小学一年级执行功能发展的反应干预计划

Graziele Kerges-Alcantara, S. Capellini
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引用次数: 0

摘要

目的:为小学一年级学生的执行功能发展制定二级干预反应(RTI)计划,并通过试点研究分析该计划的临床意义。方法:分RTI方案的制定与应用两个阶段进行;然后对儿童在测试前和测试后的表现进行临床意义分析。参与者:最初的样本包括来自两所公立学校(GI组和GII组)的71名儿童(年龄从6岁到6岁零11个月不等,男女皆有)。这些被提交给一个预评估方案:注意筛选测试通过数字取消;五位数测试;数字跨度子测试,跟踪测试,以及早期识别阅读问题的协议。完成预评估方案的参与者中,有18/37的人存在执行功能困难的风险,这些人被选中参加干预计划。结果:在部分儿童的执行功能抑制、工作记忆和交替的组成部分以及押韵识别任务、音素产生和语音工作记忆方面有可靠的改善,尽管该计划并未侧重于其发展。结论:我们所阐述的程序具有适用性,可以被教育语言治疗师、学校心理学家和教育工作者作为一种基于科学证据的干预工具来支持二级RTI项目中执行功能的发展。
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RESPONSE TO INTERVENTION (RTI) PROGRAM FOR THE DEVELOPMENT OF EXECUTIVE FUNCTIONS IN FIRST-YEAR ELEMENTARY SCHOOL
Objectives: To develop a second-tier Response to Intervention (RTI) program for the development of executive functions in first-year elementary school students and to analyze the clinical significance of the program via a pilot study. Method: The work was carried out in two phases: elaboration and application of the RTI program; followed by a clinical significance analysis of the children’s performance in pre and post-test situations. Participants: The initial sample comprised 71 children (age from 6 years to 6 years and 11 months, of both sexes) from two public schools (groups GI and GII). These were submitted to a pre-assessment protocol: Attention Screening Test by digit cancellation; Five Digit Test; Digit Span subtest, Track Testing, and Protocol for Early Identification of Reading Problems. Risk for difficulty in executive function was presented by 18/37 of the participants that completed the pre-assessment protocol and these were selected for the intervention program. Results: There was a reliable improvement in the components of executive function inhibition, working memory and alternation, for some children and in rhyme identification tasks, phoneme production, and phonological working memory, although the program does not focus on its development. Conclusion: The program we elaborated demonstrated applicability and can be used by educational speech therapists, school psychologists and educators as a scientific evidence-based intervention tool to support the development of executive functions in second-tier RTI programs.
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