The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Computer-Based Cognitive Rehabilitation on the Attention of Children with Autism Spectrum Disorder: A Single-Subject Study

전산화 인지재활이 자폐스펙트럼장애 아동의 주의력에 미치는 효과: 단일대상연구

  • Kim, Man-Je (Dept. of Occupational Therapy, Graduate School, Konyang University) ;
  • Kim, Su-Kyoung (Dept. of Occupational Therapy, Konyang University)
  • 김만제 (건양대학교 일반대학원 작업치료학전공 ) ;
  • 김수경 (건양대학교 작업치료학과 )
  • Received : 2023.01.19
  • Accepted : 2023.09.20
  • Published : 2023.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this study was to investigate the effects of computerized cognitive rehabilitation on the attention of children with autism spectrum disorder (ASD). Methods : A multiple-baseline design was used in combination with a single-subject experimental research design. A total of 15 sessions were conducted three times a week, each lasting for 30 minutes. The maintenance and selective attention tests in the attention area of the computerized cognitive rehabilitation program were evaluated in random order after each session was completed. To evaluate the participants' selective attention, star cancellation tests was performed as pre- and post-tests. Results : After the computerized cognitive rehabilitation intervention, the accuracy of the participants' attention improved in terms of the maintenance and selective attention tests. In the analysis involving the two standard deviation bands, participants 1 and 2 showed a significant improvement, whereas participant 3 did not show a significant improvement, although the average value improved. Conclusion : The results of this study confirmed that cognitive rehabilitation involving a computerized cognitive rehabilitation program had a positive effect on the attention of three children with ASD.

목적 : 본 연구는 자폐스펙트럼장애(Autism Spectrum Disorder; ASD) 아동을 대상으로 전산화 인지재활이 주의력에 미치는 효과를 알아보고자 하였다. 연구방법 : 개별대상자 실험연구 방법 중 다중 기초선 설계를 사용하였다. 총 15회기를 주 3회씩 1회기 당 30분 동안 진행하였다. 전산화 인지재활 프로그램의 주의력 영역에서 유지 주의력과 선택적 주의력 검사를 매 회기가 끝난 직후에 평가하였다. 선택적 주의력을 평가하기 위하여 사전과 사후에 별 지우기 검사(star cancellation test)를 실시하였다. 결과 : 전산화 인지재활 중재 후 유지 주의력과 선택적 주의력의 검사에서 정확도는 대상자 모두 향상되었다. 2표준편차 구간을 이용한 분석방법에서 대상자 1, 2가 유의한 증진이 나타났고 대상자 3은 유의하지 않았지만 평균값이 향상되었다. 결론 : 본 연구 결과를 통해 전산화 인지재활 프로그램을 사용한 인지재활은 ASD 아동의 주의력에 긍정적인 영향을 미치는 것을 확인할 수 있었다.

