Neuropsychological Rehabilitation最新文献_第7页

A proposed regulatory and ethical framework for the application of single-case experimental design methodology in rehabilitation research and clinical practice. 在康复研究和临床实践中应用个案实验设计方法的监管和伦理框架。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-11 DOI: 10.1080/09602011.2025.2480443

Agata Krasny-Pacini, Elena Chabran, Jonathan Evans, François Clauss, Marie-Aline Sarda, Marie-Eve Isner-Horobeti, Charles Pradeau, Erik Sauleau

{"title":"A proposed regulatory and ethical framework for the application of single-case experimental design methodology in rehabilitation research and clinical practice.","authors":"Agata Krasny-Pacini, Elena Chabran, Jonathan Evans, François Clauss, Marie-Aline Sarda, Marie-Eve Isner-Horobeti, Charles Pradeau, Erik Sauleau","doi":"10.1080/09602011.2025.2480443","DOIUrl":"https://doi.org/10.1080/09602011.2025.2480443","url":null,"abstract":"The use of single-case experimental design (SCED) methodology is growing across all domains of rehabilitation. SCED methodology may be used for several different purposes, which creates confusion about its ethical, legal and regulatory status. We will argue that aspects of SCED methodology can be helpful in clinical practice to determine the optimal treatment for a given person. Given the use of SCED methods in research, clinicians may assume that ethics committee approval is required, though this is not necessarily the case given that SCED methods may, under certain circumstances, be considered as evidence-based clinical practice, rather than generalizable research. In this paper, we aim to raise awareness of the principles and legal/ethical framework of SCEDs, and we propose a series of position points that could help researchers/ethics review boards to determine whether a SCED is \"research\" or \"evidence-based person-specific clinical practice\", based on its design and purpose. We aim to clarify how the features of SCED methodology - baseline length and content, repeated measurement, randomization, and blinding - impact SCED categorization. A secondary objective is to provide recommendations for universities and training institutes to help trainees undertaking SCED studies to use appropriate methodologies that comply with the proposed regulatory framework.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-33"},"PeriodicalIF":1.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of cognition in aphasia: Perspectives from clinicians and researchers. 失语症的认知评估：临床医生和研究人员的观点。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-11 DOI: 10.1080/09602011.2025.2506598

Bruna Tessaro, Sonia L E Brownsett, Solène Hameau, Tijana Simic, Lyndsey A Nickels, Natalie Gilmore, Claudia Peñaloza, Holly Robson, Christos Salis

{"title":"Assessment of cognition in aphasia: Perspectives from clinicians and researchers.","authors":"Bruna Tessaro, Sonia L E Brownsett, Solène Hameau, Tijana Simic, Lyndsey A Nickels, Natalie Gilmore, Claudia Peñaloza, Holly Robson, Christos Salis","doi":"10.1080/09602011.2025.2506598","DOIUrl":"https://doi.org/10.1080/09602011.2025.2506598","url":null,"abstract":"People with aphasia may present with cognitive impairments beyond language. In this population, reliance on language-based assessments of cognition may lead to unreliable metrics of cognitive performance across clinical and research settings. We investigated the underlying philosophy and practice of assessing cognition in people with aphasia. An e-survey was developed for multidisciplinary clinicians and researchers. Snowball sampling was used to recruit international participants. The e-survey comprised 29 items (a mix of multiple-choice and open-ended items) addressing definitions of cognition, assessment of cognition, tools used to assess cognition and participant demographics. Data were analysed using descriptive statistics and thematic analysis. 291 respondents participated from a range of disciplines and countries. Over 80% of respondents considered it important to assess attention, executive functions, learning and memory. The main barrier to assessment was the lack of appropriate tools available for people with aphasia. Responses indicated that whilst professionals felt that understanding the interaction between language and cognition in aphasia was important for providing optimal care. This study highlights the need for better awareness and training in the assessment of cognition in people with aphasia, and for psychometrically robust assessments, appropriate for the assessment of cognition in the presence of aphasia.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-40"},"PeriodicalIF":1.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding factors influencing the return to physical activity, perspectives of adults with concussion/mild traumatic brain injury: A qualitative study. 了解影响成人脑震荡/轻度创伤性脑损伤恢复体力活动的因素：一项定性研究。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-08 DOI: 10.1080/09602011.2025.2513513

