ENGAGE在减少芬兰学龄前儿童日常执行功能困难方面的有效性:一项随机对照试验。

IF 1.6 3区 心理学 Q3 CLINICAL NEUROLOGY
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2023-01-08 DOI:10.1080/09297049.2022.2164568
Liisa Klenberg, Sini Teivaanmäki, Vesa Närhi, Noona Kiuru, Dione Healey
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引用次数: 0

摘要

需要适用于学龄前儿童的有效干预措施,以降低与早期执行功能(EF)困难相关的广泛和持续逆境的风险。这项随机对照试验(RCT)检验了基于游戏的ENGAGE干预在改善芬兰学龄前儿童多动和/或注意力不集中问题中与EFs相关的行为结果方面的有效性。95名4至5岁的儿童 岁及其父母被随机分配到ENGAGE干预组或等待名单对照组。家长和幼儿教育(ECE)教师在干预前、干预后和5个月的随访中对儿童的EF困难和问题行为进行了评分。使用重复测量线性混合模型来检验ENGAGE对儿童结果的影响。与对照组相比,接受ENGAGE治疗的儿童在父母评定的注意力问题、多动/冲动和行为表现方面的下降幅度明显更大,其影响程度大多中等。在两组中,教师对儿童EF相关困难的评分都没有持续改善。干预的低辍学率(8%)和高可接受性评级表明,ENGAGE是一种适合父母的干预措施。本研究表明,早期在新西兰进行的关于ENGAGE的随机对照试验的结果可以推广到不同的文化环境中,因为干预措施有效地减少了芬兰幼儿在家庭环境中的EF困难。将ENGAGE和其他基于游戏的干预措施扩展到儿童的不同日常环境中,如ECE,可以进一步增强对儿童EF和行为的有益影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of ENGAGE in reducing difficulties in everyday executive functions among Finnish preschoolers: a randomized controlled trial.

Effective interventions applicable for young preschool-age children are needed to reduce the risk of widespread and sustained adversities that are linked to early executive function (EF) difficulties. This randomized controlled trial (RCT) examined the effectiveness of the play-based ENGAGE intervention in improving behavioral outcomes related to EFs among Finnish preschool-age children with hyperactivity and/or inattention problems. 95 children between 4 and 5 years of age and their parents were randomly assigned to the ENGAGE intervention or a waitlist control group. Parents and early childhood education (ECE) teachers rated the children's EF difficulties and problem behaviors at pre-intervention, post-intervention, and 5-month follow-up. Repeated measures linear mixed modeling was used to examine the effect of ENGAGE on child outcomes. Those receiving ENGAGE exhibited significantly greater decreases in parent-rated attentional problems, hyperactivity/impulsivity, and acting out behaviors than the control group did, with mostly moderate effect sizes. No consistent improvements in the teacher ratings of children's EF related difficulties were found in either group. Low dropout (8%) from the intervention and high acceptability ratings indicated that ENGAGE is a palatable intervention for parents. The present study showed that findings from an earlier RCT on ENGAGE conducted in New Zealand could be generalized to a different cultural setting, as the intervention effectively reduced young Finnish children's EF difficulties in the home context. Extending ENGAGE and other play-based interventions into different everyday contexts of children, such as ECE, could further enhance the beneficial effects on children's EFs and behavior.

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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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