A Rehabilitation Program in Children With Sickle Cell Disease and Cognitive Deficits: a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 21
- 试验地点
- 2
- 主要终点
- Performance IQ (PIQ) (WASI)
研究概览
简要总结
The overall goal of this project is to determine the feasibility of conducting a cognitive intervention for children with sickle cell disease.
详细描述
The primary aims of this clinical trial are:
- Determine the effectiveness of targeted learning and memory strategy remediation in students with sickle cell disease and cognitive deficits.
- Determine if there is improvement in academic achievement after targeted memory strategy remediation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sickle cell disease that is confirmed by hemoglobin analysis
- •Has a brain magnetic resonance imaging (MRI) document reading by a neuroradiologist
- •Cognitive deficits, which are defined by one standard deviation lower than the normal ranges of an age-based standard score in cognitive tests that are evaluated by a psychologist
- •Must be a student who will remain in school for at least 2 years
- •Must provide informed consent with assent in accordance with the institutional policies (institutional review board approval)
排除标准
- •Known developmental delays (these participants are ineligible because their learning potential may be biased from a prior insult)
- •Intelligent quotient is less than 50 (may have impaired learning potential)
- •Aphasic (i.e., unable to produce intelligible speech)
研究组 & 干预措施
General Tutoring Group
Participants will receive general tutoring in the subject of his/her choice.
干预措施: General Tutoring (Behavioral)
Tutoring + Memory Training Group
Participants will receive tutoring and memory training.
干预措施: General Tutoring (Behavioral)
Tutoring + Memory Training Group
Participants will receive tutoring and memory training.
干预措施: Memory Training (Behavioral)
结局指标
主要结局
Performance IQ (PIQ) (WASI)
时间窗: After >/= 50 hours of tutoring
The PIQ score is comprised from the Matrix Reasoning and Block Design subtests of the WASI-4. The raw scores from these subtests are converted to T scores using score charts in the manual. The T scores are summed together for a Performance Sum of T Scores. This score is converted to a Composite PIQ score using a score chart in the manual. Higher scores = better Performance IQ. Range = 45-160. Average = 100; standard deviation +/- 15.
Full Scale IQ (FSIQ) (WASI)
时间窗: After >/= 50 hours of tutoring
The WASI is a brief, reliable measure of intelligence. Participants engage in 4 subtests: Block Design, Vocabulary, Similarities, and Matrix Reasoning. Participants receive a raw score on each of these 4 subtests. This raw score is converted to a T score using a score chart in the WASI manual. The T scores from all 4 subtests are summed together to obtain a Full Scale Sum of T Scores. This Full Scale Sum of T Scores is converted to a Full Scale IQ-4 Composite Score using a score chart published in the WASI manual. Higher scores indicate better intelligence. FSIQ-4 Range: 40-160. Average FSIQ-4 =100, standard deviation is +/- 15.
Verbal IQ (PIQ) (WASI)
时间窗: After >/= 50 hours of tutoring
The VIQ score is comprised from the Vocabulary and Similarities subtests of the WASI-4. The raw scores from these subtests are converted to T scores using score charts in the manual. The T scores are summed together for a Verbal Sum of T Scores. This score is converted to a Composite VIQ score using a score chart in the manual. Higher scores = better Verbal IQ. Range = 45-160. Average = 100; standard deviation +/- 15.
Letter Word Identification T Score (WJ-III)
时间窗: After >/= 50 hours of tutoring
This sub-test measures a student's word identification skills. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
Reading Fluency T Score (WJ-III)
时间窗: After >/= 50 hours of tutoring
This sub-test measures a student's ability to read simple sentences quickly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
Calculations T Score (WJ-III)
时间窗: After >/= 50 hours of tutoring
This sub-test measures a student's ability to perform paper and pencil math computations.A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
Math Fluency T Score (WJ-III)
时间窗: After >/= 50 hours of tutoring
This sub-test measures a student's ability to solve simple addition, subtraction and multiplication facts quickly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
CVLT-C Trials 1-5 Long Delay Recall T Score
时间窗: T scores were obtained at baseline and again at follow-up (after partcipant completed 50 hours of tutoring)
The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
Spelling T Score (WJ-III)
时间窗: After >/= 50 hours of tutoring
This sub-test measures a student's ability to write orally presented words correctly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
California Verbal Learning Test-Children's Version (CVLT-C) List A Trials 1-5 Immediate Recall T Score
时间窗: After >/= 50 hours of tutoring
The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
CVLT-C Trials 1-5 Short Delay Recall T Score
时间窗: After >/= 50 hours of tutoring
The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
CVLT-C Trials 1-5 Semantic Clustering T Score
时间窗: After >/= 50 hours of tutoring
The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The CVLT-C consists of five learning trials of 15 words which can be organized into three semantic categories. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
CVLT-C Trials 1-5 Recognition Discriminability T Score
时间窗: After >/= 50 hours of tutoring
TThe CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
Delis Kaplan Executive Function System (D-KEFS) Number/Letter Switching T Score
时间窗: After >/= 50 hours of tutoring
The D-KEFS allows for the assessment of executive functions. There are 9 stand alone tests that can be individually or group administered. The Number-Letter Switching condition of the Trails Making sub-test specifically assesses flexibility of thinking on a visual-motor sequencing task. A participant's raw score (# of items answered correctly) is converted to a T score using tables provided in the manual. Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
次要结局
未报告次要终点
研究者
Allison King
Assistant Professor
Washington University School of Medicine
