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Sugden E, Baker E, Munro N, Williams AL. Involvement of parents in intervention for childhood speech sound disorders: a review of the evidence. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2016; 51:597-625. [PMID: 27017993 DOI: 10.1111/1460-6984.12247] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Revised: 12/15/2015] [Accepted: 01/06/2016] [Indexed: 06/05/2023]
Abstract
BACKGROUND Internationally, speech and language therapists (SLTs) are involving parents and providing home tasks in intervention for phonology-based speech sound disorder (SSD). To ensure that SLTs' involvement of parents is guided by empirical research, a review of peer-reviewed published evidence is needed. AIMS To provide SLTs and researchers with a comprehensive appraisal and analysis of peer-reviewed published intervention research reporting parent involvement and the provision of home tasks in intervention studies for children with phonology-based SSD. METHODS & PROCEDURES A systematic search and review was conducted. Academic databases were searched for peer-reviewed research papers published between 1979 and 2013 reporting on phonological intervention for SSD. Of the 176 papers that met the criteria, 61 were identified that reported on the involvement of parents and/or home tasks within the intervention. These papers were analysed using a quality appraisal tool. Details regarding the involvement of parents and home tasks were extracted and analysed to provide a summary of these practices within the evidence base. MAIN CONTRIBUTION Parents have been involved in intervention research for phonology-based SSD. However, most of the peer-reviewed published papers reporting this research have provided limited details regarding what this involved. This paucity of information presents challenges for SLTs wishing to integrate external evidence into their clinical services and clinical decision-making. It also raises issues regarding treatment fidelity for researchers wishing to replicate published intervention research. CONCLUSIONS & IMPLICATIONS The range of tasks in which parents were involved, and the limited details reported in the literature, present challenges for SLTs wanting to involve parents in intervention. Further high-quality research reporting more detail regarding the involvement of parents and home tasks in intervention for SSD is needed.
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Affiliation(s)
| | - Elise Baker
- The University of Sydney, Sydney, NSW, Australia
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Wright B, Marshall D, Adamson J, Ainsworth H, Ali S, Allgar V, Collingridge Moore D, Cook E, Dempster P, Hackney L, McMillan D, Trepél D, Williams C. Social Stories™ to alleviate challenging behaviour and social difficulties exhibited by children with autism spectrum disorder in mainstream schools: design of a manualised training toolkit and feasibility study for a cluster randomised controlled trial with nested qualitative and cost-effectiveness components. Health Technol Assess 2016; 20:1-258. [PMID: 26792796 DOI: 10.3310/hta20060] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND A Social Story™ (Carol Gray) is a child-friendly intervention that is used to give children with autism spectrum disorders (ASDs) social information in situations where they have social difficulties. Limited evidence mainly using single-case designs suggests that they can reduce anxiety and challenging behaviour. OBJECTIVES The objectives were to conduct a systematic review, use this to develop a manualised intervention and run a feasibility trial to inform a fully powered randomised controlled trial (RCT) on their clinical effectiveness and cost-effectiveness in schools. DESIGN This is a three-stage study following the Medical Research Council framework for complex interventions. Specifically, it involved a theoretical phase, a qualitative stage and a feasibility trial stage. SETTING Qualitative interviews and focus groups took place in Child and Adolescent Mental Health Service and primary care settings. The feasibility study took place in 37 local mainstream schools. PARTICIPANTS Fifty children (aged 5-15 years) in mainstream school settings with a diagnosis of ASD were entered into the trial. For each child, an associated teacher and parent was also recruited. INTERVENTIONS The intervention was a goal-setting session followed by a manualised toolkit (including a training session) for creating Social Stories™ for use with school-aged children. The comparator treatment was a goal-setting session followed by an attention control. Both arms received treatment as usual. MAIN OUTCOME MEASURES Outcomes tested as part of the feasibility study included child- and proxy-completed questionnaires for mental health, quality of life and goal-based outcome measures. Adults additionally completed behaviour diaries and the parental stress index. RESULTS The review found that the research into social stories is predominantly based in the USA, carried out in under-12-year-olds and using single-case designs. Most studies either did not follow established Social Story criteria or did not report if they did. The assessment of effectiveness presents a largely positive picture but is limited by methodological issues. There were no adequate RCTs and insufficient information to assess a number of important sources of potential bias in most studies. A manualised intervention was produced using an iterative process between user focus groups and a writing team, and assessed in the feasibility study. All 50 participant groups were recruited within the study time frame. Two outcome measures, the Social Responsiveness Scale-2 and the custom-made goal-based measure, showed high levels of completion rates and appeared to be capturing social and behaviour skills targeted by the use of Social Stories. Detailed recommendations for a full trial are provided. LIMITATIONS Blinding of participants was not feasible. Treatment fidelity was not assessed because of low levels of story return rates. CONCLUSIONS The study showed that a fully powered RCT is feasible with an extended geographical footprint. A large amount of data and information has helped to inform the design of this RCT, which will be the subject of a future research grant application. Future work could focus on developing an appropriate blinded outcome measure for this population. STUDY REGISTRATION This study is registered as PROSPERO CRD42011001440. TRIAL REGISTRATION Current Controlled Trials ISRCTN96286707. FUNDING This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 20, No. 6. See the NIHR Journals Library website for further project information.
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Affiliation(s)
- Barry Wright
- Lime Trees Child and Adolescent Mental Health Service Research Team, York, UK
| | - David Marshall
- Lime Trees Child and Adolescent Mental Health Service Research Team, York, UK
| | - Joy Adamson
- York Clinical Trials Unit, Department of Health Sciences, York, UK
| | - Hannah Ainsworth
- York Clinical Trials Unit, Department of Health Sciences, York, UK
| | - Shehzad Ali
- Department of Health Sciences, University of York, York, UK
| | | | | | - Elizabeth Cook
- York Clinical Trials Unit, Department of Health Sciences, York, UK
| | - Paul Dempster
- Department of Health Sciences, University of York, York, UK
| | - Lisa Hackney
- Lime Trees Child and Adolescent Mental Health Service Research Team, York, UK
| | - Dean McMillan
- Department of Health Sciences, University of York, York, UK
| | - Dominic Trepél
- Department of Health Sciences, University of York, York, UK
| | - Chris Williams
- Lime Trees Child and Adolescent Mental Health Service Research Team, York, UK
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103
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Munro P, Siyambalapitiya S. Improved word comprehension in Global aphasia using a modified semantic feature analysis treatment. CLINICAL LINGUISTICS & PHONETICS 2016; 31:119-136. [PMID: 27548515 DOI: 10.1080/02699206.2016.1198927] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Limited research has investigated treatment of single word comprehension in people with aphasia, despite numerous studies examining treatment of naming deficits. This study employed a single case experimental design to examine efficacy of a modified semantic feature analysis (SFA) therapy in improving word comprehension in an individual with Global aphasia, who presented with a semantically based comprehension impairment. Ten treatment sessions were conducted over a period of two weeks. Following therapy, the participant demonstrated improved comprehension of treatment items and generalisation to control items, measured by performance on a spoken word picture matching task. Improvements were also observed on other language assessments (e.g. subtests of WAB-R; PALPA subtest 47) and were largely maintained over a period of 12 weeks without further therapy. This study provides support for the efficacy of a modified SFA therapy in remediating single word comprehension in individuals with aphasia with a semantically based comprehension deficit.
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Affiliation(s)
- Philippa Munro
- a Discipline of Speech Pathology, James Cook University , Townsville , Australia
| | - Samantha Siyambalapitiya
- a Discipline of Speech Pathology, James Cook University , Townsville , Australia
- b Menzies Health Institute Queensland, Griffith University , Gold Coast , Australia
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104
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Finch E, Copley A, Cornwell P, Kelly C. Systematic Review of Behavioral Interventions Targeting Social Communication Difficulties After Traumatic Brain Injury. Arch Phys Med Rehabil 2016; 97:1352-65. [DOI: 10.1016/j.apmr.2015.11.005] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Revised: 11/08/2015] [Accepted: 11/10/2015] [Indexed: 10/22/2022]
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105
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Vohra S, Shamseer L, Sampson M, Bukutu C, Schmid CH, Tate R, Nikles J, Zucker DR, Kravitz R, Guyatt G, Altman DG, Moher D. CONSORT extension for reporting N-of-1 trials (CENT) 2015 Statement. J Clin Epidemiol 2016; 76:9-17. [PMID: 26272792 DOI: 10.1016/j.jclinepi.2015.05.004] [Citation(s) in RCA: 59] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/07/2015] [Indexed: 11/28/2022]
Abstract
N-of-1 trials provide a mechanism for making evidence-based treatment decisions for an individual patient. They use key methodological elements of group clinical trials to evaluate treatment effectiveness in a single patient, for situations that cannot always accommodate large-scale trials: rare diseases, comorbid conditions, or in patients using concurrent therapies. Improvement in the reporting and clarity of methods and findings in N-of-1 trials is essential for reader to gauge the validity of trials and to replicate successful findings. A Consolidated Standards of Reporting Trials (CONSORT) extension for N-of-1 trials (CENT 2015) provides guidance on the reporting of individual and series of N-of-1 trials. CENT provides additional guidance for 14 of the 25 items of the CONSORT 2010 checklist, recommends a diagram for depicting an individual N-of-1 trial, and modifies the CONSORT flow diagram to address the flow of a series of N-of-1 trials. The rationale, development process, and CENT 2015 checklist and diagrams are reported in this document.
