The Effectiveness of Neuropsychological Rehabilitation in Young Dyslexic Adults - a Single Blind, Randomized, Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Subjective reading related performance
研究概览
简要总结
The purpose of this study is to determine whether individual and/ group based neuropsychological rehabilitation focused on psychoeducation and teaching compensatory strategies has positive effects on the psychosocial wellbeing and perceived cognitive deficits in dyslexic young adults. The hypothesis is that both individual and group based neuropsychological rehabilitation show positive effects on the psychosocial wellbeing and perceived cognitive deficits. Another purpose of this study is to evaluate weather individual and group based neuropsychological rehabilitation have different kind of effects on the wellbeing of the participants and weather either one of the rehabilitation formats is more effective than the other.
详细描述
Background: Untreated dyslexia causes problems for individuals in studies, work and employment. High quality research on the best and most cost-effective rehabilitation methods is needed.
Objective
To study whether neuropsychological rehabilitation improves the psychosocial wellbeing and perceived cognitive deficits in dyslexic young adults and to evaluate potential differences between individual and group based neuropsychological rehabilitation.
Methods: Altogether 120 young adults diagnosed with dyslexia are randomized either to one of the intervention groups (individual neuropsychological rehabilitation / group neuropsychological rehabilitation) or to a control group which will receive either one of the interventions after a 5 month waiting period. All the study subjects are assessed with a short neuropsychological test battery as well as self-rating questionnaires evaluating mood, QoL, perceived cognitive deficits, and the impact of the learning disability at baseline, after five months (immediately after interventions or control period) and after 10 months. After 20 months a shorter follow-up using only self-ratings will be done via mail. Subjects in the intervention groups are offered neuropsychological rehabilitation in 12 sessions conducted once a week or once in two weeks during five months. Subjects in the control group do not receive any intervention for the first five months.
Results: The effects of interventions on psychosocial wellbeing and perceived cognitive deficits are evaluated using appropriate statistical procedures and comparing the differences between the interventions groups and the control group.
The present status: All the interventions are completed, follow-up data is still beeing collected
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clinical diagnosis of dyslexia
- •age 18-35
- •problems in studies, work or employment relating to dyslexia
- •subjective and objective need for rehabilitation
- •the native language is Finnish
排除标准
- •other neurological condition than dyslexia
- •other learning disabilities than dyslexia
- •overall weak cognitive capacity
- •psychiatric diagnosis
- •severe depression
- •alcohol or drug abuse
- •neuropsychological rehabilitation received at the age of 16 or later
研究组 & 干预措施
Individual neuropsychological rehabilitation
12 times 90 minutes, once per week or once per two weeks, during 5 months
干预措施: Individual neuropsychological rehabilitation (Behavioral)
Group based neuropsychological rehabilitation
12 times 120 minutes + a brake, once per week or once per two weeks, during 5 months
干预措施: Group based neuropsychological rehabilitation (Behavioral)
Control group
Control group does not receive neuropsychological rehabilitation or any other intervention during the first 5 months. After the control period they will be randomized to receive either individual or group based rehabilitation.
结局指标
主要结局
Subjective reading related performance
时间窗: 5 months
Effects of rehabilitation on subjective reading related performance: Adult Reading History Questionnaire (ARHQ) modified
Subjective cognitive performance
时间窗: 5 months
The effects of rehabilitation on subjective cognitive performance: Everyday Memory Questionnaire (EMQ)
次要结局
- Verbal fluency and executive control(5 months)
- Quality of life: QOLIBRI-OS(5 months)
- Goal achievement(5 months)
- Social and cognitive behavioral strategies(5 months)
- Processing speed and attention(5 months)
- Visual fluency and executive control(5 months)
- Mood(5 months)
- Verbal learning(5 months)
- Reading comprehension(5 months)
- Working memory(5 months)