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Goal management training for improving fatigue in children and adolescents with acquired brain injuries: A 2-year follow-up of a randomised controlled trial. 改善后天性脑损伤儿童和青少年疲劳状况的目标管理训练:随机对照试验的两年随访。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-07 DOI: 10.1080/09602011.2024.2353395
Hanna Lovise Sargénius, Ruth Elizabeth Hypher, Torun Gangaune Finnanger, Anne Elisabeth Brandt, Stein Andersson, Kari Risnes, Torstein Baade Rø, Jan Egil Stubberud

To explore the long-term effectiveness of a paediatric adaptation of Goal Management Training (pGMT), relative to a psychoeducative program (pBHW), in reducing fatigue after pABI 2 years post-intervention. Thirty-eight youths and their parents completed the Paediatric Quality of Life - Multidimensional Fatigue Scale. Primary outcome measures were Total Fatigue Score, General fatigue, Cognitive fatigue, and Sleep/rest fatigue (parent-report). No significant differences in fatigue symptoms by the parental report was observed between the intervention groups at the 2-year follow-up (total score: F = .16, p = .69; general fatigue: F = .36, p = .55; sleep/rest: F = .48, p = .49; and cognitive fatigue: F = .09, p = .76), nor any time*group interactions (total score: F = .25, p = .86; general fatigue: F = .39, p = .76; sleep/rest: F = .20, p = .89; and cognitive fatigue: F = .08, p = .97). In total, 45% of the participants in the pGMT group and 25% in the pBHW group demonstrated a reliable positive clinical change. The significant improvements in fatigue symptoms that were demonstrated 6 months post-intervention could not be confirmed in this 2-year follow-up study. However, a continued positive tendency on most dimensions of fatigue for the participants in the pGMT group could be observed, suggesting that cognitive rehabilitation may help reduce fatigue.

目的:探讨儿科目标管理训练(pGMT)与心理教育计划(pBHW)相比,在减少儿童脑损伤干预两年后的疲劳方面的长期有效性。38 名青少年及其家长完成了儿科生活质量多维疲劳量表。主要结果指标包括疲劳总分、一般疲劳、认知疲劳和睡眠/休息疲劳(家长报告)。在为期两年的随访中,根据家长的报告,干预组之间的疲劳症状无明显差异(总分:F = .16,p = .0):F = .16,p = .69;一般疲劳:F = .36,p = .55;睡眠/休息:F = .48,p = .49;认知疲劳:F = .09,p = .76),也没有任何时间*组间的交互作用(总分:总分:F = .25,p = .86;一般疲劳:F = .39,p = .86:F = .39,p = .76;睡眠/休息:F = .20,p = .89;认知疲劳:F = .08,p = .97)。总共有 45% 的 pGMT 组参与者和 25% 的 pBHW 组参与者表现出了可靠的积极临床变化。干预后 6 个月疲劳症状的明显改善在为期 2 年的随访研究中未能得到证实。不过,可以观察到 pGMT 组的参与者在疲劳的大多数维度上都有持续的积极趋势,这表明认知康复可能有助于减轻疲劳。
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引用次数: 0
Rebuilding the self through valued action and group connections after acquired brain injury: Participant perspectives of the VaLiANT group intervention. 后天性脑损伤后通过有价值的行动和团体联系重建自我:VaLiANT 小组干预的参与者观点。
IF 2.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-05 DOI: 10.1080/09602011.2024.2359992
Nick Sathananthan, Eric Morris, David Gillanders, Roshan das Nair, Lucy Knox, Dana Wong

Effective interventions that facilitate adjustment following acquired brain injury (ABI) are needed to improve long-term outcomes and meaningful reengagement in life. VaLiANT is an 8-week group intervention that combines cognitive rehabilitation with Acceptance and Commitment therapy to improve valued living, wellbeing, and adjustment. This study explored participant experiences of VaLiANT to optimize its ongoing development. This included characterization of individually meaningful treatment outcomes, mechanisms of action, and intervention acceptability. Qualitative interviews and quantitative ratings were collected from 39 ABI survivors (Mage = 52, SD = 15; 54% stroke) following their participation in VaLiANT. Participants reported diverse outcomes which resulted in three themes being generated following reflexive thematic analysis. "A fuller toolkit for life with brain injury" indicated increased strategy usage and better daily functioning; "The value of connection and belonging" captured the importance of social experiences in shaping recovery; and "Finding the me I can be" represented cognitive, behavioural, and emotional aspects of identity reconstruction post-ABI. The content and delivery of the intervention were rated highly but participants desired greater follow-up and tailoring of the intervention. Overall, VaLiANT appears to facilitate adjustment through several mechanisms, but greater intervention individualization and dosage may be required to enhance the treatment impact.

