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首页> 外文期刊>Rehabilitation psychology >Feasibility of National Institutes of Health Toolbox Cognition Battery in Pediatric Brain Injury Rehabilitation Settings
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Feasibility of National Institutes of Health Toolbox Cognition Battery in Pediatric Brain Injury Rehabilitation Settings

机译：美国国家卫生研究院工具箱认知电池在小儿脑损伤康复环境中的可行性

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Objective: Cognitive impairments are a devastating consequence of acquired brain injury (ABI) in children. Current pediatric tools for assessing cognitive impairments are generally time intensive and applicable only to a restricted age span. The National Institutes of Health Toolbox-Cognition Battery (NIHTB-CB) is a standardized, tablet-based cognitive assessment that has been normed across the life span in the general population and validated in adults with brain injuries. However, its clinical utility and validity has not yet been demonstrated in pediatric patients with brain injuries. The current study examines the feasibility of NIHTB-CB administration in both a pediatric inpatient and day treatment rehabilitation setting. Design: The NIHTB-CB was attempted in 40 children with ABI aged 4-18 years within 1 year of injury in pediatric rehabilitation settings. Results: Of the 40 participants tested. 38 (95%) were able to complete the full battery and 28 were able to complete it in 1 session. The average time to complete the NIHTB-CB for our sample was 40.2 min. Barriers to completion included both external (scheduling conflicts) and internal (fatigue, attention, and behavioral) limitations. Cohort results are consistent with expected impairments following ABI. Conclusions: This study demonstrates the feasibility of using the NIHTB-CB in postacute pediatric inpatient rehabilitation and day-treatment clinical settings following ABI. The NIHTB-CB has the potential to provide a quick, standardized assessment of cognitive function during the rehabilitation process. Further longitudinal studies of NIHTB-CB using larger samples will be needed to determine its validity, test-retest capabilities, and clinical utility.
机译：目的：认知障碍是儿童获得的脑损伤（ABI）的毁灭性结果。当前用于评估认知障碍的儿科工具通常是时间密集的，仅适用于受限的年龄跨度。美国国立卫生研究院工具箱 - 认知电池（NIHTB-CB）是一种基于平板电脑的标准化认知评估，在整个寿命中已在一般人群中进行了规范，并在脑损伤的成年人中得到了验证。但是，在脑损伤患者中尚未证明其临床效用和有效性。当前的研究检查了NIHTB-CB给药在儿科住院和日间治疗康复环境中的可行性。设计：NIHTB-CB在儿科康复环境受伤后的1年内尝试了40名ABI年龄4-18岁的儿童。结果：在40名参与者中。 38（95％）能够完成完整的电池，28个能够在1次会议中完成。完成样本的NIHTB-CB的平均时间为40.2分钟。完成的障碍包括外部（调度冲突）和内部（疲劳，注意力和行为）的局限性。队列结果与ABI后的预期损伤一致。结论：这项研究表明，在ABI后，在急性小儿住院治疗和日间​​治疗临床环境中使用NIHTB-CB的可行性。 NIHTB-CB有可能在康复过程中对认知功能进行快速，标准化的评估。需要使用较大样品对NIHTB-CB进行进一步的纵向研究，以确定其有效性，重测能力和临床实用性。

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