Hong Kong Journal of Occupational Therapy最新文献_第5页

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke 书面和图片家庭运动处方对中风患者依从性的影响

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-12-01 DOI: 10.1016/j.hkjot.2015.12.004

Sheetal Kara, Mokgobadibe Veronica Ntsiea

Background/Objective

Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke.

Methods

This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living.

Results

There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant.

Conclusion

The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended.

背景/目的脑卒中幸存者的功能恢复始于康复治疗。治疗师可能无法监督所有的康复，特别是在家庭环境中。因此，坚持规定的锻炼计划是很重要的。本研究的目的是确定书面和图片家庭运动处方对中风患者坚持家庭运动计划的影响。方法采用盲法评估的随机对照试验。对照组接受口头指导的家庭锻炼计划，而干预组接受同样的口头指导的家庭锻炼计划，但增加了书面和图片说明。使用锻炼日志来监测坚持情况。采用改良的Rivermead流动性指数(MRMI)和Barthel指数(BI)来建立日常生活的流动性和活动度。结果共42例受试者，每组21例;平均年龄60.8±15.5岁。40(95%)的参与者在研究前不到4个月发生过中风。对照组和干预组的结果相似:两组在功能能力方面无显著差异(MRMI, p = 0.40;BI (p = 0.65)和依从性(p = 0.53)。对照组和干预组的功能能力(MRMI和BI)与依从性水平之间的关系无统计学意义。结论与没有书面和图片说明相比，增加书面和图片说明的家庭运动处方并不会使家庭运动计划的依从性更好。可能的原因可能是患者有护理人员作为支持系统，锻炼日志对患者起到了提醒和激励作用。功能能力和坚持程度之间似乎也没有关系，这可能是由于大多数研究参与者处于自发功能恢复的最佳时间框架内。建议在不同时间框架下进一步研究不同背景下的卒中康复。

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引用次数: 16

Factors Associated with Quality of Life in Mothers of Children with Cerebral Palsy in Iran 伊朗脑瘫患儿母亲的生活质量相关因素

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.02.002

Zahra Ahmadizadeh , Mehdi Rassafiani , Mohammad Amozadeh Khalili , Majid Mirmohammadkhani

Objective/Background

Children with cerebral palsy (CP) need more attention and care, especially from their mothers. This can affect the mothers' quality of life (QOL) adversely. This study aimed to assess the QOL of Iranian mothers who have a child with CP, compared with mothers with a healthy child, focusing on some individual and social underlying factors.

Methods

Using a cluster-sampling approach, two groups of eligible mothers having children aged 4–12 years, with and without CP, from Tehran's randomly selected clinics, were chosen in a convenient way and enrolled in a cross-sectional study. A group of mothers with healthy children whose demographics closely matched with the group of mothers having children with CP were selected and recruited in the study. The group with mothers with children with CP was selected randomly from a convenience sample in 14 rehabilitation and occupational therapy clinics in Tehran, Iran. To collect data on characteristics of interest, mothers were interviewed, and the SF-36 Questionnaire was used to measure their QOL. The relationship between each characteristic and the mothers' level of QOL was assessed, and the crude odds ratios (ORs) and adjusted ORs were measured by logistic regression.

Results

Sixty mothers with CP children, and 60 mothers with healthy children participated in this study. Their mean (±standard deviation) age was 33.79 (±6.02) years, and their children's mean age was 7.11 (±2.71). The two groups were significantly different in QOL mean score (57.35 ± 18.39 vs. 71.7 ± 13.58; p ≤ .001). It was shown that having a child with CP with intellectual disability is significantly related to a worse level of QOL of mothers (adjusted OR = 5.4, p ≤ .001), whereas having full-time jobs is reversely associated with it (adjusted OR = 0.2, p = .02).

Conclusion

Two important factors that lead to a worse QOL of mothers with a CP child are the unemployment of mothers and having a CP child with concurrent intellectual disabilities. To diminish the adverse effects of having a CP child on QOL of mothers, unemployed women who have a CP child with concurrent intellectual disabilities need more psychological support and help.

