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Efficacy of ICT-Based Neurocognitive Rehabilitation Programs for Acquired Brain Injury
European Psychologist ( IF 3.9 ) Pub Date : 2018-07-01 , DOI: 10.1027/1016-9040/a000319
Andreia Geraldo 1 , Artemisa R. Dores 1, 2 , Bárbara Coelho 3 , Eduarda Ramião 1 , Alexandre Castro-Caldas 4 , Fernando Barbosa 1
Affiliation  

This systematic review aims to analyze the methods used in the assessment of the efficacy of Neurocognitive Rehabilitation Programs (NRP) based on Information and Communication Technologies in patients with Acquired Brain Injury, namely platforms and online rehabilitation programs. Studies with the main purpose of evaluating the efficacy of those programs were retrieved from multiple literature databases, accordingly to inclusion and exclusion criteria. The inclusion and analysis of the studies followed preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) and Cochrane Collaboration Guidelines. Thirty-one studies were included in this review. Results showed that most studies used a pre-post methodological design, with few studies performing assessment moments during intervention or follow-up. Attention, memory, and executive functions were the cognitive variables considered by a larger number of studies at the assessment of NRP efficacy. Despite that, there is a growing evidence on the inclusion of variables related to everyday functioning in this process, increasing its ecological validity. Concerning the instruments used, the studies presented a large heterogeneity of the instruments and methods used, even for the same assessment purpose, highlighting a lack of consensus regarding assessment protocol. Psychophysiological and neuroimaging techniques are seldom used on this field. This review identifies the main characteristics of the methodology used at the assessment of NRP and potential limitations, providing useful information to guide the practice of the health care professionals in rehabilitation of Acquired Brain Injury. It also suggests new directions for future studies.

中文翻译:

基于ICT的神经认知康复计划对后天性脑损伤的功效

本系统综述旨在分析基于信息和通信技术的神经认知康复计划(NRP)在获得性脑损伤患者中的有效性评估方法,即平台和在线康复计划。根据纳入和排除标准,从多个文献数据库中检索了旨在评估那些程序功效的主要研究。研究的纳入和分析遵循系统评价和荟萃分析方案(PRISMA-P)和Cochrane协作指南的首选报告项目。本评价纳入了三十一项研究。结果表明,大多数研究采用事前方法设计,很少有研究在干预或随访期间进行评估。注意,记忆,执行功能是NRP疗效评估中许多研究考虑的认知变量。尽管如此,越来越多的证据表明在此过程中包含了与日常功能相关的变量,从而提高了其生态有效性。关于所使用的工具,研究表明即使是出于相同的评估目的,所使用的工具和方法也存在很大的异质性,这突出说明了在评估协议方面缺乏共识。在这一领域很少使用心理生理学和神经影像学技术。这项审查确定了NRP评估所使用的方法的主要特征和潜在的局限性,为指导医护人员在获得性脑损伤的康复中的实践提供了有用的信息。
更新日期:2018-07-01
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