计算机认知训练对儿童癌症幸存者的工作记忆的有效性:系统性审查和元分析
Katherine K W Lam1, K Y Ho, Anthony P K Liu
1Author Affiliations: School of Nursing, Hong Kong Polytechnic University (Drs Lam, Ho, Hammoda, and Yuen; Mss Liu and Yang; and Messrs Ng, Lam, and Belay); and Hong Kong Children's Hospital (Drs Liu and Chan).
Cancer nursing
|March 25, 2024
概括
计算机化认知训练 (CCT) 在儿童癌症幸存者中显著改善工作记忆 (WM). 需要进一步的研究来证实对注意力和处理速度的影响.
科学领域:
- 神经科学是一个神经科学.
- 儿科瘤学 儿科瘤学
- 认知心理学 认知心理学
背景情况:
- 计算机化认知训练 (CCT) 为儿童癌症幸存者提供了一个潜在的低成本干预措施.
- 目前还没有对CCT在改善该群体工作记忆 (WM) 的有效性进行全面的审查.
研究的目的:
- 系统地审查和综合关于CCT在儿童癌症幸存者中增强WM功效的证据.
- 评估CCT对二次认知功能和干预坚持的影响.
主要方法:
- 对五个数据库进行了系统的搜索.
- 通过"有效公共卫生实践项目"评估研究质量.
- 工作管理表现是主要结果,处理速度和注意力是次要结果.
主要成果:
- 六项研究符合纳入标准,其中五项表明干预后WM显著改善.
- 对Cogmed干预措施的元分析显示,对象征性WM有显著的积极影响 (聚合效应大小=0.71,P=.04).
- 对处理速度和注意力的影响在各个研究中不一致;坚持通常很高 (≥80%),没有报告的不良事件.
结论:
- 计算机化认知训练,特别是Cogmed,对儿童癌症幸存者的工作记忆产生了显著的积极影响.
- CCT对处理速度和注意力的影响需要通过更严格的试验进行进一步调查.
- 未来的研究应该探索将CCT与其他干预措施结合起来,以最大限度地提高认知效益.
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