目的/背景脑瘫(CP)患儿需要更多的关注和照顾，尤其是来自母亲的关注和照顾。这可能会对母亲的生活质量(QOL)产生不利影响。本研究旨在评估患有CP的伊朗母亲与健康孩子的母亲的生活质量，重点关注一些个人和社会潜在因素。方法采用整群抽样的方法，从德黑兰随机选择的诊所中选择两组有4-12岁儿童的符合条件的母亲，有和没有CP，以方便的方式进行横断面研究。一组健康儿童的母亲，其人口统计数据与患有CP儿童的母亲群体密切匹配，被选中并招募到研究中。在伊朗德黑兰的14家康复和职业治疗诊所中，随机选择有患有CP的孩子的母亲的小组。为了收集兴趣特征的数据，我们对母亲进行了访谈，并使用SF-36问卷来测量她们的生活质量。评估各特征与母亲生活质量水平的关系，采用logistic回归法测定粗比值比(or)和调整后的or。结果60名患有CP儿童的母亲和60名健康儿童的母亲参加了本研究。平均(±标准差)年龄为33.79(±6.02)岁，子女平均年龄为7.11(±2.71)岁。两组患者生活质量平均评分(57.35±18.39∶71.7±13.58;p≤0.001)。结果表明，患有CP并智力残疾的孩子与母亲的生活质量水平较差显著相关(调整后的OR = 5.4, p≤0.001)，而全职工作与母亲的生活质量水平呈负相关(调整后的OR = 0.2, p = 0.02)。结论有CP的母亲生活质量较差的两个重要因素是母亲失业和有CP的孩子并发智力障碍。为了减少生育智障儿童对母亲生活质量的不利影响，有智障儿童的失业妇女需要更多的心理支持和帮助。

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引用次数: 23

Effects of Neuromuscular Electrical Stimulation on Swallowing Functions in Children with Cerebral Palsy: A Pilot Randomised Controlled Trial 神经肌肉电刺激对脑瘫儿童吞咽功能的影响:一项随机对照试验

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.05.001

Woo Jin Song , Ji Hyuk Park , Joo Hyun Lee , Min Young Kim

Objective/Background

Oral-motor and sensory dysfunctions are primary reasons for difficulties with swallowing in children with cerebral palsy (CP). Neuromuscular electrical stimulation (NMES) has been shown to provide positive effects on the swallowing function in adult populations with various neurological disorders. However, there is a lack of studies regarding the effects of NMES in children with dysphagia. The aim of the present study was to investigate the effects of NMES and oral sensorimotor treatment (OST) by occupational therapists in children with CP and dysphagia.

Methods

The present study was a two-group experimental design. Participants were randomly assigned to either the experimental group (n = 10) or the control group (n = 10). The NMES group received both NMES and OST, with NMES on the pharyngeal level for 20 minutes after OST, while the control group received OST and sham–NMES only. The treatment sessions occurred twice a week for 8 weeks.

Results

The experimental group demonstrated a significant improvement in: lip closure while swallowing, ability to swallow food without excess loss, ability to sip liquid, ability to swallow liquid without excess loss, and ability to swallow without cough (p < .05).

Conclusion

This study demonstrated that OST and NMES facilitated swallowing functions than OST and sham–NMES in children with CP and dysphagia. Future studies need to utilise video fluoroscopy swallowing study for outcome measurements in a large participant group.

目的/背景:口腔运动和感觉功能障碍是脑瘫(CP)患儿吞咽困难的主要原因。神经肌肉电刺激(NMES)已被证明对患有各种神经系统疾病的成年人群的吞咽功能有积极的影响。然而，缺乏关于NMES对吞咽困难儿童影响的研究。本研究的目的是探讨NMES和口腔感觉运动治疗(OST)的职业治疗师对儿童CP和吞咽困难的影响。方法采用两组实验设计。参与者被随机分配到实验组(n = 10)或对照组(n = 10)。NMES组同时给予NMES和OST, OST后NMES在咽水平持续20分钟，而对照组只给予OST和假NMES。治疗每周2次，持续8周。结果实验组在以下方面均有显著改善:吞咽时闭唇、吞咽食物不过量、啜饮能力、吞咽液体不过量、吞咽不咳嗽(p <. 05)。结论OST和NMES比OST和假NMES更能促进CP合并吞咽困难患儿的吞咽功能。未来的研究需要在一个大的参与者群体中利用视频透视吞咽研究来测量结果。

