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Attention-training with children from socioeconomically disadvantaged backgrounds in Cape Town
Journal of Child & Adolescent Mental Health Pub Date : 2017-05-04 , DOI: 10.2989/17280583.2017.1372285
Leigh E Schrieff-Elson 1 , Ju-Reyn H Ockhuizen 1 , Genevieve During 1 , Kevin G. F. Thomas 1
Affiliation  

Objective: Attention is a core process underlying competence in higher-order cognitive abilities. Previous research suggests that healthy children from low socioeconomic status (SES) backgrounds perform poorly, relative to those from higher SES backgrounds, on tasks assessing attentional abilities. In this pilot study, we investigated the effects of an attention-training intervention on task performance in low-SES children. Method: We conducted a quasi-controlled trial with stratified randomisation, using a pre-test/ post-test design. Participants were low-SES children aged 7–13 years. Each was assigned to either an intervention group, a play control group, or a test-only control group (n = 5 per group). We implemented a ten-week manualised cognitive rehabilitation program, Pay Attention!, administering standardised tests of attention, working memory, and inhibition before and after the intervention. Between- and within-group analyses and Reliable Change Index statistics evaluated differences in scores from pre- to post-intervention. Results: Analyses detected no notable between-group differences at either pre- or post-intervention testing. However, on tests of selective attention, attentional control, and inhibition, there were significant within-group and positive individual reliable changes exclusive to the intervention-group participants. Conclusions: Given the variability in our findings, more research needs be conducted with a larger sample to determine, with greater rigour, the efficacy of the intervention within samples of healthy children from low-SES backgrounds.

中文翻译:

在开普敦对来自社会经济处于不利地位的儿童进行注意培训

目的:注意力是高阶认知能力中潜在能力的核心过程。先前的研究表明,与社会经济地位较低背景的健康儿童相比,社会经济地位较低背景的健康儿童在评估注意力能力方面的表现较差。在这项初步研究中,我们调查了注意力集中干预对低SES儿童任务表现的影响。方法:我们使用前测/后测设计进行了分层随机化的准对照试验。参加者为7-13岁的低SES儿童。每个人被分配到一个干预组,一个游戏对照组或一个仅测试对照组(每组n = 5)。我们实施了为期十周的手动认知康复计划“ Pay Attention!”,对注意力进行标准化测试,工作记忆,以及干预前后的抑制。组间和组内分析以及可靠变化指数统计数据评估了干预前后的得分差异。结果:在干预前或干预后的测试中,分析未发现明显的组间差异。但是,在选择性注意,注意控制和抑制测试中,干预组参与者独有显着的组内和积极个体可靠变化。结论:鉴于我们研究结果的差异性,需要对更大样本量进行更多研究,以更加严格地确定来自低SES背景的健康儿童样本中的干预效果。组间和组内分析以及可靠变化指数统计数据评估了干预前后的得分差异。结果:在干预前或干预后的测试中,分析未发现明显的组间差异。但是,在选择性注意,注意控制和抑制测试中,干预组参与者独有显着的组内和积极个体可靠变化。结论:鉴于我们研究结果的差异性,需要对更大样本量进行更多研究,以更加严格地确定来自低SES背景的健康儿童样本中的干预效果。组间和组内分析以及可靠变化指数统计数据评估了干预前后的得分差异。结果:在干预前或干预后的测试中,分析未发现明显的组间差异。但是,在选择性注意,注意控制和抑制测试中,干预组参与者独有显着的组内和积极个体可靠变化。结论:鉴于我们研究结果的差异性,需要对更大样本量进行更多研究,以更加严格地确定来自低SES背景的健康儿童样本中的干预效果。分析在干预前或干预后检测均未发现明显的组间差异。但是,在选择性注意,注意控制和抑制测试中,干预组参与者独有显着的组内和积极个体可靠变化。结论:鉴于我们研究结果的差异性,需要对更大样本量进行更多研究,以更加严格地确定来自低SES背景的健康儿童样本中的干预效果。分析在干预前或干预后检测均未发现明显的组间差异。但是,在选择性注意,注意控制和抑制测试中,干预组参与者独有显着的组内和积极个体可靠变化。结论:鉴于我们研究结果的差异性,需要对更大样本量进行更多研究,以更加严格地确定来自低SES背景的健康儿童样本中的干预效果。
更新日期:2017-05-04
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