The visuospatial working memory plays a crucial role in the occupational performance of children including daily living and academic achievement. Unfortunately, relevant visuospatial working memory tests in the occupational therapy setting are lacking. Therefore, it is of clinical interest to develop new assessment tools in this area. The present study is aimed at summarizing the development of the visuospatial working memory assessment (VWMA) and assessing its psychometric properties. The results revealed that the score of item-objective congruence index (IOC) was 1.0 in overall items of assessment. The Cronbach alpha test confirmed that the internal consistency of VWMA showed good reliability in both types of the assessment, with the total score of computerized tests being .88 and the tabletop tests being .81. The computerized test was found to have excellent test-retest reliability with intraclass correlation coefficient (ICC) values ranging from .88 to .99. The tabletop test was found to have a fair to good test-retest reliability with the ICC values ranging from .51 to .63. As regards construct validity, the results revealed that the tasks in the computerized test identified a significant difference between the control group, normal children, and children with attention deficit/hyperactivity disorder (ADHD) group. The exception to this was the N-back task in which the independent sample t-test of computerized test ranged from 1.61 to 6.23. The results of the tabletop test revealed a significant difference between normal children and the children in the ADHD group over all tasks in which the independent sample t-test ranged from 3.05 to 8.40. In conclusion, good psychometric properties established as regards content validity, internal consistency, test-retest reliability, and construct validity provide evidence to support the position that the new VWMA is appropriate for children.
Background: Interference control is the cognitive control needed to prevent interference due to competition of relevant and irrelevant information that closely related to working memory. The aim of this study was to examine the effects of auditory and visual interference control on visuospatial working memory of children with ADHD. Methods: The participants included thirty children with ADHD and thirty normal control children aged 7–12 years old. All children took the computerized test of visuospatial working memory assessment. The test comprised the N-back and running Memory tasks divided into three conditions: noninterference, auditory interference, and visual interference in three levels of difficulty. Results: The results revealed that there was a significant difference in N-back with auditory interference (t = 2.13, P = 0.04) and N-back with visual interference task (t = 2.48, P = 0.02) between normal control children and children with ADHD. However, there was no significant difference in N-back with noninterference task (t = 1.61, P = 0.11) between normal control children and children with ADHD. There was a significant difference in running memory with noninterference (t = 5.34, P ≤ 0.001), running memory with auditory interference (t = 6.23, P ≤ 0.001), and running memory with visual interference task (t = 5.86, P ≤ 0.001) between normal control children and children with ADHD. In addition, the comparison of the mean score revealed that children with ADHD had poorer performance of interference control on visuospatial working memory tasks than normal control children in overall tasks. Conclusion: Children with ADHD exhibited inefficient control over themselves, especially in the interference condition tasks in which they performed more error responses when interacting in the tasks. The present study supports the evidence-based mechanisms of auditory and visual interference control in visuospatial working memory of children with ADHD.
Depression is a negative cognitive triad that consists of alternating amounts of alienation. In addition, this generally leads to inaction, remorse, lack of focus, societal disengagement, sleep disruptions, and suicidal impulses. The cross-sectional descriptive study intended to analyze depression and ascertain the influences of depression among 439 undergraduate students. These pupils were attending their second semester of the academic year 2020, Nakhon Pathom province, Thailand. Research instruments were self-report questionnaires, the 9-item patient health questionnaire, the Parenting Style Questionnaire, the Rosenberg’s Self-Esteem Scale, and the revised Multi-dimensional Scale of Perceived Social Support. The Cronbach's alpha reliabilities comprised .85, .69, .72 and .92, respectively. Descriptive statistics and stepwise multiple regression analysis examined the data gathered. Results revealed that the mean score of depressive symptoms was 6.51 (SD = 4.27), which was minimal depressive symptoms. Authoritarian parenting style was the best significant predictor (β = .316), the second-best was social support (β = -.237), and the third-best was self-esteem (β = .104). The three predictors accounted for 20.7 % (F3, 435 = 37.837, p < .001) in the prediction of depressive symptoms among undergraduate students. Moreover, the findings recommended that healthcare providers and school workers should plan activities or interventions for undergraduate students. Consequently, they should encourage self-esteem, social support and cultivate appropriate parenting styles. As a result, depressive symptoms would decline.
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As Thailand becomes an aged society it is important to promote advancements in geriatric medicine to provide the best care for older individuals. The right assistive facilities and household mobility equipment are essential for everyday activities. The use of home adaptations and assistive products can maximize the quality of life for older individuals and make life more convenient for those with disabilities. This study aimed to investigate the experience of occupational therapists, using home adaptations and assistive products. An individual interview was conducted with eight occupational therapists who worked at regional hospitals and centers of excellence throughout Thailand using a qualitative study. The results were interpreted through thematic analysis. Five main themes emerged: (1) empowering independent living at home, (2) accident prevention and safety, (3) family financial constraints and barriers, (4) availability and accessibility of products, and (5) matching products with clients’ capabilities and needs. Based on an occupational therapy approach, this study examines Thailand's needs for home adaptations and assistive products, as well as barriers to accessing those products and services. Through a contribution to knowledge and information based on occupational therapists' experience, the laws and regulations regarding home adaptations and assistive products for people with disabilities can be improved. Additionally, the interdisciplinary team and authorities involved in this issue should also collaborate to formulate guidelines for home adaptations and assistive products for older individuals and persons with disabilities in the future.
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