SPACED-RETRIEVAL--INTERVENTION FOR COGNITIVE IMPAIRMENT

间隔检索——认知障碍的干预

• 批准号: 2750752
• 负责人: Cameron J Camp
• 金额: $ 23.15万
• 依托单位: MENORAH PARK CENTER FOR SENIOR LIVING
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2750752
• 关键词: aging; behavioral /social science research tag; clinical research; communication disorders; dementia; human subject; human therapy evaluation; psychotherapy; speech therapy

DESCRIPTION (As Adapted from the Investigator's Abstract): The proposed project is a three-year study in which older adults with dementia will be trained to deal with communication problems using an intervention known as Spaced-Retrieval (SR). SR involves practice at successfully remembering target information and/or performing target behaviors at successively longer time intervals. In a pilot study conducted at Menorah Park Center for the Aging in Beachwood, Ohio, speech pathologists implemented SR training trials during natural breaks in regular speech therapy sessions and clients achieved additional goals without increasing therapy time. The proposed study seeks to determine if the positive effects of SR observed previously can be replicated in a controlled efficacy study with a larger sample across different ethnic groups and settings. The project will involve two research teams in different geographic areas, and will include 48 clients with dementia in metropolitan Cleveland, Ohio, and another 48 clients in Tallahassee, Florida. As in the pilot study, the treatment group will participate in SR training in the course of regular speech therapy, while the control group will undergo standard speech therapy only. Specific aims of the study are to assess the extent to which SR: 1 Increases treatment effectiveness for communication problems in persons with dementia during standard speech therapy sessions; 2) Results in qualitative improvement in therapy outcomes compared to standard therapy procedures; and 3) Enhances the maintenance and generalization of goals achieved during therapy. Participants will be assessed before therapy begins, and at posttest after one week and after four months. Treatment and control groups will be compared in terms of goal measures (e.g., number of therapy goals achieved, number of sessions required to reach therapy goals); process measures (e.g., number of sessions clients refuse to attend or to cooperate in, number of clients who terminate therapy prematurely); and, generalization measures (e.g., demonstration in real world contexts of abilities acquired in therapy, and their impact on clients' problem behaviors and quality of life. If implementing the SR intervention within the context of standard speech therapy sessions proves successful, additional therapeutic goals will be achieved without increasing length and costs, and the effectiveness of the SR intervention will be demonstrated across sites, therapists, and groups of persons with dementia.

说明(改编自《调查员摘要》)：拟议的项目 是一项为期三年的研究，在这项研究中，患有痴呆症的老年人将接受培训 使用一种称为 间隔检索(SR)。SR涉及到成功记住目标的练习 信息和/或以连续更长的时间执行目标行为 间隔时间。在梅诺拉公园老龄中心进行的一项试点研究中 俄亥俄州比奇伍德的言语病理学家在 在定期的言语治疗中自然休息，并实现客户 在不增加治疗时间的情况下实现额外的目标。拟议的研究旨在 确定之前观察到的SR的积极影响是否可以复制 在一项跨不同种族的大样本对照疗效研究中 组和设置。该项目将涉及两个不同的研究团队 地理区域，将包括大都市的48名痴呆症患者 俄亥俄州克利夫兰和佛罗里达州塔拉哈西的另外48家客户。如在 先导研究，治疗组将在课程中参加SR训练 常规语言治疗，而对照组将接受标准语言治疗 仅限治疗。这项研究的具体目标是评估SR在多大程度上： 1提高对患有以下疾病的人沟通问题的治疗效果 标准语言治疗期间的痴呆症；2)结果是定性的 与标准治疗程序相比，治疗结果有所改善；以及3) 加强维持和推广在治疗过程中实现的目标。 参与者将在治疗开始前接受评估，并在一人之后的后测中接受评估 一周和四个月后。治疗组和对照组将在 目标措施的条款(例如，已实现的治疗目标数量、 达到治疗目标所需的疗程)；过程措施(例如， 会话客户端拒绝参加或合作的客户端数 过早终止治疗)；以及推广措施(例如， 在现实世界中展示在治疗中获得的能力，以及 他们对客户的问题行为和生活质量的影响。如果实施 标准言语治疗课程背景下的SR干预 事实证明是成功的，没有其他治疗目标就能实现 增加的时间和成本，以及SR干预的有效性将 在不同地点、治疗师和痴呆症患者群体之间进行演示。