Feasibility and Efficacy of a Computer-Based Intervention Aimed at Preventing Reading Decoding Deficits Among Children Undergoing Active Treatment for Medulloblastoma: Results of a Randomized Trial

作者：Shawna L. Palmer, Lucy Leigh, Susan Ellison, Arzu Onar‐Thomas, Shengjie Wu, Ibrahim Qaddoumi, Gregory T. Armstrong, Karen Wright, Cynthia Wetmore, A. Broniscer, Amar Gajjar · 发表于：Journal of Pediatric Psychology · 年份：2013 · DOI：10.1093/jpepsy/jst095 · 被引用次数：27 · 研究领域：Glioma Diagnosis and Treatment、Childhood Cancer Survivors' Quality of Life、Traumatic Brain Injury Research

OBJECTIVE: To investigate the feasibility of a computer-based reading intervention completed by patients diagnosed with a brain tumor. METHODS: Patients were randomized to the intervention (n = 43) or standard of care group (n = 38). The intervention consisted of 30 sessions using Fast ForWord® exercises in a game-like format. Change in reading decoding scores over time since diagnosis was examined. Gender, race, parent education, parent marital status, and age at diagnosis were examined as covariates. RESULTS: 17 patients (39.5%) were able to complete the target goal of 30 intervention sessions. Females had significantly greater training time than males (p = .022). Age at diagnosis was associated with average training time/session for females (r = .485, p = .041). No significant differences were found in reading scores between the randomized groups. CONCLUSIONS: The study was well accepted by families and adherence by patients undergoing radiation therapy for medulloblastoma was moderate. Suggestions for improved methodology are discussed.