Sally Vuu, Claire Gough, Christopher Barr, Maayken van den Berg

{"title":"Understanding factors influencing the return to physical activity, perspectives of adults with concussion/mild traumatic brain injury: A qualitative study.","authors":"Sally Vuu, Claire Gough, Christopher Barr, Maayken van den Berg","doi":"10.1080/09602011.2025.2513513","DOIUrl":"10.1080/09602011.2025.2513513","url":null,"abstract":"Understanding the factors that influence the return to physical activity can help to modify behaviour to enhance the recovery of symptoms and physical activity. We conducted 14 semi-structured interviews to explore the barriers and facilitators to returning to physical activity in adults following a mild traumatic brain injury (TBI). The study design was informed by the Theoretical Domains Framework and Capability, Opportunity and Motivation-Behaviour model. Ten key factors were identified in the analysis: four factors consistently acted as barriers (fatigue, sensory overload, symptoms, social expectations), four as facilitators (physical activity, assistive items, social support, health professional support), and two demonstrated a more complex, bidirectional influence (mental health, environment). These ten factors were organized to four overarching thematic groups: intrinsic factors, environmental and adaptive factors, social influences and symptom management. Adults with symptoms lasting greater than 10 days post-mild TBI report that a combination of symptoms, including fatigue and sensory overload prevent their ability to return to physical activity. The environment, social support structures, and access to health professional support facilitated individuals with returning to their physical activities. These findings should be considered when providing interventions to patients in clinical practice to enhance patients' recovery of symptoms and physical activity.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-28"},"PeriodicalIF":1.7,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of an online version of a group education programme for the management of post-stroke fatigue: A qualitative descriptive focus group study. 卒中后疲劳管理在线小组教育项目的经验：一项定性描述性焦点小组研究。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-06 DOI: 10.1080/09602011.2025.2512204

Sulekha Devaki De Silva, Kirsten van Kessel, Anjali Bhatia, Suzanne Barker-Collo, Rita Krishnamurthi, Valery Feigin, Braden Te Ao, Kelly Jones

{"title":"Experiences of an online version of a group education programme for the management of post-stroke fatigue: A qualitative descriptive focus group study.","authors":"Sulekha Devaki De Silva, Kirsten van Kessel, Anjali Bhatia, Suzanne Barker-Collo, Rita Krishnamurthi, Valery Feigin, Braden Te Ao, Kelly Jones","doi":"10.1080/09602011.2025.2512204","DOIUrl":"https://doi.org/10.1080/09602011.2025.2512204","url":null,"abstract":"Post-stroke fatigue (PSF) is a common symptom after stroke, without proven effective treatment. The Fatigue After STroke Educational Recovery (FASTER) randomized control trial evaluated a group-based, educational Fatigue Management Group (FMG) intervention. The current study explored the experiences of stroke patients, informal caregivers, and therapists when the FMG was delivered online (due to the COVID-19 pandemic). Participants included newly recruited adults (n = 6) with clinically significant fatigue (3-24 months post-stroke), their informal caregivers (n = 6), who attended as observers, and three therapists from the FASTER main trial. Separate online focus groups were conducted with each group, recorded, and analysed using inductive thematic analysis. Four key themes emerged: positive experiences of group membership, gaining understanding and strategies, navigating challenges in online setting, and future directions. Participants acknowledged the intervention for its educational value, normalization, cohesion, and emotional support, and appreciated new understanding of PSF. However, they also encountered challenges, including technological issues, difficulties concentrating, and therapists' struggles in addressing diverse participant needs and fatigue levels within time constraints. Suggested improvements to the intervention included extending its duration and including combinations of online and in-person sessions. Findings highlighted the importance of qualitatively examining intervention experiences in future trials for better optimization and effectiveness.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-22"},"PeriodicalIF":1.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"A period of limbo": The experience of being a male family member of a person in a prolonged disorder of consciousness (PDoC); an Interpretative Phenomenological Analysis. “一段不稳定时期”：作为长期意识障碍患者的男性家庭成员的经历；解释性现象学分析。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-02 DOI: 10.1080/09602011.2025.2510296

