Principles of Integrated Cognitive Training for Executive Attention: Application to an Instrumental Skill.

adaptive treatment cognitive training dyslexia executive attention working memory capacity

Journal

Frontiers in psychology
ISSN: 1664-1078
Titre abrégé: Front Psychol
Pays: Switzerland
ID NLM: 101550902

Informations de publication

Date de publication:
2021
Historique:
received: 30 12 2020
accepted: 17 05 2021
entrez: 9 7 2021
pubmed: 10 7 2021
medline: 10 7 2021
Statut: epublish

Résumé

One effective cognitive treatment is the rehabilitation of working memory (WM) using an integrated approach that targets the "executive attention" system. Recent neuroscientific literature has revealed that treatment efficacy depends on the presence of various features, such as adaptivity, empathy, customization, avoidance of automatism and stereotypies, and alertness activation. Over the last two decades, an Integrated Cognitive Training (ICT) protocol has been proposed and developed; ICT takes the above-mentioned features and existing literature into account, and has been used to promote the development of reading skills. ICT has been employed in several clinical settings and involves stimulation of a specific deteriorated system (e.g., reading) and the improvement of executive attention components, thus also increasing working memory capacity. In this context, we present two experiments. In Experiment 1, participants diagnosed with dyslexia (aged between 8 and 14 years) underwent two ICT sessions a week, with home supplements, for a duration of 7 months. The participants showed a significant improvement in the reading speed of text, words, and non-words, and in the reading accuracy of text and non-words. In Experiment 2, we replicated Experiment 1, but included a comparison between two groups (experimental group vs. control group) of young participants with diagnosis of dyslexia. The experimental group was subjected to 18 ICT sessions twice a week and with home supplements, using the same protocol as in Experiment 1. The control group was entrusted to the protocol of compensatory tools and dispense/helping procedures provided by the scholastic Personalized Educational Plan. After training, the experimental group gained about 0.5 syllables per second in text reading, and a marked decrease in error rate. The control group showed no significant improvement in reading skills after the same period. Moreover, the improvement observed in the experimental group remained stable 4 months after ICT had ended. The results of these two experiments support the efficacy of the integrated ICT protocol in improving reading skills in children with dyslexia and its sustained effect.

Identifiants

pubmed: 34239477
doi: 10.3389/fpsyg.2021.647749
pmc: PMC8258243
doi:

Types de publication

Journal Article

Langues

eng

Pagination

647749

Informations de copyright

Copyright © 2021 Benso, Moretti, Bellazzini, Benso, Ardu and Gazzellini.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Francesco Benso (F)

Department of Psychology and Cognitive Sciences, University of Trento, Rovereto, Italy.
ANCCRI, Associazione Neuroscienze Cognitive Clinica Ricerca e Intervento, Genova, Italy.
AIDAI Liguria, Associazione Italiana per i Disturbi di Attenzione e Iperattività, Liguria, Italy.

Sandra Moretti (S)

ANCCRI, Associazione Neuroscienze Cognitive Clinica Ricerca e Intervento, Genova, Italy.
AIDAI Liguria, Associazione Italiana per i Disturbi di Attenzione e Iperattività, Liguria, Italy.
ASL 5, Azienda Sanitaria Locale, La Spezia, Italy.

Veronica Bellazzini (V)

ANCCRI, Associazione Neuroscienze Cognitive Clinica Ricerca e Intervento, Genova, Italy.
AIDAI Liguria, Associazione Italiana per i Disturbi di Attenzione e Iperattività, Liguria, Italy.

Eva Benso (E)

ANCCRI, Associazione Neuroscienze Cognitive Clinica Ricerca e Intervento, Genova, Italy.

Eleonora Ardu (E)

ANCCRI, Associazione Neuroscienze Cognitive Clinica Ricerca e Intervento, Genova, Italy.

Simone Gazzellini (S)

Department of Intensive and Robotic Neurorehabilitation, Bambino Gesù Children's Hospital Institute of Recovery and Care Caracterized by Research, Rome, Italy.

Classifications MeSH