后天性脑损伤(ABI)后需要有效的干预措施来促进适应,以改善长期疗效和有意义地重新参与生活。VaLiANT 是一项为期 8 周的小组干预措施,它将认知康复与接纳与承诺疗法相结合,以改善有价值的生活、福祉和适应。本研究探讨了参与者对 VaLiANT 的体验,以优化其持续发展。这包括对有个体意义的治疗结果、作用机制和干预可接受性的描述。研究收集了 39 名 ABI 幸存者(年龄 = 52,SD = 15;54% 中风)参与 VaLiANT 后的定性访谈和定量评分。参与者报告了不同的结果,经过反思性主题分析,产生了三个主题。"脑损伤生活工具包 "表明了策略使用的增加和日常功能的改善;"联系和归属的价值 "体现了社会经验在塑造康复过程中的重要性;"找到可以成为的我 "代表了脑损伤后身份重建的认知、行为和情感方面。干预的内容和实施都得到了很高的评价,但参与者希望能有更多的跟进和更有针对性的干预。总的来说,VaLiANT 似乎可以通过多种机制促进适应,但可能需要更多的干预个性化和剂量来提高治疗效果。
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引用次数: 0
The contribution of executive functions to the process of return to work after brain injury: A systematic review. 执行功能对脑损伤后重返工作岗位过程的贡献:系统回顾。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2023-07-10 DOI: 10.1080/09602011.2023.2224031
Álvaro Aliaga, María José Bracho, Matías Romero, María José Saldías, Ximena Jofré, Christian Salas

Acquired brain injury (ABI) is a worldwide public health issue for its high prevalence rate and the disability it produces. The consequences of ABI, including cognitive deficits, may impact return to work. This review focuses on the association between executive functions (EFs) and return to work after ABI. A systematic review of the literature between 1998 and 2023 was conducted following PRISMA guidelines. The articles were retrieved from the Pubmed, Medline and Web of Science databases. A total of 49 studies were finally selected. Impairments of EF were consistently shown to have a negative impact on return to work after an ABI. There is evidence that specific executive functions and neurobehavioral variables may affect return to work Studies showed a significant theoretical and methodological heterogeneity, representing an important limitation to understand the relation between EFs and work. There is a robust association between EFs and return to work after brain injury. Findings in this systematic review raise the need for further research on the role of specific EF profiles in the process of returning to work after brain damage.

获得性脑损伤(ABI)是一个世界性的公共卫生问题,因其发病率高且造成残疾。包括认知障碍在内的后遗症可能会影响重返工作岗位。本综述重点研究执行功能(EFs)与脑损伤后重返工作岗位之间的关系。我们按照 PRISMA 指南对 1998 年至 2023 年间的文献进行了系统性回顾。文章检索自 Pubmed、Medline 和 Web of Science 数据库。最终共筛选出 49 项研究。研究一致表明,EF 受损会对缺血性脑损伤后重返工作岗位产生负面影响。有证据表明,特定的执行功能和神经行为变量可能会影响重返工作岗位 研究显示,在理论和方法上存在显著的异质性,这对于理解EF与工作之间的关系是一个重要的限制。脑损伤后,EFs 与重返工作之间存在密切联系。本系统综述的研究结果表明,有必要进一步研究特定的 EF 特征在脑损伤后重返工作岗位过程中的作用。
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引用次数: 0
Validation of a Persian version of an English language ecologically-valid assessment of executive functions through childhood and adolescence. 从生态学角度对儿童和青少年时期的执行功能进行评估的波斯语版本的验证。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2023-07-31 DOI: 10.1080/09602011.2023.2236351
Elham Eskandari, Ashok S Jansari, Mahdi Bagheri

