Long-Term Efficacy of Computerized Cognitive Training Among Survivors of Childhood Cancer: A Single-Blind Randomized Controlled Trial

被引:56
作者
Conklin, Heather M. [1 ]
Ashford, Jason M. [1 ]
Clark, Kellie N. [1 ]
Martin-Elbahesh, Karen [1 ]
Hardy, Kristina K. [2 ,3 ]
Merchant, Thomas E. [4 ]
Ogg, Robert J. [5 ]
Jeha, Sima [6 ]
Huang, Lu [7 ]
Zhang, Hui [7 ]
机构
[1] St Jude Childrens Res Hosp, Dept Psychol, 332 N Lauderdale St, Memphis, TN 38105 USA
[2] Childrens Natl Med Ctr, Ctr Neurosci & Behav Med, Neuropsychol Div, Washington, DC 20010 USA
[3] George Washington Univ, Sch Med, Dept Psychiat & Behav Sci, Washington, DC 20052 USA
[4] St Jude Childrens Res Hosp, Dept Radiat Oncol, 332 N Lauderdale St, Memphis, TN 38105 USA
[5] St Jude Childrens Res Hosp, Div Translat Imaging, 332 N Lauderdale St, Memphis, TN 38105 USA
[6] St Jude Childrens Res Hosp, Dept Oncol, 332 N Lauderdale St, Memphis, TN 38105 USA
[7] St Jude Childrens Res Hosp, Dept Biostat, 332 N Lauderdale St, Memphis, TN 38105 USA
基金
美国国家卫生研究院;
关键词
brain tumor; computerized cognitive training; leukemia; pediatric; working memory; PLACEBO-CONTROLLED TRIAL; WORKING-MEMORY; CHILDREN; METHYLPHENIDATE; ATTENTION; LEUKEMIA; DEFICITS; SKILLS; LEADS;
D O I
10.1093/jpepsy/jsw057
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective To investigate the long-term efficacy of computerized cognitive training in improving cognitive outcomes among childhood cancer survivors. Methods Sixty-eight survivors of childhood acute lymphoblastic leukemia (ALL) or brain tumor (BT) were randomly assigned to computerized cognitive intervention (23 ALL/11 BT, age = 12.21 + 2.47) or a waitlist control group (24 ALL/10 BT, age = 11.82 + 2.42). Cognitive assessments were completed pre-, immediately post-, and 6 months postintervention. Results A prior report showed training led to immediate improvement in working memory, attention and processing speed. In the current study, piecewise linear mixed effects modeling revealed that working memory and processing speed were unchanged from immediate to 6 months postintervention (intervention beta = -.04 to .01, p = .26 to .95; control beta= -.06 to .01, p = .23-.97), but group differences on an attention measure did not persist. Conclusion Cognitive benefits are maintained 6 months following computerized cognitive training, adding to potential clinical utility of this intervention approach.
引用
收藏
页码:220 / 231
页数:12
相关论文
共 47 条
[11]  
Conners C.K., 2008, Conners rating scales-Revised
[12]  
Conners CK., 1995, CONNERSCONTINUOUS PE
[13]   Feasibility and acceptability of a remotely administered computerized intervention to address cognitive late effects among childhood cancer survivors [J].
Cox, Lauren E. ;
Ashford, Jason M. ;
Clark, Kellie N. ;
Martin-Elbahesh, Karen ;
Hardy, Kristina K. ;
Merchant, Thomas E. ;
Ogg, Robert J. ;
Jeha, Sima ;
Willard, Victoria W. ;
Huang, Lu ;
Zhang, Hui ;
Conklin, Heather M. .
NEURO-ONCOLOGY PRACTICE, 2015, 2 (02) :78-87
[14]   Marriage, employment, and health insurance in adult survivors of childhood cancer [J].
Crom D.B. ;
Lensing S.Y. ;
Rai S.N. ;
Snider M.A. ;
Cash D.K. ;
Hudson M.M. .
Journal of Cancer Survivorship, 2007, 1 (3) :237-245
[15]   Cancer Treatment and Survivorship Statistics, 2014 [J].
DeSantis, Carol E. ;
Lin, Chun Chieh ;
Mariotto, Angela B. ;
Siegel, Rebecca L. ;
Stein, Kevin D. ;
Kramer, Joan L. ;
Alteri, Rick ;
Robbins, Anthony S. ;
Jemal, Ahmedin .
CA-A CANCER JOURNAL FOR CLINICIANS, 2014, 64 (04) :252-271
[16]  
Gioia G.A., 2000, BEHAV RATING EXECUTI
[17]   Working memory training in survivors of pediatric cancer: a randomized pilot study [J].
Hardy, Kristina K. ;
Willard, Victoria W. ;
Allen, Taryn M. ;
Bonner, Melanie J. .
PSYCHO-ONCOLOGY, 2013, 22 (08) :1856-1865
[18]   Different Effects of Adding White Noise on Cognitive Performance of Sub-, Normal and Super-Attentive School Children [J].
Helps, Suzannah K. ;
Bamford, Susan ;
Sonuga-Barke, Edmund J. S. ;
Soderlund, Goran B. W. .
PLOS ONE, 2014, 9 (11)
[19]   Adaptive training leads to sustained enhancement of poor working memory in children [J].
Holmes, Joni ;
Gathercole, Susan E. ;
Dunning, Darren L. .
DEVELOPMENTAL SCIENCE, 2009, 12 (04) :F9-F15
[20]   RCT of Working Memory Training in ADHD: Long-Term Near-Transfer Effects [J].
Hovik, Kjell Tore ;
Saunes, Brit-Kari ;
Aarlien, Anne Kristine ;
Egeland, Jens .
PLOS ONE, 2013, 8 (12)