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Affiliation(s)
- Sunita Vohra
- Department of Pediatrics, University of Alberta, Canada.
| | - Larissa Shamseer
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, School of Epidemiology, Public health, and Preventative Medicine, University of Ottawa, Canada
| | - Margaret Sampson
- Library Services, Children's Hospital of Eastern Ontario, Canada
| | - Cecilia Bukutu
- Alberta Centre for Child, Family and Community Research, Canada
| | | | - Robyn Tate
- Centre for Rehabilitation Research, Sydney Medical School-Northern, University of Sydney, Australia
| | | | - Deborah R Zucker
- Public Health and Community Medicine, Tufts University School of Medicine, USA
| | - Richard Kravitz
- UC Davis Medical Centre, University of California, Davis, USA
| | | | | | - David Moher
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, School of Epidemiology, Public health, and Preventative Medicine, University of Ottawa, Canada
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Shamseer L, Sampson M, Bukutu C, Schmid CH, Nikles J, Tate R, Johnston BC, Zucker D, Shadish WR, Kravitz R, Guyatt G, Altman DG, Moher D, Vohra S. CONSORT extension for reporting N-of-1 trials (CENT) 2015: explanation and elaboration. J Clin Epidemiol 2016; 76:18-46. [PMID: 26272791 DOI: 10.1016/j.jclinepi.2015.05.018] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/05/2015] [Indexed: 11/16/2022]
Abstract
N-of-1 trials are a useful tool for clinicians who want to determine the effectiveness of a treatment in a particular individual. The reporting of N-of-1 trials has been variable and incomplete, hindering their usefulness in clinical decision making and by future researchers. This document presents the CONSORT (Consolidated Standards of Reporting Trials) extension for N-of-1 trials (CENT 2015). CENT 2015 extends the CONSORT 2010 guidance to facilitate the preparation and appraisal of reports of an individual N-of-1 trial or a series of prospectively planned, multiple, crossover N-of-1 trials. CENT 2015 elaborates on 14 items of the CONSORT 2010 checklist, totalling 25 checklist items (44 sub-items), and recommends diagrams to help authors document the progress of one participant through a trial or more than one participant through a trial or series of trials, as applicable. Examples of good reporting and evidence based rationale for CENT 2015 checklist items are provided.
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Affiliation(s)
- Larissa Shamseer
- Clinical Epidemiology Program, Ottawa Hospital Research Institute; University of Ottawa, Canada
| | - Margaret Sampson
- Library Services, Children's Hospital of Eastern Ontario, Canada
| | - Cecilia Bukutu
- Child and Youth Data Laboratory, Alberta Centre for Child, Family and Community Research, Canada
| | - Christopher H Schmid
- Department of Biostatistics and Center for Evidence Based Medicine, Brown University, USA
| | | | - Robyn Tate
- Centre for Rehabilitation Research, Sydney Medical School - Northern, University of Sydney, Australia
| | - Bradley C Johnston
- Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, University of Toronto, Canada; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Canada
| | | | | | - Richard Kravitz
- Department of Internal Medicine, University of California, Davis, USA
| | - Gordon Guyatt
- Department of Clinical Epidemiology & Biostatistics, McMaster University, Canada
| | | | - David Moher
- Clinical Epidemiology Program, Ottawa Hospital Research Institute; University of Ottawa, Canada
| | - Sunita Vohra
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Canada.
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Mills C, Chapparo C, Hinitt J. The impact of an in-class sensory activity schedule on task performance of children with autism and intellectual disability: A pilot study. Br J Occup Ther 2016. [DOI: 10.1177/0308022616639989] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction There is limited evidence to support use of sensory interventions by teachers in the classroom. The purpose of this pilot study is to determine the effectiveness of sensory activity schedule intervention in supporting participation and increasing classroom task performance in students with autism. Method A non-concurrent, AB single system research design across multiple baselines was used with four students with autism who attended an autism-specific school. Students demonstrated atypical sensory processing, which negatively affected their school performance. Repeated baseline and intervention data were collected by school staff using video recording during classroom tasks. Tasks performed were designated by the child’s teacher. Stage one of the Perceive, Recall, Plan, Perform System of Task Analysis was used as a repeated measure of student performance. Ratings were carried out by independent raters who were blinded to the condition of performance. Results Results revealed three out of four students achieved significant improvements in classroom task performance following the use of sensory activity schedule intervention developed in consultation with an occupational therapist as measured by the task analysis. Conclusion This study provides emerging evidence for the use of sensory activity schedule intervention in the classroom for students with autism.
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Affiliation(s)
- Caroline Mills
- PhD Candidate, University of Sydney, Sydney, Australia; Occupational Therapist, Autism Spectrum Australia (Aspect), Sydney, Australia
| | - Christine Chapparo
- Senior Lecturer, Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, Australia
| | - Joanne Hinitt
- Lecturer, Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, Australia
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108
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Tate RL, Perdices M, Rosenkoetter U, Shadish W, Vohra S, Barlow DH, Horner R, Kazdin A, Kratochwill T, McDonald S, Sampson M, Shamseer L, Togher L, Albin R, Backman C, Douglas J, Evans JJ, Gast D, Manolov R, Mitchell G, Nickels L, Nikles J, Ownsworth T, Rose M, Schmid CH, Wilson B. The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016 Statement. APHASIOLOGY 2016; 30:862-876. [PMID: 27279674 PMCID: PMC4873717 DOI: 10.1080/02687038.2016.1178022] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Accepted: 11/16/2015] [Indexed: 06/06/2023]
Abstract
We developed a reporting guideline to provide authors with guidance about what should be reported when writing a paper for publication in a scientific journal using a particular type of research design: the single-case experimental design. This report describes the methods used to develop the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016. As a result of 2 online surveys and a 2-day meeting of experts, the SCRIBE 2016 checklist was developed, which is a set of 26 items that authors need to address when writing about single-case research. This article complements the more detailed SCRIBE 2016 Explanation and Elaboration article (Tate et al., 2016) that provides a rationale for each of the items and examples of adequate reporting from the literature. Both these resources will assist authors to prepare reports of single-case research with clarity, completeness, accuracy, and transparency. They will also provide journal reviewers and editors with a practical checklist against which such reports may be critically evaluated. We recommend that the SCRIBE 2016 is used by authors preparing manuscripts describing single-case research for publication, as well as journal reviewers and editors who are evaluating such manuscripts.
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Affiliation(s)
- Robyn L. Tate
- The Kolling Institute of Medical Research, St Leonards, New South Wales, Australia, and The University of Sydney
| | - Michael Perdices
- Royal North Shore Hospital, St Leonards, New South Wales, Australia, and The University of Sydney
| | - Ulrike Rosenkoetter
- The Kolling Institute of Medical Research, St Leonards, New South Wales, Australia, and The University of Sydney
| | | | | | | | | | | | | | | | | | - Larissa Shamseer
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada, and University of Ottawa
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109
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The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016 Statement. Phys Ther 2016; 96:e1-e10. [PMID: 27371692 DOI: 10.2522/ptj.2016.96.7.e1] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Accepted: 11/16/2015] [Indexed: 02/09/2023]
Abstract
UNLABELLED We developed a reporting guideline to provide authors with guidance about what should be reported when writing a paper for publication in a scientific journal using a particular type of research design: the single-case experimental design. This report describes the methods used to develop the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016. As a result of 2 online surveys and a 2-day meeting of experts, the SCRIBE 2016 checklist was developed, which is a set of 26 items that authors need to address when writing about single-case research. This article complements the more detailed SCRIBE 2016 Explanation and Elaboration article (Tate et al., 2016) that provides a rationale for each of the items and examples of adequate reporting from the literature. Both these resources will assist authors to prepare reports of single-case research with clarity, completeness, accuracy, and transparency. They will also provide journal reviewers and editors with a practical checklist against which such reports may be critically evaluated. We recommend that the SCRIBE 2016 is used by authors preparing manuscripts describing single-case research for publication, as well as journal reviewers and editors who are evaluating such manuscripts. SCIENTIFIC ABSTRACT Reporting guidelines, such as the Consolidated Standards of Reporting Trials (CONSORT) Statement, improve the reporting of research in the medical literature (Turner et al., 2012). Many such guidelines exist and the CONSORT Extension to Nonpharmacological Trials (Boutron et al., 2008) provides suitable guidance for reporting between-groups intervention studies in the behavioral sciences. The CONSORT Extension for N-of-1 Trials (CENT 2015) was developed for multiple crossover trials with single individuals in the medical sciences (Shamseer et al., 2015; Vohra et al., 2015), but there is no reporting guideline in the CONSORT tradition for single-case research used in the behavioral sciences. We developed the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016 to meet this need. This Statement article describes the methodology of the development of the SCRIBE 2016, along with the outcome of 2 Delphi surveys and a consensus meeting of experts. We present the resulting 26-item SCRIBE 2016 checklist. The article complements the more detailed SCRIBE 2016 Explanation and Elaboration article (Tate et al., 2016) that provides a rationale for each of the items and examples of adequate reporting from the literature. Both these resources will assist authors to prepare reports of single-case research with clarity, completeness, accuracy, and transparency. They will also provide journal reviewers and editors with a practical checklist against which such reports may be critically evaluated.
