Evaluation of the Attention Process Training Programme

Park, Norman W.

doi:10.1080/713755595

Cited by 94 publications

(32 citation statements)

References 21 publications

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“…To compare studies, we calculated the ES ((delta treatment group À delta control group)/pooled SD) on the raw scores from the PASAT in each study. The ESs, displayed in parentheses for each study, were: Cicerone [21] (0.90), Sohlberg et al [20] (0.12), Park et al [19] (0.26), Gray et al [18] (0.31), Niemann et al [17] (À0.16) (in the Niemann et al study, the control group improved slightly more than the treatment group, which explains the small ES), and this pilot study (0.83). The mean ES over all six studies was 0.33.…”

Section: Discussionmentioning

confidence: 99%

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Computerized working memory training after stroke–A pilot study

et al. 2007

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Aim: To examine the effects of working memory (WM) training in adult patients with stroke. Methods: A randomized pilot study with a treatment group and a passive control group; 18 participants (12 males) in a vocational age group (mean age 54 years) were randomized to either the treatment or the control condition. The intervention consisted of computerized training on various WM tasks for five weeks. A neuropsychological test battery and self-rating on cognitive functioning in daily life (the CFQ) were administered both before and after the treatment. Results: Statistically significant training effects were found on the non-trained tests for WM and attention, i.e., tests that measure related cognitive functions but are not identical to tasks in the training programme (Span board p < 0.05; PASAT p < 0.001; Ruff 2&7 p < 0.005). There was a significant decrease in symptoms of cognitive problems as measured by the CFQ (p < 0.005). Conclusion: More than one year after a stroke, systematic WM training can significantly improve WM and attention.

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Section: Discussionmentioning

confidence: 99%

“…Several studies investigated the effectiveness of attention training in the chronic stage (>1 year) after brain injury in adults [15][16][17][18][19][20][21][22]. For a review see Cicerone et al [2,3].…”

Section: Introductionmentioning

confidence: 99%

Computerized working memory training after stroke–A pilot study

et al. 2007

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“…Detailed comparison of the current trial with other research is difficult because of the scarcity of previous trials that have predominantly focused on TBI participants, been small in size, and are frequently nonrandomized with unblinded assessment of participants. [25][26][27]30,34 Strengths of the study are: (1) to our knowledge it was the first full-scale randomized, controlled trial to evaluate impact of APT on attention in stroke survivors; (2) it had a relatively large sample (nϭ78) statistically powered to address the primary hypothesis on effectiveness of the intervention on attention, as measured by the IVA-CPT; (3) it had a very low attrition rate; and (4) the number of patients with missing data was low. The main limitations of the study were: (1) relatively strict inclusion criteria limit generalizability to wider samples; (2) although statistically powered to address (4) because of the nature of the intervention, it was not possible to blind the treating neuropsychologist or participants and this may have influenced outcomes.…”

Section: Barker-collo Et Al Reducing Poststroke Attention Deficits 3295mentioning

confidence: 99%

“…25 APT is a theoretically based, hierarchical, multilevel treatment, including sustained, selective, alternating, and divided attention 25 typically administered by neuropsychologists, occupational therapists, speech language therapists, and other rehabilitation specialists, as is appropriate within their scope of practice. APT has been examined in small, nonrandomized evaluations in TBI samples [25][26][27][28][29]34 and is the basis of rehabilitation packages for mild deficits (APT-II) 30 and for children treated with radiation after cancer. [31][32][33] In a meta-analysis of TBI studies (total nϭ359) Park and Ingles 34 found attention improved significantly after specific skills training in prepost studies.…”

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Reducing Attention Deficits After Stroke Using Attention Process Training

Barker‐Collo

Feigin

Lawes

et al. 2009

Stroke

132

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Background and Purpose-Impaired attention contributes to poor stroke outcomes. Attention process training (APT) reduces attention deficits after traumatic brain injury. There was no evidence for effectiveness of APT in stroke patients. This trial evaluated effectiveness of APT in improving attention and broader outcomes in stroke survivors 6 months after stroke. Methods-Participants in this prospective, single-blinded, randomized, clinical trial were 78 incident stroke survivors admitted over 18 months and identified via neuropsychological assessment as having attention deficit. Participants were randomly allocated to standard care plus up to 30 hours of APT or standard care alone. Both groups were impaired (zՅϪ2.0) across measures of attention at baseline, with the exception of Paced Auditory Serial Addition Test, which was below average (zՅϪ1.0). Outcome assessment occurred at 5 weeks and 6 months after randomization.

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“…This emerging discipline emphasizes the notion that treatment should be informed by the theoretical ideas of cognitive neuroscience. The idea that attention is not unitary but consists of a number of distinct components (Posner & Petersen, 1990) has been incorporated into many of the attention retraining programs (Gauggel & Niemann, 1996;Novack, Caldwell, Duke, Bergquist, & Gage, 1996;Park, Proulx, & Towers, 1999;Sohlberg & Mateer, 1987;Sturm & Willmes, 1991;Sturm, Willmes, Orgass, & Hartje, 1997), in that tasks requiring different types of attention are provided. For example, the Attention Process Training program includes tasks of sustained, selective, alternating, and divided attention (Sohlberg & Mateer, 1987).…”

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confidence: 99%

Effectiveness of attention rehabilitation after an acquired brain injury: A meta-analysis.

Park¹,

Ingles²

2001

Neuropsychology

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221

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The efficacy of attention rehabilitation after an acquired brain injury was examined metaanalytically. Thirty studies with a total of 359 participants met the authors' selection criteria. Studies were categorized according to whether training efficacy was evaluated by comparing pre-and posttraining scores only or included a control condition as well. Performance improved significantly (using the d + statistic) after training in pre-post only studies but not in pre-post with control studies. Further analyses showed that specific-skills training significantly improved performance of tasks requiring attention but that the cognitive-retraining methods included in the meta-analysis did not significantly affect outcomes. These findings demonstrate that acquired deficits of attention are treatable using specific-skills training. Implications of these results for rehabilitation theory and future research are discussed.

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Evaluation of the Attention Process Training Programme

Cited by 94 publications

References 21 publications

Computerized working memory training after stroke–A pilot study

Computerized working memory training after stroke–A pilot study

Reducing Attention Deficits After Stroke Using Attention Process Training

Effectiveness of attention rehabilitation after an acquired brain injury: A meta-analysis.

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