Childhood and adolescence are pivotal periods for cognitive development. Executive functions are crucial for efficient cognitive functioning, so accurate assessment is important. One ecologically-valid virtual reality test is the Jansari assessment of Executive Functions for Children (JEF-C©). In a cross-sectional study, we aimed at translating, adapting and validating JEF-C into Persian, and at investigating whether this Persian version (JEF-C (P)) can identify stages of development of executive functions in children aged from 8 to 16. Children and adolescents (N = 146) falling into three age groups participated: 8-10, 11-13 and 14-16 years old. They completed JEF-C (P) and the Wisconsin Card Sorting Test (WCST). There were acceptable Cronbach's alpha coefficients for JEF-C(P) total score (α = .72) and all constructs, except action-based prospective memory, had a positive impact on total internal consistency. There was an effect of age group on overall JEF-C (P) performance and of age on four constructs. There was also a correlation between the number of categories on WCST and the prioritization construct of JEF-C (P). It seems that JEF-C (P) is an ecologically valid executive function assessment sensitive to age and could be useful for both researchers and clinicians working with children.

儿童和青少年时期是认知发展的关键时期。执行功能是高效认知功能的关键,因此准确的评估非常重要。儿童执行功能詹萨里评估(JEF-C©)是一种经过生态验证的虚拟现实测试。在一项横断面研究中,我们旨在将 JEF-C 翻译、改编和验证为波斯语,并研究该波斯语版本(JEF-C (P))是否能识别 8 至 16 岁儿童的执行功能发展阶段。参与研究的儿童和青少年(146 人)分为三个年龄组:分别为 8-10 岁、11-13 岁和 14-16 岁。他们完成了 JEF-C (P) 和威斯康星卡片分类测试 (WCST)。JEF-C(P)总分的Cronbach's α系数(α = .72)是可以接受的,除基于动作的前瞻性记忆外,所有建构都对总的内部一致性有积极影响。年龄组对 JEF-C (P)总成绩有影响,年龄对四个构念有影响。此外,WCST 的类别数量与 JEF-C (P) 的优先顺序构念之间也存在相关性。由此看来,JEF-C (P)是一种对年龄敏感的生态有效的执行功能评估,对研究人员和从事儿童工作的临床医生都很有用。
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引用次数: 0
Classification Of MeMory InTerventions: Rationale and developmental process of the COMMIT tool. 记忆干预分类:COMMIT工具的原理和开发过程。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2023-07-31 DOI: 10.1080/09602011.2023.2236346
Michelle G Jansen, Joukje M Oosterman, Ann-Kristin Folkerts, Digo Chakraverty, Roy P C Kessels, Elke Kalbe, Mandy Roheger

ABSTRACTOver the last decades, numerous memory interventions have been developed to mitigate memory decline in normal ageing. However, there is a large variability in the success of memory interventions, and it remains poorly understood which memory intervention programs are most effective and for whom. This is partially explained by the heterogeneity of memory intervention protocols across studies as well as often poor reporting of the study design. To facilitate a reporting framework that enables researchers to systemize the content and design of memory intervention paradigms, we developed the Classification Of MeMory InTerventions (COMMIT) tool using a 3-stage developmental process. Briefly, COMMIT was based on qualitative content analysis of already existing memory intervention studies published between April 1983 and July 2020, and iteratively validated by both internal and external expert panels. COMMIT provides an easily-applicable interactive tool that enables systematic description of memory intervention studies, together with instructions on how to use this classification tool. Our main goal is to provide a tool that enables the reporting and classification of memory interventions in a transparent, comprehensible, and complete manner, to ensure a better comparability between memory interventions, and, to ultimately contribute to the question which memory intervention shows the greatest benefits.

摘要在过去的几十年里,人们开发了许多记忆干预方法来缓解正常老龄化过程中的记忆衰退。然而,记忆干预措施的成功与否存在很大差异,人们对哪些记忆干预方案最有效以及对哪些人最有效仍然知之甚少。造成这种情况的部分原因是,不同研究中的记忆干预方案存在差异,而且研究设计的报告往往不完善。为了建立一个报告框架,使研究人员能够系统化记忆干预范例的内容和设计,我们开发了 "记忆干预分类(COMMIT)"工具,该工具分为三个发展阶段。简而言之,COMMIT 是在对 1983 年 4 月至 2020 年 7 月间发表的现有记忆干预研究进行定性内容分析的基础上开发的,并经过内部和外部专家小组的反复验证。COMMIT 提供了一个易于应用的交互式工具,可对记忆干预研究进行系统描述,并附有如何使用这一分类工具的说明。我们的主要目标是提供一种工具,以透明、易懂和完整的方式对记忆干预进行报告和分类,确保记忆干预之间具有更好的可比性,并最终有助于解决哪种记忆干预能带来最大益处的问题。
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引用次数: 0
Virtual reality-based attention training in patients with neurological damage: A pilot study. 基于虚拟现实的神经损伤患者注意力训练:试点研究
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2023-07-19 DOI: 10.1080/09602011.2023.2236349
Lukas Lorentz, Kristina Müller, Boris Suchan