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110
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Oh SJ, Eom B, Park C, Sung JE. Treatment Efficacy of Semantic Feature Analyses for Persons with Aphasia: Evidence from Meta-Analyses. COMMUNICATION SCIENCES AND DISORDERS-CSD 2016. [DOI: 10.12963/csd.16312] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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111
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Tate RL, Perdices M, Rosenkoetter U, Shadish W, Vohra S, Barlow DH, Horner R, Kazdin A, Kratochwill T, McDonald S, Sampson M, Shamseer L, Togher L, Albin R, Backman C, Douglas J, Evans JJ, Gast D, Manolov R, Mitchell G, Nickels L, Nikles J, Ownsworth T, Rose M, Schmid CH, Wilson B. The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016 Statement. Am J Occup Ther 2016; 70:7004320010p1-11. [PMID: 27294998 DOI: 10.5014/ajot.2016.704002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Reporting guidelines, such as the Consolidated Standards of Reporting Trials (CONSORT) Statement, improve the reporting of research in the medical literature (Turner et al., 2012). Many such guidelines exist, and the CONSORT Extension to Nonpharmacological Trials (Boutron et al., 2008) provides suitable guidance for reporting between-groups intervention studies in the behavioral sciences. The CONSORT Extension for N-of-1 Trials (CENT 2015) was developed for multiple crossover trials with single individuals in the medical sciences (Shamseer et al., 2015; Vohra et al., 2015), but there is no reporting guideline in the CONSORT tradition for single-case research used in the behavioral sciences. We developed the Single-Case Reporting guideline In Behavioral interventions (SCRIBE) 2016 to meet this need. This Statement article describes the methodology of the development of the SCRIBE 2016, along with the outcome of 2 Delphi surveys and a consensus meeting of experts. We present the resulting 26-item SCRIBE 2016 checklist. The article complements the more detailed SCRIBE 2016 Explanation and Elaboration article (Tate et al., 2016) that provides a rationale for each of the items and examples of adequate reporting from the literature. Both these resources will assist authors to prepare reports of single-case research with clarity, completeness, accuracy, and transparency. They will also provide journal reviewers and editors with a practical checklist against which such reports may be critically evaluated.
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Affiliation(s)
- Robyn L Tate
- Robyn L. Tate, Kolling Institute of Medical Research and University of Sydney;
| | - Michael Perdices
- Michael Perdices, Royal North Shore Hospital and University of Sydney
| | - Ulrike Rosenkoetter
- Ulrike Rosenkoetter, Kolling Institute of Medical Research and University of Sydney
| | | | | | | | | | | | | | | | | | - Larissa Shamseer
- Larissa Shamseer, Ottawa Hospital Research Institute and University of Ottawa
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Abstract
The aim of this paper was to review the limited, but growing, literature on prospective memory (PM) following stroke using a scoping study methodology. Multiple databases were systematically searched and yielded 11 studies that were classified as observational (n = 7) or intervention studies (n = 4) and reviewed for quality. PM impairment after stroke was more commonly identified using behavioural measures compared to self-report measures. There were mixed findings regarding the extent and nature of PM impairment poststroke; however, more studies reported impairment for time-based PM, compared to both event- and activity-based PM. Studies examining rehabilitative techniques for PM resulted in mixed findings and were limited as most were case studies of poor methodological quality. Overall previous research in this area was limited as most studies were often underpowered due to small sample sizes, or used single-item measures which may not be robust enough to reliably measure PM impairment. Additionally, the methods used to measure PM were varied and many studies did not control for retrospective memory impairment, which could impact the results, as PM has both a retrospective (remembering both the action and when it needs to be completed) and prospective component (remembering to perform the action when appropriate). In conclusion, PM impairment is apparent poststroke, specifically for time-based PM. However, more research is needed to determine why PM impairment occurs, and how it can be improved.
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113
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The Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016 statement. J Sch Psychol 2016; 56:133-42. [DOI: 10.1016/j.jsp.2016.04.001] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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114
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Champod AS, Frank RC, Taylor K, Eskes GA. The effects of prism adaptation on daily life activities in patients with visuospatial neglect: a systematic review. Neuropsychol Rehabil 2016; 28:491-514. [DOI: 10.1080/09602011.2016.1182032] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Anne Sophie Champod
- Department of Psychology, Acadia University, Wolfville, Canada
- Department of Psychiatry, Dalhousie University, Halifax, Canada
| | - Rachel C. Frank
- Department of Psychiatry, Dalhousie University, Halifax, Canada
| | - Kristina Taylor
- School of Occupational Therapy, Dalhousie University, Halifax, Canada
| | - Gail A. Eskes
- Department of Psychiatry, Dalhousie University, Halifax, Canada
- Department of Psychology, Dalhousie University, Halifax, Canada
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115
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Tate RL, Perdices M, Rosenkoetter U, Shadish W, Vohra S, Barlow DH, Horner R, Kazdin A, Kratochwill T, McDonald S, Sampson M, Shamseer L, Togher L, Albin R, Backman C, Douglas J, Evans JJ, Gast D, Manolov R, Mitchell G, Nickels L, Nikles J, Ownsworth T, Rose M, Schmid CH, Wilson B. The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016 Statement. J Clin Epidemiol 2016; 73:142-52. [DOI: 10.1016/j.jclinepi.2016.04.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Revised: 11/15/2015] [Accepted: 11/16/2015] [Indexed: 10/21/2022]
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116
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Watter K, Copley A, Finch E. Discourse level reading comprehension interventions following acquired brain injury: a systematic review. Disabil Rehabil 2016; 39:315-337. [PMID: 26887257 DOI: 10.3109/09638288.2016.1141241] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Purpose Reading comprehension can change following acquired brain injury (ABI), impacting independence and participation. This review aims to identify and evaluate the interventions used for rehabilitation of discourse level reading in adults with ABI. Methods A systematic review was conducted of published journal articles. Methodological quality of studies was reviewed using formal and informal rating scales. Inclusion criteria involved adults with non-progressive ABI who experienced discourse level reading deficits related to aphasia or cognitive-communication disorders. Results A total of 23 studies were identified; these included randomized controlled trials, cohort and case studies. Six different types of reading interventions were found, overall results of these interventions were mixed. Reading deficits were reportedly related to language (aphasia) and/or cognitive deficits, with assessment processes varying. Questions arose regarding comparability of assessment methods and diagnostic issues across the studies. Conclusions Interventions for discourse level reading comprehension can make positive changes to reading function. However, no intervention was identified as a gold standard. A trend toward strategy-based reading was found, with these offering a potential for (comparatively) cost-effective lower-dosage reading treatments with positive-trend results. Cognitive and language features should be considered for assessment and intervention planning for discourse reading in ABI. Implications for Rehabilitation Six different types of discourse reading comprehension interventions for people with ABI were identified, with mixed evidence for each intervention. Clinicians need to consider both the linguistic and cognitive features of reading for assessment and intervention planning for discourse level reading. There is a research trend toward strategy-based reading interventions, which use a lower treatment dosage.
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Affiliation(s)
- Kerrin Watter
- a School of Health and Rehabilitation Sciences, the University of Queensland , Brisbane , Australia.,b Speech Pathology Department , Princess Alexandra Hospital, Metro South Health , Brisbane , Australia
| | - Anna Copley
- a School of Health and Rehabilitation Sciences, the University of Queensland , Brisbane , Australia
| | - Emma Finch
- a School of Health and Rehabilitation Sciences, the University of Queensland , Brisbane , Australia.,b Speech Pathology Department , Princess Alexandra Hospital, Metro South Health , Brisbane , Australia.,c Centre for Function and Health Research, Metro South Health , Brisbane , Australia
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Heng Q, McCabe P, Clarke J, Preston JL. Using ultrasound visual feedback to remediate velar fronting in preschool children: A pilot study. CLINICAL LINGUISTICS & PHONETICS 2016; 30:382-397. [PMID: 26810299 PMCID: PMC4826297 DOI: 10.3109/02699206.2015.1120345] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Anecdotally, velar fronting can be difficult to remediate in some children. This pilot study examined the use of ultrasound visual feedback in remediating velar fronting in typically developing children. A single-case, multiple-baseline across-subjects experimental design was used to examine acquisition, retention and generalisation of velar treatment targets. Two otherwise typically developing children (P1, aged 4;0; P3, aged 4;11) completed the study. The productions of /k/ and /ɡ/ at syllable level were targeted during treatment. P1 improved her productions of /k/ and /ɡ/ at syllable level during the treatment period and achieved correct production at word level during follow-up. P3 made no improvements in his productions of velar targets. This study suggests that ultrasound visual feedback may be an option for remediating velar fronting in some preschoolers. Further study is required.
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Affiliation(s)
- Qiwen Heng
- University of Sydney, Australia
- KK Women’s and Children’s Hospital, Singapore
| | - Patricia McCabe
- University of Sydney, Australia
- Murdoch Children’s Research Institute, Australia
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118
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Thiel L, Sage K, Conroy P. The role of learning in improving functional writing in stroke aphasia. Disabil Rehabil 2016; 38:2122-34. [DOI: 10.3109/09638288.2015.1114038] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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119
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Tate RL, Perdices M, Rosenkoetter U, Shadish W, Vohra S, Barlow DH, Horner R, Kazdin A, Kratochwill T, McDonald S, Sampson M, Shamseer L, Togher L, Albin R, Backman C, Douglas J, Evans JJ, Gast D, Manolov R, Mitchell G, Nickels L, Nikles J, Ownsworth T, Rose M, Schmid CH, Wilson B. The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016 Statement. EVIDENCE-BASED COMMUNICATION ASSESSMENT AND INTERVENTION 2016; 10:44-58. [PMID: 27499802 PMCID: PMC4960517 DOI: 10.1080/17489539.2016.1190525] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Reporting guidelines, such as the Consolidated Standards of Reporting Trials (CONSORT) Statement, improve the reporting of research in the medical literature (Turner et al., 2012). Many such guidelines exist and the CONSORT Extension to Nonpharmacological Trials (Boutron et al., 2008) provides suitable guidance for reporting between-groups intervention studies in the behavioral sciences. The CONSORT Extension for N-of-1 Trials (CENT 2015) was developed for multiple crossover trials with single individuals in the medical sciences (Shamseer et al., 2015; Vohra et al., 2015), but there is no reporting guideline in the CONSORT tradition for single case research used in the behavioral sciences. We developed the Single Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016 to meet this need. This statement article describes the methodology of the development of the SCRIBE 2016, along with the outcome of 2 Delphi surveys and a consensus meeting of experts. We present the resulting 26-item SCRIBE 2016 checklist. The article complements the more detailed SCRIBE 2016 explanation and elaboration article (Tate et al., 2016) that provides a rationale for each of the items and examples of adequate reporting from the literature. Both these resources will assist authors to prepare reports of single case research with clarity, completeness, accuracy, and transparency. They will also provide journal reviewers and editors with a practical checklist against which such reports may be critically evaluated.
