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Temporal processing tele-intervention improves language, attention, and memory in children with neurodevelopmental
Agnes S Chan1,2, Sophia L Sze1,2, Mei-Chun Cheung2,3
1Neuropsychology Laboratory, Department of Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Insights
Temporal processing tele-intervention (TPT) significantly improved cognitive functions, including working memory and sustained attention, in children with neurodevelopmental disorders. These remote interventions show promise for enhancing cognitive abilities in this population.
Area of Science:
- Neuroscience
- Developmental Psychology
- Clinical Psychology
Background:
- Temporal processing, the brain's capacity to handle rapid stimuli, is often impaired in children with neurodevelopmental disorders.
- In-person interventions targeting temporal processing have shown benefits for cognitive functions in these children.
- The efficacy of remote interventions for temporal processing deficits remains an area for exploration.
Purpose of the Study:
- To investigate the effects of temporal processing tele-intervention (TPT) on the cognitive functions of children with neurodevelopmental disorders.
- To compare the outcomes of TPT with conventional language remediation (CLR) delivered remotely.
- To assess improvements in specific cognitive domains such as working memory, sustained attention, and rapid naming.
Main Methods:
- Ninety-five children with neurodevelopmental disorders were enrolled and randomized into two groups: TPT or CLR.
- Participants received 20 weekly, parallel, group-based remote intervention sessions.
- Cognitive functions were evaluated before and after the intervention period.
Main Results:
- The TPT group showed significant improvements in working memory (p < .001).
- Both TPT and CLR improved sustained attention (processing speed, p = .006), with TPT potentially having a more pronounced effect (p = .012 vs p = .21).
- TPT also led to significant gains in word knowledge, rapid naming speed, sustained attention accuracy, and verbal learning and memory, comparable to CLR.
Conclusions:
- Temporal processing tele-intervention (TPT) is a viable method for enhancing cognitive functions in children with neurodevelopmental disorders.
- Remote delivery of TPT offers a promising alternative for intervention, potentially improving working memory, attention, and language skills.
- Further research can explore the long-term benefits and specific applications of TPT in clinical settings.
Objective:
Temporal processing is the brain's ability to process rapid successive stimuli, and children with neurodevelopmental disorders showed temporal processing deficits. Empirical evidence suggests that in-person intervention on temporal processing improves various cognitive functions of these children, and the present study aimed to study the effects of temporal processing tele-intervention (TPT) on the cognitive functions of children with neurodevelopmental disorders.
Methods:
Ninety-five children with neurodevelopmental disorders were recruited and randomly assigned to remotely receive either TPT or conventional language remediation (CLR) in 20 parallel group-based intervention sessions once per week. Their cognitive functions were assessed before and after the intervention.
Results:
The TPT group demonstrated a specific and significant improvement in working memory (p < .001). While there was an overall significant improvement in sustained attention in terms of processing speed after both types of intervention (p = .006), the positive effects of TPT might be more prominent than that of CLR given the significant pre-post difference after receiving TPT (p = .012) but not CLR (p = .21). Regarding rapid naming accuracy which had marginally significant improvement after the intervention (p = .03), the trend of improvement in TPT (p = .05) also seemed more apparent than that of CLR (p = .18). Finally, the TPT group had significant improvement in word knowledge (p < .001), rapid naming speed (p < .001), sustained attention in terms of accuracy (p < .001), and verbal learning and memory (p < .01) to an extent similar to that of the CLR group.
Conclusions:
These findings suggest that TPT can be a potential intervention for improving cognitive functions in children with neurodevelopmental disorders. Clinical trial registration number: NCT05428657 at ClinicalTrials.gov (https://clinicaltrials.gov/).
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