Virtual Reality has been shown to be a valid tool to assess cognitive functions in an ecologically valid way. However, evidence regarding its effectiveness as a treatment option for cognitive rehabilitation has been limited. Furthermore, its potential to facilitate the transfer of training effects to patients' everyday life is still poorly studied. This study aimed to evaluate the efficacy of a VR-based attention training and its transfer to attentional functioning in everyday life. Nineteen inpatients with neurological disorders and attentional deficits underwent daily 30-min VR training sessions over a two-week period. Attentional functions were assessed before and after the training period using several computerized tests, two self-constructed behavioral tasks, and a questionnaire assessing patients' subjective attentional functioning. Pre-Post-analyses show significant decreases in reaction times in the computerized alertness and selective attention tests. Transfer to the behavioral tasks and self-report data could not be observed. Despite the specificity of the changes, confounding effects cannot entirely be ruled out due to the lack of a control group. Results suggest that training was effective in improving attentional functioning along neuropsychological measures, but did not elicit transfer to an ecologically valid or subjective level. Implications for the future development of VR interventions are discussed.

虚拟现实技术已被证明是以生态学方式评估认知功能的有效工具。然而,有关其作为认知康复治疗选择的有效性的证据却很有限。此外,关于虚拟现实技术能否促进训练效果在患者日常生活中的转化,目前的研究还很少。本研究旨在评估基于 VR 的注意力训练的效果及其对日常生活中注意力功能的影响。19 名患有神经系统疾病和注意力缺陷的住院病人在两周内每天接受了 30 分钟的 VR 训练。在训练前后,使用几种计算机化测试、两项自我构建的行为任务和一份评估患者主观注意力功能的问卷对患者的注意力功能进行了评估。前后分析表明,在计算机化的警觉性和选择性注意力测试中,反应时间明显减少。但在行为任务和自我报告数据中却无法观察到这种变化。尽管这些变化具有特异性,但由于缺乏对照组,因此不能完全排除混杂效应。结果表明,训练能有效改善神经心理学测量中的注意力功能,但并没有在生态学或主观层面上产生迁移。本文讨论了虚拟现实干预对未来发展的影响。
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引用次数: 0
Psychological distress and gender predict cognitive complaint after adult civilian mild traumatic brain injury in pre-morbidly healthy adults. 心理困扰和性别可预测病前健康成年人在成年平民轻度脑外伤后的认知抱怨。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2023-07-26 DOI: 10.1080/09602011.2023.2236348
Arielle M Levy, Michael M Saling, Jacqueline F I Anderson

Subjective cognitive symptoms are common after mild traumatic brain injury (mTBI), and are associated with important outcome factors including return to work. This study examined self-reported cognitive symptoms in mTBI and trauma controls (TCs), and explored psychological distress and gender as predictors of these symptoms. Pre-morbidly healthy adults with mTBI (n = 68) and general trauma (n = 40) were prospectively recruited from inpatient hospital wards and assessed 6-10 weeks post-injury. Primary measures included self-reported cognitive symptoms, post-concussion symptoms, and psychological distress. Groups were matched on all background variables, including objective cognitive performance. Within this context, subjective cognitive symptoms were significantly elevated after mTBI relative to TCs (t= 3.396, p = .001). In contrast, there was no difference in post-concussion symptoms between groups (t= 1.275, p = .206). Psychological distress (β = .536, p < .001) and gender (β = .253, p = .012) predicted subjective cognitive symptoms in mTBI, with females and those with higher distress reporting greater symptoms. Unlike general post-concussion symptoms, subjective cognitive symptoms were elevated after mTBI relative to TCs, suggesting that mTBI-specific factors underly this elevation. Females and individuals with high psychological distress are important subgroups to consider for potential intervention following mTBI.