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Affiliation(s)
- Robyn L. Tate
- The Kolling Institute of Medical Research, St Leonards, New South Wales, Australia, and The University of Sydney
| | - Michael Perdices
- Royal North Shore Hospital, St Leonards, New South Wales, Australia, and The University of Sydney
| | - Ulrike Rosenkoetter
- The Kolling Institute of Medical Research, St Leonards, New South Wales, Australia, and The University of Sydney
| | | | | | | | | | | | | | | | | | - Larissa Shamseer
- Ottawa Hospital Research Institute, Ottawa, Ontario, Canada, and University of Ottawa
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Peyroux E, Franck N. Improving Social Cognition in People with Schizophrenia with RC2S: Two Single-Case Studies. Front Psychiatry 2016; 7:66. [PMID: 27199776 PMCID: PMC4842761 DOI: 10.3389/fpsyt.2016.00066] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2016] [Accepted: 04/01/2016] [Indexed: 12/03/2022] Open
Abstract
Difficulties in social interactions are a central characteristic of people with schizophrenia, and can be partly explained by impairments of social cognitive processes. New strategies of cognitive remediation have been recently developed to target these deficits. The RC2S therapy is an individualized and partly computerized program through which patients practice social interactions and develop social cognitive abilities with simulation techniques in a realistic environment. Here, we present the results of two case-studies involving two patients with schizophrenia presenting with specific profiles of impaired social cognition. Each patient completed three baseline sessions, 14 treatment sessions, and 3 follow-up sessions at the end of the therapy - and for 1 patient, another 3 sessions 9 months later. We used a multiple baseline design to assess specific components of social cognition according to the patients' profiles. Functioning and symptomatology were also assessed at the end of the treatment and 6 months later. Results highlight significant improvements in the targeted social cognitive processes and positive changes in functioning in the long term. The RC2S program seems, thus, to be a new useful program for social cognitive remediation in schizophrenia.
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Affiliation(s)
- Elodie Peyroux
- Rehabilitation Department (CL3R), Le Vinatier Hospital, Lyon, France; UMR 5229, Center of Cognitive Neurosciences, CNRS, Lyon, France
| | - Nicolas Franck
- Rehabilitation Department (CL3R), Le Vinatier Hospital, Lyon, France; UMR 5229, Center of Cognitive Neurosciences, CNRS, Lyon, France; University Claude Bernard, University of Lyon, Lyon, France
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Preston JL, Maas E, Whittle J, Leece MC, McCabe P. Limited acquisition and generalisation of rhotics with ultrasound visual feedback in childhood apraxia. CLINICAL LINGUISTICS & PHONETICS 2016; 30:363-81. [PMID: 26237652 PMCID: PMC4740254 DOI: 10.3109/02699206.2015.1052563] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Ultrasound visual feedback of the tongue is one treatment option for individuals with persisting speech sound errors. This study evaluated children's performance during acquisition and generalisation of American English rhotics using ultrasound feedback. Three children aged 10-13 with persisting speech sound errors associated with childhood apraxia of speech (CAS) were treated for 14 one-hour sessions. Two of the participants increased the accuracy of their rhotic production during practise trials within treatment sessions, but none demonstrated generalisation to untreated words. Lack of generalisation may be due to a failure to acquire the target with sufficient accuracy during treatment, or to co-existing linguistic weaknesses that are not addressed in a motor-based treatment. Results suggest a need to refine the intervention procedures for CAS and/or a need to identify appropriate candidates for intervention to optimise learning.
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Affiliation(s)
- Jonathan L Preston
- a Department of Communication Sciences & Disorders , Syracuse University , Syracuse , NY , USA
- b Haskins Laboratories , New Haven , CT , USA
| | - Edwin Maas
- c Department of Speech, Language, and Hearing Sciences , University of Arizona , Tucson , AZ , USA
| | | | - Megan C Leece
- a Department of Communication Sciences & Disorders , Syracuse University , Syracuse , NY , USA
| | - Patricia McCabe
- d Department of Speech Pathology , University of Sydney , Sydney , Australia
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Gagliardi C, Brenna V, Romaniello R, Arrigoni F, Tavano A, Romani M, Valente EM, Borgatti R. Cognitive rehabilitation in a child with Joubert Syndrome: Developmental trends and adaptive changes in a single case report. RESEARCH IN DEVELOPMENTAL DISABILITIES 2015; 47:375-384. [PMID: 26489806 DOI: 10.1016/j.ridd.2015.09.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Revised: 09/10/2015] [Accepted: 09/14/2015] [Indexed: 06/05/2023]
Abstract
We report the clinical and rehabilitative follow up of M, a female child carrying a compound heterozygous pathogenic mutations in the TCTN1 gene and affected by Joubert Syndrome (JS). JS is a congenital cerebellar ataxia characterized by "the molar tooth sign" on axial MRI, a pathognomonic neuroradiological malformation involving the cerebellum and brainstem. JS presents with high phenotypic/cognitive variability, and little is known about cognitive rehabilitation programs. We describe the therapeutic settings, intensive rehabilitation targets and outcome indexes in M's cognitive development. Using a single case evidence-based approach, we attempt to distinguish the effectiveness of the intervention from the overall developmental trend. We assume that an adequate amount of focused, goal directed treatment in a relative short period of time can be at least as effective as one provided in longer time, and much less interfering with the child's everyday life. We conclude by discussing specific issues in cognitive development and rehabilitation in JS and, more broadly, in cerebellar malformations.
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Affiliation(s)
- Chiara Gagliardi
- Neuropsychiatry and Neurorehabilitation Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy.
| | - Viola Brenna
- Neuropsychiatry and Neurorehabilitation Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
| | - Romina Romaniello
- Neuropsychiatry and Neurorehabilitation Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
| | - Filippo Arrigoni
- Neuroimaging Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
| | - Alessandro Tavano
- Department of Neuroscience, Max Planck Institute for Empirical Aesthetics, Frankfurt am Main, Germany
| | - Marta Romani
- IRCCS Casa Sollievo della Sofferenza, Mendel Laboratory, San Giovanni Rotondo, Italy
| | - Enza Maria Valente
- Section of Neurosciences, Department of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - Renato Borgatti
- Neuropsychiatry and Neurorehabilitation Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
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123
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Goodwin R, Lincoln N, das Nair R, Bateman A. External memory aids for memory problems in people with multiple sclerosis: A systematic review. Neuropsychol Rehabil 2015; 27:1081-1102. [DOI: 10.1080/09602011.2015.1113997] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Rachel Goodwin
- Division of Rehabilitation & Ageing, University of Nottingham, Queen's Medical Centre, Nottingham, UK
- The Oliver Zangwill Centre for Neuropsychological Rehabilitation, Ely, UK
| | - Nadina Lincoln
- Division of Rehabilitation & Ageing, University of Nottingham, Queen's Medical Centre, Nottingham, UK
| | - Roshan das Nair
- Division of Rehabilitation & Ageing, University of Nottingham, Queen's Medical Centre, Nottingham, UK
- Department of Clinical Psychology & Neuropsychology, Nottingham University Hospitals, Nottingham, UK
| | - Andrew Bateman
- The Oliver Zangwill Centre for Neuropsychological Rehabilitation, Ely, UK
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124
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Dymowski AR, Ponsford JL, Willmott C. Cognitive training approaches to remediate attention and executive dysfunction after traumatic brain injury: A single-case series. Neuropsychol Rehabil 2015; 26:866-94. [PMID: 26493353 DOI: 10.1080/09602011.2015.1102746] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Attentional deficits are common following traumatic brain injury (TBI) and interfere with daily functioning. This study employed a single-case design to examine the effects of individualised strategy training on attention beyond the effects of computerised training using Attention Process Training 3 (APT-3), and to examine the participants' subjective experience of these approaches. An ABCA (baseline, APT-3, strategy training, follow-up) design was repeated across three participants with severe TBI. Outcomes were measured on alternate versions of the oral Symbol Digit Modalities Test (SDMT) and cancellation tasks; generalisation with the Test of Everyday Attention (TEA) and self and significant other (SO) ratings on the Rating Scale of Attentional Behaviour (RSAB); and participant experiences with semi-structured interviews. Planned Tau-U analyses revealed improvements in speed of processing on the SDMT and the automatic condition of the cancellation task after APT-3 and at follow-up, but with most improvement after strategy training. Limited generalisation was evident on TEA subtests and self-RSAB ratings. SO-RSAB ratings were mixed after APT-3, but demonstrated improvement after strategy training. Variability in attentional deficits and everyday attentional requirements between patients required individualised goals and approaches to rehabilitation. This study highlights the need for individualised rehabilitation of attention to improve everyday functioning after TBI.
