Aperçu: G.M.
La
formation en mémoire de travail (WMT) a permis d'offrir des avantages
thérapeutiques aux patients atteints de trouble déficitaire de
l'attention avec déficit de l'hyperactivité (TDAH) et aux patients avec des déficiences intellectuelles légères à limitées (MBID; 60
<IQ <85). Cependant,
il manque des preuves solides des effets de transfert et des avantages
de traitement de la WMT par rapport à la formation placebo.
Cette étude apportera à la littérature puisque le rôle du coaching dans le WMT de Cogmed n'a pas été étudié auparavant. Elle fournira également des occasions d'enquêter sur une version alternative
de WMT dans un grand groupe d'enfants vulnérables, pour lesquels peu de
traitements fondés sur des preuves sont disponibles. En fin de compte, cela nous permettra de conseiller les professionnels
de la santé mentale et les écoles d'éducation spéciale sur
l'utilisation de ce type d'intervention pour les enfants atteints de
MBID et des troubles neuropsychiatriques.
BMC Psychiatry. 2017 Mar 28;17(1):114. doi: 10.1186/s12888-017-1274-6.
Working memory training in children with neuropsychiatric disorders and mild to borderline intellectual functioning, the role of coaching; a double-blind randomized controlled trial
Roording-Ragetlie S1,2, Klip H3, Buitelaar J3,4,5, Slaats-Willemse D3,6.
Author information
- 1
- Karakter Child and Adolescent Psychiatry, Nijmegen, The Netherlands. s.roording@karakter.com
- 2
- Karakter Child and Adolescent Psychiatry, Utrechtseweg 320, 6862 BC, Oosterbeek, The Netherlands. s.roording@karakter.com.
- 3
- Karakter Child and Adolescent Psychiatry, Nijmegen, The Netherlands.
- 4
- Department of Cognitive Neuroscience, Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
- 5
- Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands.
- 6
- Department of Psychiatry, Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Abstract
BACKGROUND:
Working memory training (WMT) has been shown to offer therapeutic benefits to both patients with Attention-Deficit Hyperactivity Disorder (ADHD) and patients with mild to borderline Intellectual Disabilities (MBID; 60 < IQ < 85). However, robust evidence for transfer effects and treatment benefits of WMT over placebo training are lacking. Owing to the nature of double-blind research designs in RCTs, children have received non-specific coaching not based on their actual training performance. Active coaching based on individual training results (such as in clinical practice) might enhance the efficacy of Cogmed WMT. Furthermore, clinical experience and the general treatment approach to these vulnerable children has shown that the intensity and duration of WMT is often too stressful. This study therefore investigated the efficacy of a less intensive, but more prolonged Cogmed WMT (including active personalized coaching and feedback) in reducing behavioral symptoms and improving neurocognitive functioning and academic achievements in children with MBID and neuropsychiatric disorders.METHODS/DESIGN:
A double-blind RCT with children (age 10.0-13.11) with neuropsychiatric disorders (ADHD and/or autism spectrum disorder (ASD)) and MBID (IQ: 60 < IQ < 85). Two groups (each n = 26) will receive Cogmed WMT (version R/M) at home or at school for 8 weeks, 4 days a week, at 30 min a day. One group will receive active personalized coaching and feedback based on their actual individual performance during Cogmed training. The other group will only receive general non-personalized coaching (i.e. no receive personalized coaching and feedback). Both groups will undergo a neurocognitive assessment (working memory, executive functioning, academic achievements) before and after training and complete several questionnaires (behavioral problems, parenting style) with a 6 months follow-up.DISCUSSION:
This study will add to the literature since the role of coaching in Cogmed WMT has not been studied before. It will also provide opportunities to investigate an alternative version of WMT in a large group of vulnerable children, for whom few evidence-based treatments are available. Ultimately, this will allow us to advise mental health care professionals and special education schools about the use of this type of intervention for children with MBID and neuropsychiatric disorders.TRIAL REGISTRATION:
Dutch Trial Register. NTR5223 . Registration date 06-09-2015.- PMID: 28351374
- DOI: 10.1186/s12888-017-1274-6
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