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引用次数: 13

Relationship Between Driving-violation Behaviours and Risk Perception in Motorcycle Accidents 摩托车事故中驾驶违规行为与风险感知的关系

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.06.001

Andy S.K. Cheng , Karen P.Y. Liu , Nikki Tulliani

Objective/Background

Riding motorcycles is a popular means of community mobility in many Asian and developing countries. However, the potential harm associated with accidents is greater for motorcyclists and their passengers than for other vehicle users. The primary aims of this study were to explore the relationship between driving-violation behaviours and perceptions of the risk associated with potential accident causes, and to assess the contribution of these factors to active involvement in accidents among Chinese motorcyclists.

Methods

A total of 621 Chinese motorcyclists were recruited. All were asked to fill in a specially developed questionnaire to assess their driving-violation behaviours and perceptions of potential causes of motorcycle accidents.

Results

A relationship was identified between driving-violation behaviours and risk perceptions. Furthermore, both were significant predictors of involvement in motorcycle accidents. The motorcyclists involved in accidents demonstrated more aggressive and ordinary driving-violation behaviours. In addition, these motorcyclists exhibited lower perceptions of risk from both driving and environmental factors. Instead, these motorcyclists were more likely to identify risk in terms of belief-related causes.

Conclusion

This study could assist occupational-therapy practitioners involved in driving rehabilitation and training to identify strategies to deal with drivers' violation behaviours and risk perception. It could also provide evidence-based recommendations for drivers' education, driving-safety campaigns, or even licensing policies.

目的/背景在许多亚洲和发展中国家，骑摩托车是一种流行的社区交通工具。然而，与其他车辆使用者相比，与事故相关的潜在危害对摩托车手及其乘客更大。本研究的主要目的是探讨驾驶违规行为与潜在事故原因相关风险认知之间的关系，并评估这些因素对中国摩托车驾驶者主动参与事故的贡献。方法共招募621名中国摩托车手。所有人都被要求填写一份特别开发的问卷，以评估他们的驾驶违规行为和对摩托车事故潜在原因的看法。结果发现违规驾驶行为与风险认知之间存在相关性。此外，两者都是参与摩托车事故的重要预测因素。发生事故的摩托车手表现出更多的攻击性和普通的驾驶违规行为。此外，这些摩托车手对驾驶和环境因素的风险认知较低。相反，这些骑摩托车的人更有可能从与信仰相关的原因中识别风险。结论本研究可帮助从事驾驶康复培训的职业治疗从业人员确定处理司机违规行为和风险认知的策略。它还可以为司机的教育、驾驶安全活动、甚至驾驶执照政策提供基于证据的建议。

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引用次数: 33

Performance of the Visual-Motor Integration of Preschool Children in Hong Kong 香港学龄前儿童视觉-运动整合的表现

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.06.002

Miranda Ng, Mandy Chui, Lenzs Lin, Anita Fong, Donna Chan

Objective/Background

The Beery–Buktenica Developmental Test of Visual-Motor Integration (VMI) is an important assessment tool used by occupational therapists working with children. The aims of this study were (a) to identify performance differences in the VMI between Hong Kong preschool children and their counterparts in the United States; (b) to develop local references for the VMI (fifth edition) for the preschool children in Hong Kong; and (c) to examine the dimensionality and the hierarchical ordering of the VMI items using the Rasch Measurement Model (RMM).

Methods

A total of 288 healthy children aged between 3 years and 6 months and 5 years and 11 months were recruited from 54 local preschools in Hong Kong using the multistage sampling method. VMI was administered to the children individually at their preschools.

