战略记忆高级推理训练的验证作为一种高效和有效的方法来治疗与轻度创伤性脑损伤相关的持续认知投诉的战士
Andrew J Darr1,2,3, Angela Basham1,2,3, Jessica L Ryan4
1Traumatic Brain Injury Center of Excellence (TBICoE), Silver Spring, MD, United States.
Frontiers in neurology
|April 24, 2025
概括
战略记忆高级推理训练 (SMART) 有效地减少了轻度创伤性脑损伤的战士的认知缺陷和脑震荡后症状. 这种超认知策略方法与传统的认知康复疗法相当,但更具成本效益.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 军人卫生保健 军人卫生保健
背景情况:
- 轻度创伤性脑损伤 (mTBI) 通常会导致服务人员的持续性脑震荡后症状 (PCS).
- 认知康复 (CR) 是mTBI相关缺陷的关键治疗方式.
- 超认知策略为提高CR效率提供了一个潜在的途径.
研究的目的:
- 直接比较战略记忆高级推理训练 (SMART) 与传统CR程序 (SCORE) 的有效性.
- 为了评估mTBI和PCS的战士的治疗结果.
- 为了评估 SMART 与 SCORE 的成本效益.
主要方法:
- 一项随机对照试验 (RCT) 涉及148名现役军人,他们有mTBI史.
- 参与者被分配到SMART (n=80) 或SCORE (n=68) 干预组.
- 结果措施包括全球缺陷量表 (GDS),神经行为症状清单 (NSI) 和关键行为变化清单 (KBCI),在基线,治疗后和3个月后续评估.
主要成果:
- 从基线到随访,SMART和SCORE都显著降低了GDS和NSI得分,干预措施之间没有显著差异.
- 患者感知功能 (KBCI) 也在两种治疗中显著改善.
- 一项成本效益分析显示,SMART的成本比SCORE低60%.
结论:
- SMART是一种有效的CR策略,用于减少mTBI服务人员的认知缺陷和PCS.
- 智能实现了与传统CR计划相提并论的结果.
- 与传统的CR程序相比,SMART提供了显著的成本效益优势.
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