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The computerized cognitive training alliance – A proposal for a therapeutic alliance model for home-based computerized cognitive training

机译：计算机化认知培训联盟 - 用于家庭计算机化认知培训的治疗联盟模型的提案

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Background: To increase the number of hours available for cognitive rehabilitation, it may be an option to use the spouse or paid assistants to assist with computerized home training. However, the delegation of training responsibilities may affect the normal roles of the therapist, the spouse and the training assistants. Objective: This article suggests a new model for understanding the impact of computerized home training on the therapeutic alliance between the therapist, the patient and training assistants. Aspects of this knowledge are relevant also for the development and use of computerized training systems in clinical settings. Method: Qualitative Interpretative Phenomenological Analysis (IPA) of semi-structured interviews was used to analyse the experience gained during home-based computerized cognitive training. Results: Home-based computerized training enforces the delegation of aspects of the therapeutic alliance established between the therapist and the patient. The perceived authority of assistants and computer training systems may differ from the authority established through the patient/therapist alliance. Information may be lost in transition impacting skills and expertise long-term. Conclusion: Roles and responsibilities between the therapist, the assistants and the computerized training system need to be clearly defined. A Cognitive Training Alliance model is being proposed which takes into consideration the challenges of delegating training responsibility to computer systems and non-professional assistants.
机译：背景：增加可用于认知康复的小时数，可能是使用配偶或付费助理来协助计算机化家庭培训的选择。然而，培训职责的代表团可能会影响治疗师，配偶和培训助理的正常角色。目的：本文介绍了一种了解计算机化家庭培训对治疗师，患者和培训助理之间治疗联盟的影响的新模式。此知识的各个方面也有关的是开发和使用临床环境中的计算机化培训系统。方法：半结构访谈的定性解释性现象学分析（IPA）用于分析基于家庭计算机化认知培训期间获得的经验。结果：家庭计算机化培训执行了治疗师和患者之间建立的治疗联盟的各个方面的代表团。助理和计算机培训系统的感知权威可能与通过患者/治疗师联盟建立的权威不同。信息可能丢失在过渡影响技能和长期专业知识中。结论：治疗师，助理和计算机化培训系统之间的角色和责任需要明确定义。提出了一种认知培训联盟模型，该模型考虑了委托计算机系统和非专业助理委托培训责任的挑战。

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    Inge L. Wilms;

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  • 年度 2020
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  • 正文语种 eng
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