主观认知症状在轻度创伤性脑损伤(mTBI)后很常见,并与包括重返工作岗位在内的重要结果因素相关。本研究调查了轻微创伤性脑损伤患者和创伤对照组(TCs)自我报告的认知症状,并探讨了心理困扰和性别对这些症状的预测作用。研究人员前瞻性地从医院住院病房招募了患有 mTBI(68 人)和一般创伤(40 人)的病前健康成人,并在伤后 6-10 周进行了评估。主要测量指标包括自我报告的认知症状、脑震荡后症状和心理困扰。各组的所有背景变量(包括客观认知表现)均匹配。在这种情况下,相对于脑震荡患者,创伤后脑震荡患者的主观认知症状明显升高(t = 3.396,p = .001)。相比之下,组间脑震荡后症状没有差异(t = 1.275,p = .206)。心理困扰(β = .536,p β = .253,p = .012)可预测 mTBI 患者的主观认知症状,女性和心理困扰程度较高的人报告的症状更严重。与一般脑震荡后症状不同的是,mTBI 后的主观认知症状相对于脑震荡后症状有所升高,这表明mTBI 的特异性因素是主观认知症状升高的基础。女性和心理压力大的人是mTBI后可能进行干预时需要考虑的重要亚群。
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引用次数: 0
Motivation and music interventions in adults: A systematic review. 成人动机与音乐干预:系统回顾。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2023-06-21 DOI: 10.1080/09602011.2023.2224033
Theo Dimitriadis, Delia Della Porta, Johanna Perschl, Andrea W M Evers, Wendy L Magee, Rebecca S Schaefer

ABSTRACTMusic is increasingly used in a wide array of settings, from clinical recovery to sports or well-being interventions. Motivation related to music is often considered as a possible working mechanism for music to facilitate these processes, however this has not previously been systematically evaluated. The current systematic review considered studies that involved music (therapy) interventions, together with motivation-related measures such as wanting to practise, liking the musical activities, or patient adherence to an intervention. Our objective was to examine whether music is related to increased motivation in task performance and/or rehabilitation settings, and whether this is in turn related to better clinical or training outcomes. Seventy-nine studies met the inclusion criteria, the majority of which (85%) indicated an increased level of motivation with music as compared to without. Moreover, in those studies where motivation was increased, clinical or other outcomes were improved in most cases (90%). These results support the notion of motivation as an underlying mechanism of music-based interventions, but more robust evidence is needed to ascertain which mechanisms are crucial in increasing motivation from a behavioural, cognitive, and neurobiological point of view, as well as how motivational mechanisms relate to other factors of effectiveness in music-based paradigms.

摘要从临床康复到体育或健康干预,音乐越来越多地被用于各种场合。与音乐相关的动机通常被认为是音乐促进这些过程的一种可能的工作机制,但此前尚未对此进行过系统评估。当前的系统性综述考虑了涉及音乐(治疗)干预的研究,以及与动机相关的衡量标准,如希望练习、喜欢音乐活动或患者坚持干预等。我们的目标是研究音乐是否与任务执行和/或康复环境中动机的增强有关,以及这是否反过来与更好的临床或训练结果有关。有 79 项研究符合纳入标准,其中大多数(85%)研究表明,与没有音乐的情况相比,有音乐的情况下动机水平更高。此外,在动机得到提高的研究中,大多数情况下(90%)临床或其他结果都得到了改善。这些结果支持了动机是音乐干预的基本机制这一观点,但还需要更有力的证据,以确定从行为、认知和神经生物学的角度来看,哪些机制对提高动机至关重要,以及动机机制与音乐范例中其他有效因素之间的关系。
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引用次数: 0
Cerebral blood flow and structural connectivity after working memory or physical training in paediatric cancer survivors - Exploratory findings. 儿科癌症幸存者进行工作记忆或体能训练后的脑血流和结构连通性--探索性发现。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-05-29 DOI: 10.1080/09602011.2024.2356294
Kirstin Schuerch, Matthias Grieder, Valetin Benzing, Valerie Siegwart, Andrea Federspiel, Nedelina Slavova, Claus Kiefer, Jochen Roessler, Regula Everts

Paediatric cancer survivors often suffer from cognitive long-term difficulties. Consequently, strengthening cognition is of major clinical relevance. This study investigated cerebral changes in relation to cognition in non-brain tumour paediatric cancer survivors after working memory or physical training compared to a control group. Thirty-four children (≥one-year post-treatment) either underwent eight weeks of working memory training (n = 10), physical training (n = 11), or a waiting period (n = 13). Cognition and MRI, including arterial spin labelling and diffusion tensor imaging, were assessed at three time points (baseline, post-training, and three-month follow-up). Results show lower cerebral blood flow immediately after working memory training (z = -2.073, p = .038) and higher structural connectivity at the three-month follow-up (z = -2.240, p = .025). No cerebral changes occurred after physical training. Short-term changes in cerebral blood flow correlated with short-term changes in cognitive flexibility (r = -.667, p = .049), while long-term changes in structural connectivity correlated with long-term changes in working memory (r = .786, p = .021). Despite the caution given when interpreting data from small samples, this study suggests a link between working memory training and neurophysiological changes. Further research is needed to validate these findings.