Connor Watkins, Kim Gordon, Gemma Mercer, Alistair Teager

引用次数: 0

Use of immersive virtual reality to explore visual search behaviour in individuals with visuospatial neglect after stroke. 使用沉浸式虚拟现实探索脑卒中后视觉空间忽视患者的视觉搜索行为。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-02 DOI: 10.1080/09602011.2025.2511193

Elissa Embrechts, Ivan De Boi, Quirine Schatteman, Tanja C W Nijboer, Steven Truijen, Wim Saeys

{"title":"Use of immersive virtual reality to explore visual search behaviour in individuals with visuospatial neglect after stroke.","authors":"Elissa Embrechts, Ivan De Boi, Quirine Schatteman, Tanja C W Nijboer, Steven Truijen, Wim Saeys","doi":"10.1080/09602011.2025.2511193","DOIUrl":"https://doi.org/10.1080/09602011.2025.2511193","url":null,"abstract":"Visuospatial neglect (VSN) is a common post-stroke disorder characterized by impaired attention toward the contralesional hemispace, affecting interaction with the environment. Traditional assessments (e.g., pen-and-paper tests) may not detect subtle deficits in visual search behaviour, particularly in complex, dynamic settings. This study introduces an immersive virtual reality (VR) visual search task designed to assess visual search behaviour across peri- and extra-personal spaces. By integrating eye-and-head tracking, we aimed to characterize search behaviour and evaluate group differences among individuals with stroke with VSN (VSN+, n = 11), those without VSN (VSN-, n = 10), and healthy controls (HC, n = 11). Additionally, we examined how task parameters (target position, spatial context, and difficulty) influenced search behaviour. Results show that VSN+ exhibited least efficient search strategies, with longer search times than VSN- and HC and more extended search paths than HC. Notably, VSN- also demonstrated visual search inefficiencies, suggesting that conventional assessments may overlook subtle visuospatial impairments. Search deficits were most pronounced in extra-personal space and under increased task demands. Despite a limited sample size, these findings highlight the potential of VR-tasks to characterize visual search behaviour. Further research on larger, more diverse samples is needed to evaluate its potential diagnostic utility.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-28"},"PeriodicalIF":1.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The assessment and management of fatigue following paediatric acquired brain injury: rehabilitation clinicians' perspectives. 儿科后天性脑损伤后疲劳的评估和管理：康复临床医生的观点。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-07-30 DOI: 10.1080/09602011.2024.2383337

Olivia Mazzone, Rowena Conroy, Taylor Jenkin, Adam Scheinberg, Sarah Knight

{"title":"The assessment and management of fatigue following paediatric acquired brain injury: rehabilitation clinicians' perspectives.","authors":"Olivia Mazzone, Rowena Conroy, Taylor Jenkin, Adam Scheinberg, Sarah Knight","doi":"10.1080/09602011.2024.2383337","DOIUrl":"10.1080/09602011.2024.2383337","url":null,"abstract":"Fatigue is common following paediatric acquired brain injury (ABI) and can negatively impact quality of life. Despite this, there is limited understanding of how clinicians currently assess and manage fatigue in rehabilitation. This study explored how Australian rehabilitation clinicians recognize, assess, and manage fatigue following paediatric ABI. Using a qualitative research design, semi-structured interviews were conducted with 11 clinicians who work with children (0-18 years) with ABI in rehabilitation. Interview transcripts were analysed using constructivist grounded theory methods. Two main themes and sub-themes were developed: (1) Reaching a shared understanding: Identifying and understanding fatigue; Unpacking fatigue with children and their families; and (2) Using the shared understanding: Clinicians working collaboratively to manage fatigue; Planning for and supporting children and their family through transitions; Anticipating and problem-solving speedbumps. Participants reflected on the importance of reaching a shared understanding of fatigue within each child's unique context, requiring the collaborative effort of the child, family, school, and interdisciplinary rehabilitation team, to problem-solve and manage fatigue together over time. These findings provide insights into the processes of assessing and managing fatigue from rehabilitation clinicians' perspectives and highlight the importance of a collaborative approach to support the individual needs of the child during their rehabilitation.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"930-959"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The meaning of apathy in Huntington's disease: A qualitative study of caregiver perspectives. 亨廷顿氏症患者冷漠的意义：对护理者观点的定性研究。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-08-05 DOI: 10.1080/09602011.2024.2384519