Keywords

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders(DSM-5). Washington, DC: American Psychiatric Association Publishing.
  2. Aresti-Bartolome, N., & Garcia-Zapirain, B. (2015). Cognitive rehabilitation system for children with autism spectrum disorder using serious games: A pilot study. Bio-medical Materials and Engineering, 26(1), 811-824. doi:10.3233/BME-151373
  3. Center for Disease Control and Prevention. (2022. 3. 2). Data & statistics on autism spectrum disorder. Retrieved from https://www.cdc.gov/ncbddd/autism/data.html
  4. Cho, S. Y., & Ju, Y. (2018). The effect of interactive metronome training on attention to autism spectrum disorder children: Single case study. Therapeutic Science for Rehabilitation, 7(4), 57-66. doi:10.22683/tsnr.2018.7.4.057
  5. Chukoskie, L., Westerfield, M., & Townsend, J. (2018). A novel approach to training attention and gaze in ASD: A feasibility and efficacy pilot study. Developmental Neurobiology, 78(5), 546-554. doi:10.1002/dneu.22563
  6. Chung, H. S. (2018). The effect of computerized cognitive rehabilitation therapy (COMCOG) on children with high functioning autism spectrum disorder. Journal of Korean Society of Neurocognitive Rehabilitation, 10(1), 43-50. doi:10.29144/KSCTE.2018.10.1.43
  7. COTRAS. (2022. 12. 2). Computerized cognitive training program. Retrieved from http://www.netblue.co.kr/doc/product01-03.php
  8. Ha, S. G., Oh, D. H., Lee, S. H., Park, J. W., Ahn, J. U., Choi, S. K., ... Cheon, K. A. (2021). Altered gut microbiota in Korean children with autism spectrum disorders. Nutrients, 13(10), 3300. doi:10.3390/nu13103300
  9. Hyun, J. M., & Yoo, E. Y. (2021). A literature review of occupational therapy intervention for autism spectrum disorder. Journal of Korean Society of Occupational Therapy, 29(1), 1-11. doi:10.14519/kjot.2021.29.1.01
  10. Kim, S. Y., & Rhee, K. M. (2015). The effect of computer-based cognitive rehabilitation program on visual perception and ADL in children with intellectual disability. Journal of Rehabilitation Welfare Engineering & Assistive Technology, 9(2), 105-113.
  11. Kim, Y. G. (2011). Development of a Korean computer-based cognitive rehabilitation program (CoTras) for patients with cognitive disabilities and the validation of it's effects. Pusan: Pusan National University in South Korea.
  12. Kim, Y. G., & Lee, M. J. (2013). The effect on computer-based cognitive rehabilitation program for children (CoTras-C) for the cognitive ability and visual perception in developmental disability. Journal of Rehabilitation Research, 17(3), 391-414.
  13. Kim, Y. S., Kim, K. M., Chang, M. Y., & Hong, S. Y. (2021). The effect of family-centered coaching based on sensory integration on the performance of children with autism spectrum disorder. Journal of Korean Academy of Sensory Integration, 19(2), 12-25. doi:10.18064/JKASI.2021.19.2.12
  14. Lee, K. H. (2012). Effects of a computerized cognitive training programs attention abilites and memory abilites of children with tendency of ADHD. Journal of Emotional & Behavioral Disorders, 28(4), 91-108.
  15. Lim, M. S., & Lee, S. B. (2020). The effects of function-based teaching methods on accuracy of writing in elementary school students with autism spectrum disorders. Korean Association For Persons With Autism, 20(1), 81-101. doi:10.33729/kapa.2020.1.4
  16. Ma, L., & Pan, Y. H. (2019). The application design for cognitive training to autistic child based on applied behavior analysis. Design Convergence Study, 18(1), 19-31. doi:10.31678/SDC.74.2
  17. Nazarboland, N., Nohegari, E., & Sadeghi Firoozabadi, V. (2019). Effectiveness of computerized cognitive rehabilitation (CCR) on working memory, sustained attention and math performance in children with autism spectrum disorders. Quarterly of Applied Psychology, 13(2), 271-293.
  18. Nourbakhsh, M. R., & Ottenbacher, K. J. (1994). The statistical analysis of single-subject data: A comparative examination. Physical Therapy, 74(8), 768-776. doi:10.1093/ptj/74.8.768
  19. Park, Y. Y., Park, S. H., Yoo, E. Y., & Lee, J. Y. (2012). Effectiveness of therapy ball on behavior problems, attention, and seating behavior in children with autism spectrum disorder in a classroom setting. Journal of Korean Society of Occupational Therapy, 20(1), 43-56.
  20. Patten, E., & Watson, L. R. (2011). Interventions targeting attention in young children with autism. American Journal of Speech-Language Pathology, 20(1), 60-69. doi:10.1044/1058-0360(2010/09-0081)
  21. Shin, M. S., & Kim, Y. H. (1998). Standardization study for the Korean version of the childhood autism rating scale: Reliability, validity and cut-off score. Korean Journal of Clinical Psychology, 17(1), 1-15
  22. Wilson, B., Cockburn, J., & Halligan, P. (1987). Development of a behavioral test of visuospatial neglect. Archives of Physical Medicine and Rehabilitation, 68(2), 98-102.
  23. Yoo, E. Y., Lee, M. J., Kim, S. Y., & Han, S. (2016). The research trends of the journal of Korean society of occupational therapy: From 2011 to 2015. Journal of Korean Society of Occupational Therapy, 24(4), 149-160. doi:10.14519/jksot.2016.24.4.11