Computerized Cognitive Training in Children With Autism and Intellectual Disabilities: Feasibility and Satisfaction Study
Computerized Cognitive Training in Children With Autism and Intellectual Disabilities: Feasibility and Satisfaction Study
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DOI：
10.2196/mental.9564
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发表时间：
2018-05-25
影响因子：
5.2
通讯作者：
Schweitzer, Julie B.
中科院分区：
文献类型：
--
作者：
Benyakorn, Songpoom;Calub, Catrina A.;Schweitzer, Julie B.
背景资料：由于自闭症谱系障碍的治疗方法有限，研究人员对测试和开发针对自闭症谱系障碍患者的计算机化认知训练干预越来越感兴趣。了解测试认知干预的可行性，这一人群是至关重要的，特别是对个人与ASD谁有低到中等的智力capability.Objective：本研究的目的是评估的可行性计算认知培训作为衡量的损耗率和家长满意度调查。共招募了26名年龄在8-17岁之间的患有自闭症谱系障碍和严重智力障碍的参与者（平均年龄11.1岁）。他们被要求在教练的帮助下在5到6周内完成25次Cogmed工作记忆训练。结果：26名参加培训的学生中有25人（96%）完成了培训，对培训的满意度>88%。然而，在完成培训的参与者中，5名参与者（19%）无法在Cogmed推荐的6周培训期内完成。家长注意到各种积极的（例如，画外音）和负面（例如，与刺激相关的特定图形和声音）他们认为会影响孩子反应的游戏特征。结论：患有自闭症谱系障碍和智力障碍的儿童可以成功地参加计算机化认知训练干预，但可能需要额外的几周时间才能完成训练，而非智力障碍儿童所需的时间。损伤总体完成率很高，但完成培训的时间较长。针对这一人群的认知训练计划的开发者应该考虑到有关刺激的噪声水平和视觉图形特征的潜在问题。
Background: Researchers are increasingly interested in testing and developing computerized cognitive training interventions for individuals with autism spectrum disorder due to the limited accessibility of treatments for this disorder. Understanding the feasibility of testing cognitive interventions for this population is critical, especially for individuals with ASD who have low to moderate intellectual ability.Objective: The aim of the study was to evaluate the feasibility of computerized cognitive training as measured by attrition rate and a parent satisfaction survey.Methods: A total of 26 participants aged 8-17 years with an autism spectrum disorder diagnosis and significant intellectual impairment were enrolled (mean age 11.1 years). They were instructed to complete 25 sessions of Cogmed Working Memory Training in 5 to 6 weeks with coach assistance. Attrition rate and parent satisfaction surveys were measured after the completion of training.Results: Most participants (96%, 25/26) completed the training and indicated high satisfaction (>88%). However, among the participants who completed the training, 5 participants (19%) were unable to finish in 6 weeks, the recommended training period by Cogmed. Parents noted various positive (eg, voice-overs) and negative (eg, particular graphic and sounds associated with a stimulus) features of the game that they thought affected their child's response.Conclusions: Children with autism spectrum disorder and intellectual impairments can successfully participate in computerized cognitive training interventions but may require additional weeks to complete the training beyond the time needed for children without intellectual impairments. The overall completion rate, with extended time to complete the training, was high. Developers of cognitive training programs for this population should take into account potential issues regarding the noise level of stimuli and characteristics of the visual graphics.