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Affiliation(s)
- Alicia Rhian Dymowski
- a School of Psychological Sciences , Monash University , Clayton , Victoria , Australia.,b Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare , Richmond , Victoria , Australia
| | - Jennie Louise Ponsford
- a School of Psychological Sciences , Monash University , Clayton , Victoria , Australia.,b Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare , Richmond , Victoria , Australia.,c Centre of Excellence in Traumatic Brain Injury Rehabilitation, National Trauma Research Institute, Alfred Hospital , Prahran , Victoria , Australia
| | - Catherine Willmott
- a School of Psychological Sciences , Monash University , Clayton , Victoria , Australia.,b Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare , Richmond , Victoria , Australia
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125
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Brett CE, Sykes C, Pires-Yfantouda R. Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review. Neuropsychol Rehabil 2015; 27:959-982. [DOI: 10.1080/09602011.2015.1090459] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Caroline Elizabeth Brett
- Department of Psychology, University of Edinburgh, Edinburgh, UK
- Department of Psychology, City University London, London, UK
| | | | - Renata Pires-Yfantouda
- Department of Psychology, City University London, London, UK
- South London and the Maudsley NHS Trust, Liaison Psychiatry for Guy's and St Thomas's Hospital, London, UK
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126
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Mateo S, Di Rienzo F, Bergeron V, Guillot A, Collet C, Rode G. Motor imagery reinforces brain compensation of reach-to-grasp movement after cervical spinal cord injury. Front Behav Neurosci 2015; 9:234. [PMID: 26441568 PMCID: PMC4566051 DOI: 10.3389/fnbeh.2015.00234] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2015] [Accepted: 08/19/2015] [Indexed: 01/19/2023] Open
Abstract
Individuals with cervical spinal cord injury (SCI) that causes tetraplegia are challenged with dramatic sensorimotor deficits. However, certain rehabilitation techniques may significantly enhance their autonomy by restoring reach-to-grasp movements. Among others, evidence of motor imagery (MI) benefits for neurological rehabilitation of upper limb movements is growing. This literature review addresses MI effectiveness during reach-to-grasp rehabilitation after tetraplegia. Among articles from MEDLINE published between 1966 and 2015, we selected ten studies including 34 participants with C4 to C7 tetraplegia and 22 healthy controls published during the last 15 years. We found that MI of possible non-paralyzed movements improved reach-to-grasp performance by: (i) increasing both tenodesis grasp capabilities and muscle strength; (ii) decreasing movement time (MT), and trajectory variability; and (iii) reducing the abnormally increased brain activity. MI can also strengthen motor commands by potentiating recruitment and synchronization of motoneurons, which leads to improved recovery. These improvements reflect brain adaptations induced by MI. Furthermore, MI can be used to control brain-computer interfaces (BCI) that successfully restore grasp capabilities. These results highlight the growing interest for MI and its potential to recover functional grasping in individuals with tetraplegia, and motivate the need for further studies to substantiate it.
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Affiliation(s)
- Sébastien Mateo
- ImpAct Team, Lyon Neuroscience Research Center, Université Lyon 1, Université de Lyon, INSERM U1028, CNRS UMR5292 Lyon, France ; Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plateforme Mouvement et Handicap Lyon, France ; Centre de Recherche et d'Innovation sur le Sport, EA 647, Performance Motrice, Mentale et du Matériel, Université Lyon 1, Université de Lyon Villeurbanne, France ; Ecole Normale Supérieure de Lyon, CNRS UMR5672 Lyon, France
| | - Franck Di Rienzo
- Centre de Recherche et d'Innovation sur le Sport, EA 647, Performance Motrice, Mentale et du Matériel, Université Lyon 1, Université de Lyon Villeurbanne, France
| | - Vance Bergeron
- Ecole Normale Supérieure de Lyon, CNRS UMR5672 Lyon, France
| | - Aymeric Guillot
- Centre de Recherche et d'Innovation sur le Sport, EA 647, Performance Motrice, Mentale et du Matériel, Université Lyon 1, Université de Lyon Villeurbanne, France ; Institut Universitaire de France Paris, France
| | - Christian Collet
- Centre de Recherche et d'Innovation sur le Sport, EA 647, Performance Motrice, Mentale et du Matériel, Université Lyon 1, Université de Lyon Villeurbanne, France
| | - Gilles Rode
- ImpAct Team, Lyon Neuroscience Research Center, Université Lyon 1, Université de Lyon, INSERM U1028, CNRS UMR5292 Lyon, France ; Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plateforme Mouvement et Handicap Lyon, France
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127
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Chen LT, Peng CYJ, Chen ME. Computing Tools for Implementing Standards for Single-Case Designs. Behav Modif 2015; 39:835-69. [DOI: 10.1177/0145445515603706] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In the single-case design (SCD) literature, five sets of standards have been formulated and distinguished: design standards, assessment standards, analysis standards, reporting standards, and research synthesis standards. This article reviews computing tools that can assist researchers and practitioners in meeting the analysis standards recommended by the What Works Clearinghouse: Procedures and Standards Handbook—the WWC standards. These tools consist of specialized web-based calculators or downloadable software for SCD data, and algorithms or programs written in Excel, SAS procedures, SPSS commands/Macros, or the R programming language. We aligned these tools with the WWC standards and evaluated them for accuracy and treatment of missing data, using two published data sets. All tools were tested to be accurate. When missing data were present, most tools either gave an error message or conducted analysis based on the available data. Only one program used a single imputation method. This article concludes with suggestions for an inclusive computing tool or environment, additional research on the treatment of missing data, and reasonable and flexible interpretations of the WWC standards.
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128
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Patel RR, Venediktov R, Schooling T, Wang B. Evidence-Based Systematic Review: Effects of Speech-Language Pathology Treatment for Individuals With Paradoxical Vocal Fold Motion. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2015; 24:566-584. [PMID: 25836980 DOI: 10.1044/2015_ajslp-14-0120] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2014] [Accepted: 03/27/2015] [Indexed: 06/04/2023]
Abstract
PURPOSE In this article, our goal was to determine the state of the evidence and the effect of speech-language pathology (SLP) treatment for individuals with paradoxical vocal fold motion (PVFM). METHOD The American Speech-Language-Hearing Association's National Center for Evidence-Based Practice in Communication Disorders searched 22 electronic databases using key words related to PVFM, speech or voice treatment, and behavioral intervention for articles published through July 2013. Identified articles were systematically evaluated to assess the quality of the evidence using a modification of the American Speech-Language-Hearing Association's critical appraisal scheme. RESULTS Sixty-five articles met the search criteria. Only 2 out of the 65 articles were judged to contain adequate evidence to evaluate the effect of SLP treatment for PVFM. All 65 articles exemplify the state of the evidence for SLP treatment for PVFM. CONCLUSION The state of the evidence for the use of SLP treatment is in its infancy, with a majority of articles in the exploratory stage of research. Consequently, few clinical implications can be drawn at this time. SLP treatment for PVFM is promising; however, there is clearly a pressing need for systematic experimental studies that involve a control group to further the evidence base.
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129
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Roulstone SE, Marshall JE, Powell GG, Goldbart J, Wren YE, Coad J, Daykin N, Powell JE, Lascelles L, Hollingworth W, Emond A, Peters TJ, Pollock JI, Fernandes C, Moultrie J, Harding SA, Morgan L, Hambly HF, Parker NK, Coad RA. Evidence-based intervention for preschool children with primary speech and language impairments: Child Talk – an exploratory mixed-methods study. PROGRAMME GRANTS FOR APPLIED RESEARCH 2015. [PMID: 26312364 DOI: 10.3310/pgfar03050] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
BackgroundThe Child Talk study aimed to develop an evidence-based framework to support the decision-making of speech and language therapists (SLTs) as they design and plan interventions appropriate to the needs of individual children with primary speech and language impairments and their families. The need for early identification and effective intervention for these children continues to be a government policy priority because of the link between children’s early speech and language skills and their broader well-being and outcomes in later life. The first phase of Child Talk sought to map and describe current SLT practice for these children; identify and summarise the existing research evidence relating to practice; and investigate the perspectives of parents, early years practitioners, preschool children and ‘underserved’ communities on speech and language therapy. The second phase of Child Talk focused on the development of a toolkit – assessment tools, outcome measures and a data set – to support future service and economic evaluations of the framework.MethodsChild Talk adopted a mixed-methods design. Quantitative methods included surveys and investigated the prevalence and patterns of intervention usage; qualitative data collection methods included focus groups, interviews and reflection to investigate participants’ perspectives and understandings of interventions. Data analysis methods included descriptive and inferential statistics, thematic and content analysis and framework analysis. Participants were recruited nationally through six NHS sites, professional bodies, parent groups and advertising. Participants included SLTs (n = 677), parents (n = 84), preschool children (n = 24), early years practitioners (n = 31) and ‘underserved’ communities (n = 52).Key findingsSpeech and language therapy interventions were characterised in terms of nine themes, viewed as comprehensive and inclusive by practitioners. Relevant assessments, interventions and outcome domains were identified for the nine themes. Areas of tacit knowledge and underspecified processes contributed to variability in the detail of the framework. Systematic reviews identified 58 relevant and robust studies (from 55,271 papers retrieved from the initial literature search). The number of studies relevant to each theme varied from 1 to 33. Observational data on preschool children’s perspectives on speech and language therapy interventions revealed the dynamic nature of their interaction with different activities and people within therapy sessions. Parents’ experiences of speech and language therapy were generally positive although some reported that the rationale for therapy was not always clear. Parental perspectives in underserved communities suggested that, although parents were confident about how to support children’s language development, they were less informed about the nature of language impairments and the function of speech and language therapy. The availability of information regarding resources directed towards speech and language therapy services was poor. In particular, services lacked both a culture of collecting outcome data routinely and measures of professional input and costs associated with their activities.ConclusionA descriptive framework of SLT practice has been developed to support the discussions between therapists and families when making decisions regarding the selection of interventions and outcome measures. Further research is needed to address gaps in the intervention framework and evaluate its effectiveness and cost-effectiveness in improving outcomes for preschool children with primary speech and language impairments.Study registrationThis study is registered as PROSPERO CRD42013006369.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.