Results

Hong Kong preschool children were significantly better than those in the United States in VMI performance (p < .001). The results of the RMM showed that the VMI fell within the acceptable levels of unidimensionality. Most items were found to be hierarchically ordered, although a few items were found to have the same level of difficulty.

Conclusion

The local reference developed in this study yielded additional insights for occupational therapists and psychologists with regard to the application of the VMI (fifth edition) for Hong Kong children aged between 3 years and 6 months and 5 years and 11 months.

目的/背景Beery-Buktenica视觉运动整合发展测试(VMI)是儿童职业治疗师使用的重要评估工具。本研究的目的是(a)找出香港学龄前儿童与美国学龄前儿童在VMI方面的表现差异;(b)为香港学龄前儿童编制第5版的本地参考资料;(c)利用Rasch测量模型(RMM)检验VMI项目的维度和层次顺序。方法采用多阶段抽样方法，从香港54所幼儿园招募3 ~ 6个月和5 ~ 11个月的健康儿童288名。VMI对学龄前儿童进行了单独的治疗。结果香港学龄前儿童的VMI表现显著优于美国学龄前儿童(p <措施)。RMM的结果表明，VMI的单维性在可接受的范围内。大多数项目被发现是按等级顺序排列的，尽管有一些项目被发现具有相同的难度水平。结论本研究提供的本地参考资料，为职业治疗师和心理学家在香港3岁至6个月及5岁至11个月的儿童中应用VMI(第五版)提供了额外的见解。

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引用次数: 14

Establishment of the Hong Kong College of Occupational Therapy 成立香港职业治疗学院

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.09.001

引用次数: 0

Quality of Life Enhancement Programme for Individuals with Mood Disorder: A Randomized Controlled Pilot Study 情绪障碍患者生活质量改善计划:一项随机对照先导研究

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.04.001

Yun-Ling Chen , Ay-Woan Pan , Ping-Chuan Hsiung , Lyinn Chung

Objective/Background

To investigate the efficacy and feasibility of the Quality of Life Enhancement Programme (QOLEP) for individuals with mood disorder.

Methods

Twenty-one individuals with mood disorder were recruited from psychiatric rehabilitation centres in Taipei City and were randomly assigned to either the treatment group (N = 11) or the control group (N = 10). The treatment group received an 8-week QOLEP. The control group received only “phone contact”, which included support for everyday situations pertaining to daily life and emotions. The primary outcome measure was evaluating improvements in quality of life using the World Health Organization Quality of Life-BREF-Taiwan version questionnaire. The feasibility of the intervention was assessed by the recruitment rate, dropout rate of the participants, and by its content and delivery. The content and delivery were assessed by the group satisfaction questionnaire. The mixed-effects linear model was applied to analyze the efficacy of QOLEP.

Results

The individuals who participated in the eight-session QOLEP showed significant improvement in their level of depression compared with the control group [pre vs. post, treatment group: 25.8 (19.2) vs. 17.8 (13.1); control group: 13.3 (17.3) vs. 13.3 (14.4)]. The criteria of feasibility were met in this study. Most of the participants were satisfied with engaging in the QOLEP activities within a supportive environment.

Conclusion

The participants who received the 8-week QOLEP demonstrated significant improvement in the level of depression. Studies with a sample size of at least 104 participants are recommended in the future.

目的/背景探讨生活质量改善计划(QOLEP)对情绪障碍患者的疗效和可行性。方法从台北市精神康复中心招募心境障碍患者21例，随机分为治疗组(N = 11)和对照组(N = 10)。治疗组给予8周QOLEP。对照组只接受“电话联系”，其中包括与日常生活和情感有关的日常情况的支持。主要结果测量是使用世界卫生组织生活质量- bref -台湾版问卷评估生活质量的改善。通过参与者的招募率、辍学率以及干预的内容和方式来评估干预的可行性。通过小组满意度问卷对教学内容和教学方式进行评估。采用混合效应线性模型对QOLEP的疗效进行分析。结果与对照组相比，参加8期QOLEP的个体抑郁水平有显著改善[治疗前与治疗后:25.8(19.2)对17.8 (13.1);对照组:13.3 (17.3)vs. 13.3(14.4)]。本研究符合可行性标准。大多数参与者对在一个支持性的环境中参与QOLEP活动感到满意。结论接受8周QOLEP治疗的患者抑郁程度有明显改善。在未来的研究中，建议样本量至少为104人。

