evaluate: 1) the EF problems and strategies selected during a tailored EF intervention for youth with epilepsy, and 2) impact of a tailored intervention on specific problems for subgroups who choose to practice EF skills in those areas. We conducted secondary data analyses of a proof-of-concept clinical trial of a tailored web-based EF intervention for youth with epilepsy. Baseline and 2-months post-intervention questionnaire data were included. A coding system was developed to identify the problem domains that adolescents targeted during treatment. Descriptive statistics and paired sample t-tests were used to examine whether adolescents who identified specific EF problems improved on specific domains. Coding revealed eight domains: Academics, Activities of Daily Living, Family, Social, Adherence, Healthy Habits/Self-care, Sleep, and Emotion/Stress. Significant improvements were noted on “Academics,” “Emotion/Stress,” and “Sleep” domains for those who applied EF skills to those domains. Tailored EF interventions such as Epilepsy Journey are related not only to improvements in broad EF skills, but also to improvements across areas of functioning that adolescents identify as important. Clinically, EF skills may be more effectively learned when adolescents directly apply EF skills to the problems they identify as most salient. ClinicalTrials.gov: NCT02925663