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Affiliation(s)
- Sue E Roulstone
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | - Julie E Marshall
- Research Institute for Health and Social Change, Manchester Metropolitan University, Manchester, UK
| | | | - Juliet Goldbart
- Research Institute for Health and Social Change, Manchester Metropolitan University, Manchester, UK
| | - Yvonne E Wren
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
| | - Jane Coad
- Centre for Technology Enabled Health Research, Coventry University, Coventry, UK
| | - Norma Daykin
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | - Jane E Powell
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | | | | | - Alan Emond
- School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - Tim J Peters
- School of Clinical Sciences, University of Bristol, Bristol, UK
| | - Jon I Pollock
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | | | - Jenny Moultrie
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
| | - Sam A Harding
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
| | - Lydia Morgan
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
| | - Helen F Hambly
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
| | - Naomi K Parker
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
| | - Rebecca A Coad
- Bristol Speech & Language Therapy Research Unit, Frenchay Hospital, Bristol, UK
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130
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Eastwood C, Madill C, Mccabe P. The behavioural treatment of muscle tension voice disorders: A systematic review. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2015; 17:287-303. [PMID: 25953458 DOI: 10.3109/17549507.2015.1024169] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
PURPOSE A systematic review of behavioural intervention for the treatment of adults with muscle tension voice disorders (MTVD). METHOD A search of 12 electronic databases and reference lists for studies published between the years 1990-2014 was conducted using the PRISMA guidelines. Inclusion and exclusion criteria included type of publication, participant characteristics, intervention, outcome measures and report of outcomes. Methodological quality rating scales and confidence in diagnostic scale supported the literature evaluation. RESULT Seven papers met the inclusion criteria. Significant improvement on at least one outcome measure was reported for all studies. Effect sizes were small-to-large. Methodological qualities of research were varied. No study explicitly reported treatment fidelity and cumulative intervention intensity could only be calculated for two out of seven studies. Outcome measures were used inconsistently and less than half of the measures had reported reliability values. Confidence in the accuracy of subject diagnosis on average was rated as low. Specific "active ingredients" for therapeutic change were not identified. CONCLUSION Voice therapy for the treatment of MTVD is associated with positive treatment outcomes; however, there is an obvious need for systematic and high quality research designs to expand the evidence base for the behavioural treatment of MTVD.
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Affiliation(s)
- Clare Eastwood
- The Voice Research Laboratory, Discipline of Speech Pathology, The University of Sydney , Sydney , Australia
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131
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Ballard KJ, Wambaugh JL, Duffy JR, Layfield C, Maas E, Mauszycki S, McNeil MR. Treatment for Acquired Apraxia of Speech: A Systematic Review of Intervention Research Between 2004 and 2012. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2015; 24:316-337. [PMID: 25815778 DOI: 10.1044/2015_ajslp-14-0118] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2014] [Accepted: 02/16/2015] [Indexed: 05/15/2023]
Abstract
OBJECTIVES The aim was for the appointed committee of the Academy of Neurological Communication Disorders and Sciences to conduct a systematic review of published intervention studies of acquired apraxia of speech (AOS), updating the previous committee's review article from 2006. METHOD A systematic search of 11 databases identified 215 articles, with 26 meeting inclusion criteria of (a) stating intention to measure effects of treatment on AOS and (b) data representing treatment effects for at least 1 individual stated to have AOS. RESULTS All studies involved within-participant experimental designs, with sample sizes of 1 to 44 (median = 1). Confidence in diagnosis was rated high to reasonable in 18 of 26 studies. Most studies (24/26) reported on articulatory-kinematic approaches; 2 applied rhythm/rate control methods. Six studies had sufficient experimental control for Class III rating according to the Clinical Practice Guidelines Process Manual (American Academy of Neurology, 2011), with 15 others satisfying all criteria for Class III except use of independent or objective outcome measurement. CONCLUSIONS The most important global clinical conclusion from this review is that the weight of evidence supports a strong effect for both articulatory-kinematic and rate/rhythm approaches to AOS treatment. The quantity of work, experimental rigor, and reporting of diagnostic criteria continue to improve and strengthen confidence in the corpus of research.
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Coleman JJ, Frymark T, Franceschini NM, Theodoros DG. Assessment and Treatment of Cognition and Communication Skills in Adults With Acquired Brain Injury via Telepractice: A Systematic Review. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2015; 24:295-315. [PMID: 25836020 DOI: 10.1044/2015_ajslp-14-0028] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 12/23/2014] [Indexed: 06/04/2023]
Abstract
PURPOSE This is a systematic review of assessment and treatment of cognitive and communicative abilities of individuals with acquired brain injury via telepractice versus in person. The a priori clinical questions were informed by previous research that highlights the importance of considering any functional implications of outcomes, determining disorder- and setting-specific concerns, and measuring the potential impact of diagnostic accuracy and treatment efficacy data on interpretation of findings. METHOD A literature search of multiple databases (e.g., PubMed) was conducted using key words and study inclusion criteria associated with the clinical questions. RESULTS Ten group studies were accepted that addressed assessment of motor speech, language, and cognitive impairments; assessment of motor speech and language activity limitations/participation restrictions; and treatment of cognitive impairments and activity limitations/participation restrictions. In most cases, equivalence of outcomes was noted across service delivery methods. CONCLUSIONS Limited findings, lack of diagnostic accuracy and treatment efficacy data, and heterogeneity of assessments and interventions precluded robust evaluation of clinical implications for telepractice equivalence and the broader area of telepractice efficacy. Future research is needed that will build upon current knowledge through replication. In addition, further evaluation at the impairment and activity limitation/participation restriction levels is needed.
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133
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Cassel A, Humphreys K. Psychological therapy for psychogenic amnesia: Successful treatment in a single case study. Neuropsychol Rehabil 2015; 26:374-91. [DOI: 10.1080/09602011.2015.1033431] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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134
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Thiel L, Sage K, Conroy P. Comparing uni-modal and multi-modal therapies for improving writing in acquired dysgraphia after stroke. Neuropsychol Rehabil 2015; 26:345-73. [PMID: 25854414 DOI: 10.1080/09602011.2015.1026357] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Writing therapy studies have been predominantly uni-modal in nature; i.e., their central therapy task has typically been either writing to dictation or copying and recalling words. There has not yet been a study that has compared the effects of a uni-modal to a multi-modal writing therapy in terms of improvements to spelling accuracy. A multiple-case study with eight participants aimed to compare the effects of a uni-modal and a multi-modal therapy on the spelling accuracy of treated and untreated target words at immediate and follow-up assessment points. A cross-over design was used and within each therapy a matched set of words was targeted. These words and a matched control set were assessed before as well as immediately after each therapy and six weeks following therapy. The two approaches did not differ in their effects on spelling accuracy of treated or untreated items or degree of maintenance. All participants made significant improvements on treated and control items; however, not all improvements were maintained at follow-up. The findings suggested that multi-modal therapy did not have an advantage over uni-modal therapy for the participants in this study. Performance differences were instead driven by participant variables.
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Affiliation(s)
- Lindsey Thiel
- a NARU, School of Psychological Sciences , University of Manchester , Manchester , UK
| | - Karen Sage
- b Bristol Speech and Language Therapy Research Unit , Frenchay Hospital, University of the West of England , Bristol , UK
| | - Paul Conroy
- a NARU, School of Psychological Sciences , University of Manchester , Manchester , UK
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135
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Happy despite pain: Pilot study of a positive psychology intervention for patients with chronic pain. Scand J Pain 2015; 7:71-79. [DOI: 10.1016/j.sjpain.2015.01.005] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2014] [Accepted: 01/19/2015] [Indexed: 01/10/2023]
Abstract
Abstract
Background and purpose
Dealing with chronic pain is difficult and affects physiological as well as psychological well-being. Patients with chronic pain are often reporting concurrent emotional problems such as low mood and depressive symptoms. Considering this, treatments need to involve strategies for improving mood and promoting well-being in this group of patients. With the rise of the positive psychology movement, relatively simple intervention strategies to increase positive feelings, cognitions, and behaviours have become available. So far, the evidence for positive psychology techniques mainly comes from studies with healthy participants, and from studies with patients expressing emotional problems such as depression or anxiety as their main complaint. This study describes an initial attempt to explore the potential effects of a positive psychology intervention in a small sample of patients suffering from chronic pain.
Methods
A replicated single case design was employed with five participants. The participants started to fill out daily self-reports and weekly questionnaires two weeks before the intervention started, and continued throughout the intervention. In addition, they filled out a battery of questionnaires at pretest, posttest, and at a three months follow-up. The instruments for assessment were selected to cover areas and constructs which are important for pain problems in general (e.g. disability, life satisfaction, central psychological factors) as well as more specific constructs from positive psychology (e.g. compassion, savoring beliefs).
Results
The results on pre and post assessments showed an effect on some of the measures. However, according to a more objective measure of reliable change (Reliable Change Index, RCI), the effects were quite modest. On the weekly measures, there was a trend towards improvements for three of the participants, whereas the other two basically did not show any improvement. The daily ratings were rather difficult to interpret because of their large variability, both between and within individuals. For the group of participants as a whole, the largest improvements were on measures of disability and catastrophizing.
Conclusions
The results of this preliminary study indicate that a positive psychology intervention may have beneficial effects for some chronic pain patients. Although it is not to be expected that a limited positive psychology intervention on its own is sufficient to treat pain-related disability in chronic patients, our findings suggest that for some it may be an advantageous complement to enhance the effects of other interventions.
