Clinician-delivered cognitive training for children with attention problems: effects on cognition and behavior from the ThinkRx randomized controlled trial.
Clinician-delivered cognitive training for children with attention problems: effects on cognition and behavior from the ThinkRx randomized controlled trial.
复制标题
DOI：
10.2147/ndt.s165418
复制
发表时间：
2018
影响因子：
3.2
通讯作者：
Ledbetter C
中科院分区：
文献类型：
--
作者：
Moore AL;Carpenter DM 2nd;Miller TM;Ledbetter C
注意力问题对学业和社会功能的影响，加上大量儿童对刺激性药物或行为疗法没有反应，使得认知训练等辅助疗法对注意力困难或儿童注意力缺陷多动障碍儿童的家庭和临床医生有吸引力。然而，认知训练研究的结果未能发现该人群的远转移效应。这项研究检查了临床医生对有注意力问题的儿童进行的认知训练计划的定量认知效果和家长报告的行为效果。我们采用随机对照研究设计，研究了临床医生提供的认知训练计划对有注意力问题的 8-14 岁学生 (n=13) 的处理速度、流畅推理、记忆、视觉处理、听觉处理、注意力、整体智商得分和行为的影响。参与者被随机分配到候补对照组或治疗组，接受 ThinkRx 的 60 小时认知训练，ThinkRx 是一种临床医生提供的干预措施，旨在通过每周至少 3 天的 60-90 分钟训练课程，通过类似游戏但严格的心理任务来针对多种认知技能。结果包括，与对照组相比，治疗组所有变量的平均测试前到测试后变化得分更高，在工作记忆、长期记忆、逻辑和推理、听觉处理和智商得分方面存在统计学显着差异。定性结果包括家长报告的信心、合作和自律方面的变化。有注意力问题的儿童在完成临床医生提供的 60 小时 ThinkRx 认知训练后，认知和行为均得到改善。
The impact of attention problems on academic and social functioning coupled with the large number of children failing to respond to stimulant medication or behavioral therapy makes adjunctive therapies such as cognitive training appealing for families and clinicians of children with attention difficulties or childhood attention deficit hyperactivity disorder. However, the results of cognitive training studies have failed to find far transfer effects with this population. This study examined the quantitative cognitive effects and parent-reported behavioral effects of a clinician-delivered cognitive training program with children who have attention problems. Using a randomized controlled study design, we examined the impact of a clinician-delivered cognitive training program on processing speed, fluid reasoning, memory, visual processing, auditory processing, attention, overall intelligence quotient score, and behavior of students (n=13) aged 8–14 years with attention problems. Participants were randomly assigned to either a waitlist control group or a treatment group for 60 hours of cognitive training with ThinkRx, a clinician-delivered intervention that targets multiple cognitive skills with game-like, but rigorous mental tasks in 60–90-minute training sessions at least 3 days per week. Results included greater mean pretest to posttest change scores on all variables for the treatment group versus the control group with statistically significant differences noted in working memory, long-term memory, logic and reasoning, auditory processing, and intelligence quotient score. Qualitative outcomes included parent-reported changes in confidence, cooperation, and self-discipline. Children with attention problems who completed 60 hours of clinician-delivered ThinkRx cognitive training realized both cognitive and behavioral improvements.