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Rehabilitation of everyday memory deficits in paediatric brain injury: self-instruction and diary training
Joanna Ho1, Adrienne Epps, Louise Parry
1School of Psychology, University of Sydney, NSW, Australia.
Insights
Children with acquired brain injury (ABI) experience memory issues linked to attention and behavior problems. A six-week rehabilitation program improved daily memory recall, attention, and mood in these children.
Area of Science:
- Pediatric Neuropsychology
- Rehabilitation Medicine
- Child Psychology
Background:
- Memory deficits are common in children with acquired brain injury (ABI), impacting daily life.
- The nature and rehabilitation of these everyday memory problems in pediatric ABI are under-researched.
Purpose of the Study:
- To identify neuropsychological correlates of everyday memory deficits in children with ABI.
- To evaluate the effectiveness of a novel rehabilitation program for everyday memory in children with ABI.
Main Methods:
- Assessed everyday memory, verbal memory, attention, and behavior in 15 children with ABI.
- Children participated in a six-week rehabilitation program including diary training, self-instruction, and case examples.
Main Results:
- Everyday memory problems were associated with impaired attention and behavioral difficulties at baseline.
- The rehabilitation program significantly improved children's ability to perform daily routines requiring recall.
- Secondary gains included improvements in attention and mood (reduced anxiety and depression).
Conclusions:
- The six-week program shows preliminary evidence of effectiveness in reducing everyday memory difficulties in children with ABI.
- The intervention also appears to improve psychological well-being, including attention and mood.
Abstract:
Memory problems that interfere with everyday living are frequently reported in children who have sustained acquired brain injury (ABI), but their nature and rehabilitation is under-researched. This study aimed to (1) determine neuropsychological correlates of everyday memory deficits in children with ABI, and (2) investigate the effectiveness of a newly developed programme for their rehabilitation. We assessed everyday memory, verbal memory, attention and behaviour in 15 children with ABI. The children attended the everyday memory rehabilitation programme: six weekly sessions that involved diary training, self-instruction training and case examples. At the onset we found that everyday memory problems were related to impaired attention and behavioural difficulties. On completion of the programme there was a significant increase in children's abilities to perform daily routines that demanded recall of information and events. In addition, children used diaries more frequently. Moreover, significant secondary gains were found in attention and mood (anxiety and depression). In conclusion, the results provided preliminary evidence that our six week programme could be effective in reducing everyday memory difficulties and improving psychological well-being in children with ABI.