Implications
The results of this pilot study about the potential effects of a positive psychology intervention for chronic pain patients may be encouraging, warranting a larger randomized controlled study. Future studies may also concentrate on integrating positive psychology techniques into existing treatments, such as composite CBT-programs for chronic pain patients. Our advice is that positive psychology interventions are not to be regarded as stand-alone treatments for this group of patients, but may potentially enhance the effect of other interventions. However, when and for which patients these techniques may be recommended is to be explored in future research.
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Vestri A, Peruch F, Marchi S, Frare M, Guerra P, Pizzighello S, Meneghetti S, Nutbrown A, Martinuzzi A. Individual and group treatment for patients with acquired brain injury in comprehensive rehabilitation. Brain Inj 2015; 28:1102-8. [PMID: 24892220 DOI: 10.3109/02699052.2014.910698] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PRIMARY OBJECTIVE The aim of this study was to investigate the hypothesis that group rehabilitation is more effective than individual treatments and provides an improvement in clinical outcomes similar to that achieved by individual treatments alone. RESEARCH DESIGN Two groups of patients were placed in different rehabilitation settings treated using the same rehabilitation approach. One received only individual treatments and the second group received a combination of both individual and group treatments. The independent variables were measured both pre- and post-treatment and compared between the two groups. METHODS AND PROCEDURES Seventy-four patients treated with a comprehensive rehabilitation approach were divided into two groups: (a) individual treatment only and, (b) combined treatments (both individual and group). The outcome scales were LCF (Rancho Los Amigos Level of Cognitive Functioning), DRS (Disability Rating Scale) and FIM™ (Functional Independence Measure). RESULTS The whole sample had obtained statistically significant improvements in all of the outcome scales: LCF (χ(2) = 45.26; p < 0.001), DRS (z = -3.92; p < 0.001) and FIM (z = -4.9; p < 0.001). The comparison between groups did not reveal any pre-treatment difference. Analysis of post-treatment, however, showed a greater improvement in the FIM scale for those in combined individual and group treatment (z = -0.2544, p = 0.01). CONCLUSIONS Group rehabilitation integrated with individual treatments is more effective than individual treatments alone in improving independence measured by the FIM™ scale. Both groups had obtained statistically significant clinical improvements, the improvement in the FIM™ scale was significantly better in the combined treatment group.
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Affiliation(s)
- Alec Vestri
- 'E. Medea' Scientific Institute Conegliano-Pieve di Soligo Research Center, Unit for the Rehabilitation of Neuropsychological Disorders , Pieve di Soligo (TV) , Italy
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Improving Communication-specific Coping after Traumatic Brain Injury: Evaluation of a New Treatment using Single-case Experimental Design. BRAIN IMPAIR 2015. [DOI: 10.1017/brimp.2014.25] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Background and aims: Impaired communication is a well-documented and enduring consequence of traumatic brain injury (TBI). As a result of this impairment, people with TBI frequently experience communication breakdown and associated stress. Typically, we use communication-specific coping strategies in situations characterised by communication breakdown. Productive strategies enhance message transfer; non-productive strategies do little to resolve problems and frequently result in negative social interaction. This research aimed to evaluate the effectiveness of a new treatment, Communication-specific Coping Intervention (CommCope-I), which specifically targets coping in the context of communication breakdown.Method: Single-case experimental design (A–B–A with follow-up using multiple probes) across two participants was used. Participants were Samantha, a 30-year-old woman who had sustained severe TBI 8 years previously, and Thomas, a 34-year-old man who had sustained severe TBI when he was 29 years old. CommCope-I is a 6-week programme which targets personally relevant productive coping strategies identified collaboratively with the client. Productive coping scripts are developed and practised through a series of graded scenarios that are evaluated with the aid of video recording.Results: Percentage of non-overlapping corrected data (PNCD) was used to analyse the results. PNCD involves a data-correction procedure to remove baseline trend from the data series prior to calculating the change produced as a result of intervention. A large treatment effect was demonstrated in both participants (PNCD: end of treatment Samantha = 100%, Thomas = 100%, 3-month follow-up Samantha = 100%, Thomas = 100%). These results are consistent with highly effective treatment.Conclusions: This study provides sound phase-1 evidence for the effectiveness of CommCope-I.
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138
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Hutchinson N, Bodicoat A. The Effectiveness of Intensive Interaction, A Systematic Literature Review. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2015; 28:437-54. [DOI: 10.1111/jar.12138] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2014] [Indexed: 12/01/2022]
Affiliation(s)
- Nick Hutchinson
- Department of Clinical Psychology; Hull York Medical School; University of Hull; Hull UK
| | - Anna Bodicoat
- Department of Psychological Health and Wellbeing; University of Hull; Hull UK
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139
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Martin N, Kalinyak-Fliszar M. The case for single-case studies in treatment research-comments on Howard, Best and Nickels "Optimising the design of intervention studies: critiques and ways forward". APHASIOLOGY 2014; 29:570-574. [PMID: 28824217 DOI: 10.1080/02687038.2014.985884] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Affiliation(s)
- Nadine Martin
- Department of Communication Sciences and Disorders, Temple University, Philadelphia, PA, USA
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140
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Blyth KM, McCabe P, Madill C, Ballard KJ. Speech and swallow rehabilitation following partial glossectomy: a systematic review. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2014; 17:401-410. [PMID: 25515427 DOI: 10.3109/17549507.2014.979880] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
PURPOSE Tongue cancer is known to negatively affect both speech and swallowing function; however this is the first review to report speech-language pathology (SLP) intervention for both functions following partial glossectomy. METHOD Using a PRISMA approach, systematic screening of nine databases was undertaken. Original studies reporting SLP rehabilitation for speech and/or swallowing dysfunction with participants following partial glossectomy as primary cancer treatment were included. RESULT These studies are discussed in terms of SLP assessment and intervention trends as well as quality according to current research method standards (levels of evidence, Pedro-P, SCED) in order to determine suitability for guiding current clinical practice. CONCLUSION Publications were few (n = 7) and mostly of non-experimental design. This review highlights the gap in evidence and questions the rationale of current SLP rehabilitation following partial glossectomy.
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141
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Moeller JD, Dattilo J, Rusch F. Applying Quality Indicators to Single-Case Research Designs Used in Special Education: A Systematic Review. PSYCHOLOGY IN THE SCHOOLS 2014. [DOI: 10.1002/pits.21801] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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142
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Lew J, Purcell AA, Doble M, Lim LH. Hear here: children with hearing loss learn words by listening. Int J Pediatr Otorhinolaryngol 2014; 78:1716-25. [PMID: 25139133 DOI: 10.1016/j.ijporl.2014.07.029] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2014] [Revised: 07/20/2014] [Accepted: 07/22/2014] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Early use of hearing devices and family participation in auditory-verbal therapy has been associated with age-appropriate verbal communication outcomes for children with hearing loss. However, there continues to be great variability in outcomes across different oral intervention programmes and little consensus on how therapists should prioritise goals at each therapy session for positive clinical outcomes. This pilot intervention study aimed to determine whether therapy goals that concentrate on teaching preschool children with hearing loss how to distinguish between words in a structured listening programme is effective, and whether gains in speech perception skills impact on vocabulary and speech development without them having to be worked on directly in therapy. METHOD A multiple baseline across subjects design was used in this within-subject controlled study. 3 children aged between 2:6 and 3:1 with moderate-severe to severe-profound hearing loss were recruited for a 6-week intervention programme. Each participant commenced at different stages of the 10-staged listening programme depending on their individual listening skills at recruitment. Speech development and vocabulary assessments were conducted before and after the training programme in addition to speech perception assessments and probes conducted throughout the intervention programme. RESULTS All participants made gains in speech perception skills as well as vocabulary and speech development. Speech perception skills acquired were noted to be maintained a week after intervention. In addition, all participants were able to generalise speech perception skills learnt to words that had not been used in the intervention programme. CONCLUSIONS This pilot study found that therapy directed at listening alone is promising and that it may have positive impact on speech and vocabulary development without these goals having to be incorporated into a therapy programme. Although a larger study is necessary for more conclusive findings, the results from this preliminary study are promising in support of emphasise on listening skills within auditory-verbal therapy programmes.
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Affiliation(s)
- Joyce Lew
- National University Health System, National University of Singapore, Department of Otolaryngology, NUHS Tower Block, Level 7, 1E Kent Ridge Road, Singapore 119228, Singapore; The University of Sydney, Discipline of Speech Pathology, Faculty of Health Sciences, P.O. Box 170, Lidcombe, NSW 1825, Australia.
| | - Alison A Purcell
- The University of Sydney, Discipline of Speech Pathology, Faculty of Health Sciences, P.O. Box 170, Lidcombe, NSW 1825, Australia.
| | - Maree Doble
- The University of Sydney, Discipline of Speech Pathology, Faculty of Health Sciences, P.O. Box 170, Lidcombe, NSW 1825, Australia.
| | - Lynne H Lim
- National University Health System, National University of Singapore, Department of Otolaryngology, NUHS Tower Block, Level 7, 1E Kent Ridge Road, Singapore 119228, Singapore.
