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首页> 外文期刊>Journal of Neurotherapy >QEEG-Based Protocol Selection: A Study of Level of Agreement on Sites, Sequences, and Rationales Among a Group of Experienced QEEG-Based Neurofeedback Practitioners
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QEEG-Based Protocol Selection: A Study of Level of Agreement on Sites, Sequences, and Rationales Among a Group of Experienced QEEG-Based Neurofeedback Practitioners

机译：基于QEEG的协议选择：一组经验丰富的基于QEEG的神经反馈从业者在位点，序列和理论上的协议水平研究

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摘要

Background. The history of neurofeedback is marked by a diversity of theoretical bases and specific protocol development approaches, including standard protocols based on research, symptomeurophysiological function-based approaches, and approaches based on quantitative electroencephalography (QEEG) assessment (Budzynski, 1999; Demos, 2005). Although this diversity of approaches currently characterizes clinical practice within the field, one might assume that a certain degree of uniformity exists among practitioners who follow one particular treatment model. That is, clinicians who follow a symptom/function-based approach might be expected to select similar protocols for a given client, and practitioners who base their protocols largely on QEEG likewise would develop similar protocols for the same client. Method. To test this latter assumption, 13 neurofeedback practitioners having 5 to 20 years of experience using QEEG and neurofeedback were sent the same QEEG data and presenting problems of a female adult who had previously sought neurofeedback treatment. The participant's data were edited in both NeuroReport and NeuroGuide, and both edits were provided to the survey participants. The practitioners were asked to provide treatment protocols covering sites, frequencies, sequences, and so on, as well as rationales that supported their protocol selections. Results. Ten of the 13 professionals contacted responded to the survey. Respondents were in general agreement as to which sites and frequencies to treat. However, they diverged in their sequencing of treatment sites; in whether to inhibit, reinforce, or both; in cautioning about reference contamination in the QEEG record; and in their theoretical rationales for their protocol selections. Conclusions. Although further research will have to document the efficacy of the various protocols recommended by the experienced QEEG-based practitioners surveyed for this study, it can be assumed that these practitioners are finding some consistent success using them in their practices. Therefore, the primary implication of this study appears to be that as long as appropriate treatment sites and frequencies are addressed for a given client, competently applied neurofeedback seems to be robust enough to tolerate a relatively wide diversity in specific protocol configurations.
机译：背景。神经反馈的历史具有多种理论基础和特定的方案开发方法，包括基于研究的标准方案，基于症状/神经生理功能的方法以及基于定量脑电图（QEEG）评估的方法（Budzynski，1999； Demos， 2005年）。尽管这种方法的多样性目前是该领域临床实践的特征，但可以假设遵循一种特定治疗模型的从业者之间存在一定程度的一致性。也就是说，可能期望遵循基于症状/功能的方法的临床医生为给定的客户选择类似的协议，而将其协议主要基于QEEG的医生也将为同一客户开发类似的协议。方法。为了检验后一个假设，向具有5至20年使用QEEG和神经反馈经验的13位神经反馈从业者发送了相同的QEEG数据，并提出了以前寻求神经反馈治疗的成年女性的问题。参与者的数据在NeuroReport和NeuroGuide中都进行了编辑，并且两种编辑都提供给了调查参与者。从业人员被要求提供涵盖部位，频率，序列等的治疗方案，以及支持其方案选择的理由。结果。联系的13位专业人员中有10位对调查做出了回应。受访者普遍同意治疗的地点和频率。但是，他们在治疗部位的顺序上存在分歧。是否抑制，加强或两者兼而有之；在警告QEEG记录中的参考污染时；以及其协议选择的理论依据。结论。尽管进一步的研究将必须记录由经验丰富的基于QEEG的从业者进行的本研究建议的各种方案的功效，但可以假定这些从业者在实践中使用它们取得了一些持续的成功。因此，这项研究的主要含义是，只要针对给定的患者解决了适当的治疗部位和频率，有效应用的神经反馈似乎就足够健壮，可以耐受特定方案配置中相对广泛的多样性。

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