儿童癌症幸存者往往长期遭受认知困难的困扰。因此,加强认知能力具有重要的临床意义。本研究调查了非脑肿瘤儿科癌症幸存者在接受工作记忆或体能训练后与对照组相比在认知方面的脑变化。34名儿童(治疗后≥一年)分别接受了为期八周的工作记忆训练(10人)、体能训练(11人)或等待期训练(13人)。在三个时间点(基线、训练后和三个月随访)对认知和磁共振成像(包括动脉自旋标记和弥散张量成像)进行了评估。结果显示,工作记忆训练后,脑血流量立即降低(z = -2.073,p = .038),而三个月随访时,结构连通性提高(z = -2.240,p = .025)。体能训练后大脑没有发生变化。脑血流量的短期变化与认知灵活性的短期变化相关(r = -.667,p = .049),而结构连通性的长期变化与工作记忆的长期变化相关(r = .786,p = .021)。尽管在解释小样本数据时需要谨慎,但这项研究表明,工作记忆训练与神经生理变化之间存在联系。要验证这些发现,还需要进一步的研究。
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引用次数: 0
A pilot rating system to evaluate the quality of goal attainment scales used as outcome measures in rehabilitation. 试点评级系统,用于评估作为康复成果衡量标准的目标实现量表的质量。
IF 2.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-05-28 DOI: 10.1080/09602011.2024.2343150
Charles Pradeau, Severine Estival, Virginie Postal, Virginie Laurier, Céline Maugard, Marie-Eve Isner-Horobeti, Fabien Mourre, Agata Krasny-Pacini

Goal Attainment Scaling (GAS) is a method for writing person-centred approach evaluation scales that can be used as an outcome measure in clinical or research settings in rehabilitation. To be used in a research setting, it requires a high methodological quality approach. The aim of this study was to explore the feasibility and reliability of the GAS quality rating system, to ensure that GAS scales used as outcome measures are valid and reliable. Secondary objectives were: (1) to compare goal attainment scores' reliability according to how many GAS levels are described in the scale; and (2) to explore if GAS scorings are influenced by who scores goal attainment. The GAS scales analysed here were set collaboratively by 57 cognitively impaired adults clients and their occupational therapist. Goals had to be achieved within an inpatient one-month stay, during which clients participated in an intervention aimed at improving planning skills in daily life. The GAS quality rating system proved to be feasible and reliable. Regarding GAS scores, interrater reliability was higher when only three of the five GAS levels were described, i.e., "three milestone GAS" (0.74-0.92), than when all five levels were described (0.5-0.88), especially when scored by the clients (0.5 -0.88).

目标达成量表(GAS)是一种编写以人为本的评估量表的方法,可用作康复临床或研究环境中的结果测量。要在研究环境中使用,它需要高方法质量的方法。本研究旨在探索 GAS 质量评级系统的可行性和可靠性,以确保用作结果测量的 GAS 量表有效可靠。次要目标是(1) 根据量表中描述的 GAS 等级的多少,比较目标达成得分的可靠性;(2) 探讨 GAS 评分是否受目标达成评分者的影响。本文分析的 GAS 量表是由 57 名认知障碍成人客户及其职业治疗师共同制定的。目标必须在住院一个月的时间内实现,在此期间,患者参加了旨在提高日常生活规划能力的干预活动。事实证明,GAS 质量评分系统是可行且可靠的。在 GAS 评分方面,如果只描述 GAS 五个等级中的三个等级,即 "三个里程碑 GAS"(0.74-0.92),则相互之间的可靠性要高于描述所有五个等级(0.5-0.88)时的可靠性,尤其是由客户评分时(0.5-0.88)。
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引用次数: 0
期刊
Neuropsychological Rehabilitation
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