Sarah Louise Mason, Roger Alistair Barker, Katie Andresen, Fergus Gracey, Catherine Ford

{"title":"The meaning of apathy in Huntington's disease: A qualitative study of caregiver perspectives.","authors":"Sarah Louise Mason, Roger Alistair Barker, Katie Andresen, Fergus Gracey, Catherine Ford","doi":"10.1080/09602011.2024.2384519","DOIUrl":"10.1080/09602011.2024.2384519","url":null,"abstract":"Although one of the most prevalent and impactful features of Huntington's disease (HD), little is known about the impact of apathy on HD caregivers, although there is evidence it affects perceptions of distress and burden. Given the importance of the caregivers, we aimed to explore the lived experience of people supporting someone with HD and associated apathy. Semi-structured interviews were conducted with 11 caregivers and analysed using reflective thematic analysis, informed by a phenomenological framework. Five overarching themes were produced: (1) What even is apathy? (2) It makes my life harder: the practical impact of apathy, (3) They haven't forgotten me, but they have forgotten that they ever loved me, (4) I'm grieving for someone who hasn't died yet, and (5) I need a safe space to say what I really feel without fear of judgement. Inter-woven between these themes were complex narratives about the unspoken nature of HD, the invisibility of caregivers who felt trapped and unheard, and the one-sided nature of loving someone with the disease. Findings are discussed in relation to theoretical frameworks of anticipatory grief and ambiguous loss, and situated within the wider literature on caregiving for people with a neurodegenerative condition.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1004-1033"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing task performance in adults with intellectual disability through modified goal management training and assistive technology with errorless learning: A randomized controlled trial. 通过改良目标管理训练和无差错学习辅助技术提高成年智障人士的任务执行能力：随机对照试验。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-08-05 DOI: 10.1080/09602011.2024.2384518

Funda Ertas-Spantgar, Helmut Hildebrandt, Alexander Gabel, Ina Schiering, Sandra Verena Müller

{"title":"Enhancing task performance in adults with intellectual disability through modified goal management training and assistive technology with errorless learning: A randomized controlled trial.","authors":"Funda Ertas-Spantgar, Helmut Hildebrandt, Alexander Gabel, Ina Schiering, Sandra Verena Müller","doi":"10.1080/09602011.2024.2384518","DOIUrl":"10.1080/09602011.2024.2384518","url":null,"abstract":"Individuals with intellectual disabilities often fail to learn complex tasks. Modified Goal Management Training (mGMT) or Errorless Learning combined with assistive technology (App + EL) can help. The goal is to demonstrate the effectiveness of mGMT and/or App + EL in learning complex tasks. We employed a randomized controlled crossover design. One group started with mGMT (N = 16), and the other with App + EL (N = 15). We compared their performance with that of a passive control group (N = 15). The training consisted of six sessions of 30 minutes each. Success was analyzed using the Goal Attainment Scale (GAS). Three different tasks were assessed before and after each intervention period: \"Practiced\", \"Non-Practiced\", or \"Previously Practiced\". Generalization was evaluated through neuropsychological tests. Results indicated that both interventions significantly improved \"Practiced\" tasks compared with \"Non-Practiced\" tasks and the control group. Crossing the intervention did not interfere with the stable performance on the \"Previously Practiced\" task. However, starting with mGMT reduced, but did not eliminate, the efficacy of App + EL after crossing, but this pattern was not observed for the reverse sequence. Only the Tower of London task documented improvements related to interventions. In conclusion, the mGMT and App + EL were effective in learning complex tasks and retaining performance after learning a second task.Trial registration: German Clinical Trials Register identifier: DRKS00021674.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"982-1003"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The 20-item dysexecutive questionnaire after severe traumatic brain injury: Distribution of the total score and its significance. 严重脑外伤后的 20 项动力障碍问卷：总分的分布及其意义。

IF 1.7 3区心理学

Neuropsychological Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-08-06 DOI: 10.1080/09602011.2024.2387065

Hugo Câmara-Costa, Georges Dellatolas, Claire Jourdan, Alexis Ruet, Eléonore Bayen, Claire Vallat-Azouvi, Philippe Allain, Mathilde Chevignard, Philippe Azouvi

引用次数: 0