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引用次数: 12

Impact of Glaucoma on Quality of Life and Activities of Daily Living 青光眼对生活质量和日常生活活动的影响

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.04.002

Sangshin Park , Young Lim Kho , Hyo-Jin Kim , JiHyun Kim , Eun-Hee Lee

Objective/Background

This study was performed to assess the associations of glaucoma with health-related quality of life (HRQOL) and activities of daily living (ADL).

Methods

Using data from the Korean National Health and Nutrition Examination Survey III in 2005, we analysed 9,047 participants (≥ 50 years old) and 3,518 participants (≥ 65 years old) to assess the associations of glaucoma with HRQOL and ADL, respectively. The diagnosis of glaucoma was based on questionnaires. HRQOL was evaluated by the EuroQol five-dimension descriptive system (EQ-5D) and the EuroQol visual analogue scale. The ADL was evaluated by the Korean-optimised ADL questionnaire. Logistic-regression analyses were used to assess the associations of glaucoma with HRQOL and ADL.

Results

The glaucoma patients showed lower HRQOL and ADL scores compared to the healthy participants. The glaucoma patients showed significantly higher prevalence of impaired health status in all dimensions of EQ-5D, as well as in the “bathing” dimension of ADL as compared with the healthy participants. Impaired HRQOL and ADL were significantly associated with the risk of glaucomatous status (odds ratio [95% confidence interval] of EQ-5D: 1.65 [1.33, 2.05], EuroQol visual analogue scale: 1.75 [1.43, 2.15], and ADL: 2.04 [1.12, 3.74]).

Conclusion

In line with previous studies conducted in other countries, Koreans with glaucoma had impaired HRQOL and ADL as compared with healthy Koreans.

目的/背景本研究旨在评估青光眼与健康相关生活质量(HRQOL)和日常生活活动(ADL)的关系。方法利用2005年韩国国家健康与营养调查III的数据，我们分析了9047名参与者(≥50岁)和3518名参与者(≥65岁)，分别评估青光眼与HRQOL和ADL的关系。青光眼的诊断基于问卷调查。采用EuroQol五维描述系统(EQ-5D)和EuroQol视觉模拟量表评价HRQOL。ADL采用韩国优化的ADL问卷进行评价。采用logistic回归分析评估青光眼与HRQOL和ADL的关系。结果青光眼患者HRQOL和ADL评分均低于健康组。青光眼患者在EQ-5D的所有维度以及ADL的“沐浴”维度中健康状况受损的患病率明显高于健康者。HRQOL和ADL受损与青光眼状态的风险显著相关(EQ-5D比值比[95%可信区间]:1.65 [1.33,2.05]，EuroQol视觉模拟量表:1.75 [1.43,2.15]，ADL: 2.04[1.12, 3.74])。结论韩国青光眼患者的HRQOL和ADL均低于健康韩国人，与其他国家的研究结果一致。

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引用次数: 8

Effect of a Social Emotional Learning Programme for Primary School Students 小学生社会情绪学习计划的效果

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 DOI: 10.1016/j.hkjot.2014.11.001

Agnes S.K. Wong, Cecilia W.P. Li-Tsang, Andrew M.H. Siu

Objective/Background

This study evaluates the effect of a social emotional learning (SEL) programme for primary school students who have difficulties in social and emotional management, as reported by their teachers or parents.

Methods

Twenty-seven primary school students were recruited and randomly assigned to the treatment group (n = 14) and the control group (n = 13). The elementary school version of the Social Skills Rating System was used to assess the social skills and problem behaviours of the participants before and after the programme. The treatment group joined a six-session SEL programme, which was modified and localized based on the Strong Kids Programme. The programme aimed to improve participants' social emotional skills, such as dealing with anxiety and understanding and identifying the emotions of self and others. Each session lasted for about 1 hour and was run in small groups.