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143
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Prenton S, Kenney LP, Cooper G, Major MJ. A sock for foot-drop: a preliminary study on two chronic stroke patients. Prosthet Orthot Int 2014; 38:425-30. [PMID: 24107635 DOI: 10.1177/0309364613505107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Foot-drop is a common motor impairment of chronic stroke patients, which may be addressed with an ankle foot orthosis. Although there is reasonable evidence of effectiveness for ankle foot orthoses, user compliance is sometimes poor. This study investigated a new alternative to the ankle foot orthosis, the dorsiflex sock. CASE DESCRIPTION AND METHODS The dorsiflex sock was evaluated using an A-B single case experimental design. Two community-dwelling, chronic stroke patients with foot-drop participated in this study. Measures were selected to span the International Classification of Function, Disability and Health domains and user views on the dorsiflex sock were also collected. FINDINGS AND OUTCOMES The dorsiflex sock was not effective in improving participants' walking symmetry, speed or energy expenditure. Participant 1 showed improvement in the distance he could walk in 6 min when using the dorsiflex sock, but this was in keeping with a general improvement trend over the course of this study. However, both participants viewed the dorsiflex sock positively and reported a positive effect on their walking. CONCLUSION Despite positive user perceptions, the study found no clear evidence that dorsiflex sock is effective in improving foot-drop. CLINICAL RELEVANCE Although the dorsiflex sock offers an attractive alternative to an ankle foot orthosis, the case studies found no clear evidence of its efficacy. Clinicians should view this device with caution until further research becomes available.
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Affiliation(s)
- Sarah Prenton
- School of Health Sciences, University of Salford, Salford, UK
| | | | - Glen Cooper
- School of Engineering, The Manchester Metropolitan University, Manchester, UK
| | - Matthew J Major
- Northwestern University Prosthetics and Orthotics Center, Northwestern University, Chicago, IL, USA
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144
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Heyvaert M, Saenen L, Campbell JM, Maes B, Onghena P. Efficacy of behavioral interventions for reducing problem behavior in persons with autism: an updated quantitative synthesis of single-subject research. RESEARCH IN DEVELOPMENTAL DISABILITIES 2014; 35:2463-2476. [PMID: 24992447 DOI: 10.1016/j.ridd.2014.06.017] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2014] [Revised: 06/08/2014] [Accepted: 06/12/2014] [Indexed: 06/03/2023]
Abstract
Problem or challenging behaviors are highly prevalent among persons with autism and bring along major risks for the individual with autism and his/her family. In order to reduce the problem behavior, several behavioral interventions are used. We conducted a quantitative synthesis of single-subject studies to examine the efficacy of behavioral interventions for reducing problem behavior in persons with autism. Two hundred and thirteen studies representing 358 persons with autism met the inclusion criteria and were included in the statistical analyses. Overall, we found that behavioral interventions were on average effective in reducing problem behavior in individuals with autism, but some interventions were significantly more effective than others. The results further showed that the use of positive (nonaversive) behavioral interventions was increasing over time. The behavioral interventions were on average equally effective regardless of the type of problem behavior that was targeted. Interventions preceded by a functional analysis reduced problem behavior significantly more than interventions not preceded by a functional analysis. Finally, treatment and experimental characteristics, but not participant characteristics, were statistically significant moderators of the behavioral treatment effectiveness.
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Affiliation(s)
- Mieke Heyvaert
- Faculty of Psychology and Educational Sciences - KU Leuven, Belgium; Postdoctoral Fellow of the Research Foundation - Flanders, Belgium.
| | - Lore Saenen
- Faculty of Psychology and Educational Sciences - KU Leuven, Belgium
| | - Jonathan M Campbell
- Department of Educational, School, and Counseling Psychology, University of Kentucky, United States
| | - Bea Maes
- Faculty of Psychology and Educational Sciences - KU Leuven, Belgium
| | - Patrick Onghena
- Faculty of Psychology and Educational Sciences - KU Leuven, Belgium
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145
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Dallery J, Raiff BR. Optimizing behavioral health interventions with single-case designs: from development to dissemination. Transl Behav Med 2014; 4:290-303. [PMID: 25264468 DOI: 10.1007/s13142-014-0258-z] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Over the past 70 years, single-case design (SCD) research has evolved to include a broad array of methodological and analytic advances. In this article, we describe some of these advances and discuss how SCDs can be used to optimize behavioral health interventions. Specifically, we discuss how parametric analysis, component analysis, and systematic replications can be used to optimize interventions. We also describe how SCDs can address other features of optimization, which include establishing generality and enabling personalized behavioral medicine. Throughout, we highlight how SCDs can be used during both the development and dissemination stages of behavioral health interventions.
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Affiliation(s)
- Jesse Dallery
- Department of Psychology, University of Florida, P. O. box 112250, Gainesville, FL 32611 USA
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146
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Baldwin VN, Powell T. Google Calendar: A single case experimental design study of a man with severe memory problems. Neuropsychol Rehabil 2014; 25:617-36. [PMID: 25263266 PMCID: PMC4487547 DOI: 10.1080/09602011.2014.956764] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
A single case experimental design across behaviours was utilised to explore the effectiveness of Google Calendar text alerts delivered to a mobile phone as a memory aid. The participant was a 43-year-old man (JA) with severe memory problems and executive difficulties caused by a traumatic brain injury (TBI). JA was initially very unwilling to use any memory aid and so a detailed assessment of his beliefs about memory aids, his cognitive difficulties and his social context was performed and a set of specifications for an aid was produced collaboratively. Six weeks of baseline data and six weeks of intervention data were collected for three target memory behaviours and three control memory behaviours. Results were analysed using nonoverlap of all pairs (NAP) analysis which showed a reduction in forgetting in the three target behaviours and no change in two of the three control behaviours. A subjective measure (the revised Everyday Memory Questionnaire) also suggested improvement. This study illustrates that Google Calendar is a highly effective memory aid and emphasises the importance of choosing a memory aid to suit the person's lifestyle and beliefs.
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147
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Charters E, Gillett L, Simpson GK. Efficacy of electronic portable assistive devices for people with acquired brain injury: a systematic review. Neuropsychol Rehabil 2014; 25:82-121. [PMID: 25121394 DOI: 10.1080/09602011.2014.942672] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
A systematic review was conducted to evaluate the efficacy of electronic portable assistive devices (EPADs) for people with acquired brain injury. A systematic database search (OVID, CINAHL) found 541 citations published between 1989 and the end of 2012. A total of 23 reports met the inclusion/exclusion criteria, namely intervention studies (group, n-of-1) testing the efficacy of EPADs as compensatory devices for cognitive impairment for people with acquired brain injury aged 16-65 years. Study quality was rated by the PEDro (Physiotherapy Evidence Database) scale, (randomised controlled trials), the Downes and Black tool (other group intervention studies), and the Single Case Experimental Design tool (single participant studies). Levels of evidence were determined using five levels of classification based on the Spinal Cord Injury Rehabilitation Evidence table. Results found no Level 1 studies (RCTs with PEDro score ≥ 6), four Level 2 studies and 10 Level 3 studies. There was insufficient evidence to recommend any practice standards, but sufficient evidence to recommend the use of electronic reminder systems in supporting the everyday functioning of people with acquired brain injury as a practice guideline. Higher quality studies are required to support a broader range of compensatory roles that EPADs have the potential to play in neurorehabilitation and the long-term support of people with acquired brain injury.
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Affiliation(s)
- E Charters
- a Department of Speech Pathology , Royal Prince Alfred Hospital , Camperdown , NSW , Australia
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148
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INCOG Recommendations for Management of Cognition Following Traumatic Brain Injury, Part III. J Head Trauma Rehabil 2014; 29:338-52. [DOI: 10.1097/htr.0000000000000068] [Citation(s) in RCA: 107] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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149
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Svoboda E, Richards B, Yao C, Leach L. Long-term maintenance of smartphone and PDA use in individuals with moderate to severe memory impairment. Neuropsychol Rehabil 2014; 25:353-73. [DOI: 10.1080/09602011.2014.927368] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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150
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Peyroux E, Franck N. RC2S: A Cognitive Remediation Program to Improve Social Cognition in Schizophrenia and Related Disorders. Front Hum Neurosci 2014; 8:400. [PMID: 24982627 PMCID: PMC4055942 DOI: 10.3389/fnhum.2014.00400] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2014] [Accepted: 05/18/2014] [Indexed: 01/18/2023] Open
Abstract
In people with psychiatric disorders, particularly those suffering from schizophrenia and related illnesses, pronounced difficulties in social interactions are a key manifestation. These difficulties can be partly explained by impairments in social cognition, defined as the ability to understand oneself and others in the social world, which includes abilities such as emotion recognition, theory of mind (ToM), attributional style, and social perception and knowledge. The impact of several kinds of interventions on social cognition has been studied recently. The best outcomes in the area of social cognition in schizophrenia are those obtained by way of cognitive remediation programs. New strategies and programs in this line are currently being developed, such as RC2S (cognitive remediation of social cognition) in Lyon, France. Considering that the social cognitive deficits experienced by patients with schizophrenia are very diverse, and that the main objective of social cognitive remediation programs is to improve patients' functioning in their daily social life, RC2S was developed as an individualized and flexible program that allows patients to practice social interaction in a realistic environment through the use of virtual reality techniques. In the RC2S program, the patient's goal is to assist a character named Tom in various social situations. The underlying idea for the patient is to acquire cognitive strategies for analyzing social context and emotional information in order to understand other characters' mental states and to help Tom manage his social interactions. In this paper, we begin by presenting some data regarding the social cognitive impairments found in schizophrenia and related disorders, and we describe how these deficits are targeted by social cognitive remediation. Then we present the RC2S program and discuss the advantages of computer-based simulation to improve social cognition and social functioning in people with psychiatric disorders.
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Affiliation(s)
- Elodie Peyroux
- Rehabilitation Department (CL3R), Le Vinatier Hospital, Lyon, France
- UMR 5229, Center of Cognitive Neurosciences, CNRS, Bron, France
- University of Lyon, Lyon, France
| | - Nicolas Franck
- Rehabilitation Department (CL3R), Le Vinatier Hospital, Lyon, France
- UMR 5229, Center of Cognitive Neurosciences, CNRS, Bron, France
- University of Lyon, Lyon, France
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