非进行性后天性脑损伤成年患者的执行功能计算机辅助训练--一项关于新治疗应用疗效的试点研究。

IF 1.7 4区 心理学 Applied Neuropsychology-Adult Pub Date : 2024-11-01 Epub Date: 2022-08-24 DOI:10.1080/23279095.2022.2114354
Katarzyna Ewa Polanowska, Szczepan Iwański, Marcin Maciej Leśniak, Joanna Seniów
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引用次数: 0

摘要

执行功能障碍最常见的原因是创伤后或中风后大脑前额叶区域受损。本研究旨在比较两种计算机辅助治疗方案对后天性脑损伤患者执行功能障碍的疗效。患者使用新开发的应用程序 ExeSystem(旨在通过执行模仿自然、日常生活场景的任务来帮助提高管理和控制自身行为的能力)或两种商业应用程序 RehaCom 和 CogniPlus 的组合进行训练。在对两组 15 人的参与者进行为期三周的治疗后收集的数据显示,这两种治疗方案在提高日常功能质量、执行注意力以及计划和解决问题方面的效果相当,但在记忆力方面效果不佳。社交能力的提高(p = 0.028)是使用 ExeSystem 进行治疗的唯一优势。使用计算机程序进行的治疗互动得到了患者的积极评价(p < .01)。这项研究证实,与 RehaCom 和 CogniPlus 相比,使用 ExeSystem 进行基于计算机的执行功能治疗至少具有同等疗效。然而,尽管新应用软件的内容采用了更生态、更全面的方法,但这种方法的益处有限。
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Computer-assisted training of executive functions in adult patients with non-progressive acquired brain damage - a pilot study on efficacy of a new therapeutic application.

Executive dysfunction is most often caused by post-traumatic or post-stroke damage to the prefrontal regions of the brain. The aim of this study was to compare the efficacy of two computer-assisted therapy programs for executive dysfunctions in patients with acquired brain injury. Patients were trained using either a newly developed application ExeSystem (designed to help improve the ability to manage and control one's own behavior by performing tasks imitating natural, everyday situations) or a combination of two commercial applications RehaCom and CogniPlus. Data collected after a three-week period of therapy conducted in two 15-person groups of participants indicated comparable efficacy of both therapy programs in improving quality of daily functioning, executive attention, as well as planning and problem-solving but not memory. The improvement in social competence (p = .028) was the only advantage of therapy with the ExeSystem. Therapeutic interactions using computer programs were shown to be positively evaluated by patients (p < .01). This study confirmed at least equal efficacy of computer-based executive function therapy using ExeSystem compared to RehaCom and CogniPlus. However, despite the implementation of a more ecological and comprehensive approach to the content of a new application, the benefits of this approach were limited.

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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
自引率
11.80%
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0
审稿时长
>12 weeks
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