Results

Problem behaviours were significantly less frequent in the treatment group after the programme (p = .008), but not in the control group. However, no significant changes were found in the measures of social skills.

Conclusion

The results of this pilot study show that the SEL can effectively reduce the problem behaviours of primary school students. Implications and future research directions are discussed.

目的/背景本研究旨在评估社会情绪学习(SEL)课程对有社会情绪管理困难的小学生的效果。方法选取27名小学生，随机分为治疗组(n = 14)和对照组(n = 13)。使用小学版的社会技能评分系统来评估参与者在节目前后的社会技能和问题行为。治疗组参加了一个六期的SEL项目，该项目在“坚强儿童项目”的基础上进行了修改和本地化。该项目旨在提高参与者的社交情感技能，比如处理焦虑、理解和识别自我和他人的情绪。每次训练持续约1小时，以小组形式进行。结果治疗组问题行为发生率明显低于对照组(p = 0.008)。然而，在社交技能方面没有发现明显的变化。结论本初步研究结果表明，SEL能有效减少小学生的问题行为。讨论了研究的意义和未来的研究方向。

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引用次数: 28

Flow Experience During Attentional Training Improves Cognitive Functions in Patients with Traumatic Brain Injury: An Exploratory Case Study 注意训练中的心流体验改善创伤性脑损伤患者的认知功能:一项探索性案例研究

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 DOI: 10.1016/j.hkjot.2015.01.001

Kazuki Yoshida , Daisuke Sawamura , Keita Ogawa , Katsunori Ikoma , Kiyoshi Asakawa , Taro Yamauchi , Shinya Sakai

Objective/Background

Flow is the holistic experience that occurs when an individual acts with total involvement. The objective of this study was to examine the effects of attention training that induces flow experience for patients with attention-deficit disorder after traumatic brain injury (TBI).

Methods

A two-patient case report with a within-subject AB design was conducted. Two patients with attention deficit after TBI were recruited for attention training. Two types of video game tasks for attention training were created, one inducing flow (flow task) and the other not (control task). Patient A performed the flow task for 14 days after receiving general occupational therapy (OT) for 11 days. Patient B performed the flow task for 15 days after performing the control task for 10 days. We examined training effects using neuropsychological tests. The Flow State Scale for Occupational Tasks was administered to identify the patient's flow state. To evaluate the training effect, we used visual analysis, the two-standard deviation band method, and effect-size analyses.

Results

Both Patient A and Patient B showed improvement on the Continuous Performance Test, Symbol Digit Modalities Test, and Moss Attention Rating Scale after the flow task. Patient B also showed improvement on the Trail Making Test.

Conclusion

The results for Patient A suggested that the flow task was more effective than general OT for improving attention deficits. Moreover, the results for Patient B suggested that the flow task was more effective than the control task. Attention training inducing flow experience may thus facilitate improvement of attention.

目标/背景流是当个体完全参与行动时所产生的整体体验。本研究旨在探讨注意力训练对创伤性脑损伤(TBI)后注意力缺陷障碍患者诱导心流体验的影响。方法采用受试者内AB设计，对2例患者进行病例报告。选取2例脑外伤后注意力缺陷患者进行注意力训练。他们创造了两种类型的注意力训练电子游戏任务，一种是诱导心流(心流任务)，另一种则不是(控制任务)。患者A在接受普通职业治疗(OT) 11天后进行了14天的流程任务。患者B在执行控制任务10天后执行流任务15天。我们使用神经心理学测试来检验训练效果。运用职业任务心流状态量表来确定患者的心流状态。为了评估训练效果，我们使用了视觉分析、双标准差带法和效应量分析。结果A、B两组患者在心流任务后的连续行为测试、符号数字模式测试和Moss注意评定量表上均有改善。患者B在Trail Making Test中也有改善。结论A患者的结果表明，心流任务比普通OT更有效地改善了注意缺陷。此外，患者B的结果表明，流任务比控制任务更有效。引起心流体验的注意力训练可以促进注意力的提高。

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引用次数: 11