ABSTRACT Objective: To investigate the effectiveness and feasibility of a Socratic feedback programme to improve awareness of deficits in patients with acquired brain injury (ABI). Setting: Rehabilitation centre. Participants: Four patients with ABI with awareness problems. Design: A series of single-case experimental design studies with random intervention starting points (A–B + maintenance design). Main measures: Rate of trainer-feedback and self-control behaviour on everyday tasks, patient competency rating scale (PCRS), self-regulating skills interview (SRSI), hospital anxiety and depression scale. Results: All patients needed less trainer feedback, the change was significant in 3 out of 4. One patient increased in overt self-corrective behaviour. SRSI performance increased in all patients (medium to strong effect size), and PCRS performance increased in two patients (medium and strong effect size). Mood and anxiety levels were elevated in one patient at the beginning of the training and decreased to normal levels at the end of the training. The feasibility of the programme was scored 9 out of 10. Conclusions: The Socratic feedback method is a promising intervention for improving awareness of deficits in patients with ABI. Controlled studies with larger populations are needed to draw more solid conclusions about the effect of this method.

中文翻译：

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苏格拉底反馈提高获得性脑损伤患者缺陷意识的有效性和可行性：四项单例实验设计 (SCED) 研究

摘要 目的：研究苏格拉底式反馈计划在提高获得性脑损伤（ABI）患者缺陷意识方面的有效性和可行性。环境：康复中心。参与者：四名有意识问题的 ABI 患者。设计：一系列具有随机干预起点的单案例实验设计研究（A-B + 维护设计）。主要测量指标：培训师对日常任务的反馈率和自我控制行为、患者能力评定量表（PCRS）、自我调节技能面试（SRSI）、医院焦虑和抑郁量表。结果：所有患者都需要较少的培训师反馈，4 名患者中有 3 名发生显着变化。一名患者的明显自我纠正行为有所增加。所有患者的 SRSI 表现均增加（中等至强效应量），和 PCRS 性能在两名患者中增加（中等和强效应量）。一名患者的情绪和焦虑水平在训练开始时升高，并在训练结束时降至正常水平。该计划的可行性得到 9 分（满分 10 分）。结论：苏格拉底反馈方法是一种很有前景的干预措施，可提高 ABI 患者对缺陷的认识。需要对更多人群进行对照研究，以得出关于这种方法效果的更可靠的结论。苏格拉底反馈法是一种很有前景的干预措施，可提高 ABI 患者对缺陷的认识。需要对更多人群进行对照研究，以得出关于这种方法效果的更可靠的结论。苏格拉底反馈法是一种很有前景的干预措施，可提高 ABI 患者对缺陷的认识。需要对更多人群进行对照研究，以得出关于这种方法效果的更可靠的结论。