Computer-based cognitive rehabilitation research in a military treatment facility: Recruitment, compliance, and lessons learned.
BACKGROUND: Evidence-based approaches to cognitive rehabilitation are limited; however, new technologies such as brain-training computer programs provide opportunities for novel interventions.OBJECTIVE: This paper describes a randomized controlled training study in a military treatment facility with...
| Publicado en: | Work Vol. 50; no. 1; pp. 131 - 143 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103873413&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103873413 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10519815 3RC jtl: Work issn: 10519815 maglogo: N pubinfo: dt: 2015 vid: 50 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 103873413 100383326 10.3233/WOR-141986 NLM25515174 103873413 ppf: 131 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Computer-based cognitive rehabilitation research in a military treatment facility: Recruitment, compliance, and lessons learned. aug: au: Sullivan, Katherine W. Solomon, Nancy Pearl Pramuka, Michael Quinn, Julia E. Teixeira, Kathryn A. French, Louis M. affil: Walter Reed National Military Medical Center, Bethesda, MD, USA sug: subj: Rehabilitation Military Personnel Cognition Disorders Therapy Therapy, Computer Assisted Human Randomized Controlled Trials Random Assignment War Funding Source ab: BACKGROUND: Evidence-based approaches to cognitive rehabilitation are limited; however, new technologies such as brain-training computer programs provide opportunities for novel interventions.OBJECTIVE: This paper describes a randomized controlled training study in a military treatment facility with service members who had combat-related cognitive symptoms. It examines challenges in study design and implementation, and provides 'lessons learned' with proposed solutions. METHODS: Participants were randomly assigned to one of two 6-week computer-based cognitive training (CBCT) programs or a treatment-as-usual (TAU) control group. Feasibility assessments included reasons for consent refusal, compliance, and drop-out rates. RESULTS: The intended sample size for the study was 114 participants before attrition. Of 291 patients referred over 2.5 years, 120 were eligible, 38 consented to participate, and 18 completed the study. Forty-two percent of the participants assigned to CBCT groups completed the required 30 sessions in 6.5 to 32 weeks. Study-design factors that affected enrollment and compliance included eligibility restrictions, lack of a computer-based control condition, and inflexible scheduling.CONCLUSIONS: Successful implementation of a high-dose computer-based clinical trial will require design changes such as expanded inclusion criteria, control by sham computer program or wait-list, dosing flexibility, and web-based options. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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