认知定向日常职业表现 改善职业表现的目标 在获得脑损伤后,执行功能缺陷的儿童的职业表现
Hélène Lebrault1,2,3, Rose Martini4, Rumen Manolov5
1Rehabilitation Department for Children with Acquired Neurological Injury, Saint-Maurice Hospitals, Saint-Maurice, France.
Developmental medicine and child neurology
|October 4, 2023
概括
认知导向对日常职业绩效 (CO-OP) 方法显著改善了经过脑损伤 (ABI) 后执行功能缺陷的儿童和青少年的职业绩效目标. 这些改善在随访时得到维持.
科学领域:
- 神经科学是一个神经科学.
- 职业疗法 职业疗法 职业疗法
- 儿科康复儿童康复中心
背景情况:
- 在儿童和青少年获得脑损伤 (ABI) 后,执行功能缺陷很常见.
- 这些缺陷显著影响日常职业表现.
- 对日常职业绩效的认知导向 (CO-OP) 方法是一种潜在的干预措施.
研究的目的:
- 评估CO-OP方法对改善儿童ABI幸存者执行功能缺陷的职业表现的有效性.
- 通过使用标准化措施来评估目标实现和感知性能.
主要方法:
- 一个复制的单个案例实验研究,随机的多个基线设计.
- 12名参与者 (8-16岁) 与ABI共接受了14次CO-OP会议.
- 目标使用目标实现量表 (GAS) 和加拿大职业绩效指标 (COPM) 来衡量目标.
主要成果:
- 在基于GAS.的35个训练目标中,在26个目标中观察到具有统计学意义的改善.
- 对受训目标的参与者和家长来说,COPM表现和满意度显著提高.
- 在随访时,改善得到维持,对控制目标的变化最小.
结论:
- CO-OP 方法在提高 ABI 和执行功能缺陷的儿童和年轻人的职业表现方面表现出有效性.
- 这些发现支持使用CO-OP作为对这一群体有益的干预措施.
- 进一步的研究可以探索长期的结果和更广泛的应用.
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