Browsing by Author "Geraldo, Andreia"
Now showing 1 - 10 of 12
Results Per Page
Sort Options
- A avaliação multidomínio da eficácia de programas de reabilitação neurocognitiva suportados nas novas tecnologias digitaisPublication . Pinto, Joana O.; Geraldo, Andreia; Peixoto, Bruno; Castro-Caldas, Alexandre; Barbosa, Fernando; Dores, Artemisa RochaO envolvimento das novas tecnologias digitais nos processos de estimulação e reabilitação neurocognitiva (RNC) tem potenciado a eficácia e eficiência dos serviços de RNC, nomeadamente através de uma maior personalização aos perfis funcionais de cada indivíduo. Apesar disso, os protocolos de avaliação da eficácia destes processos baseiam-se maioritariamente em resultados de instrumentos tradicionais que não fornecem informação específica sobre as alterações que produzem quer no funcionamento cerebral per se, quer no seu funcionamento multissensorial. Desta forma, o projeto de investigação em curso foca-se na avaliação da eficácia de programas de RNC suportados nas novas tecnologias digitais, em diferentes patologias neurológicas utilizando protocolos de avaliação constituídos por medidas de resultado multidomínio. Os protocolos incluem medidas de: avaliação neuropsicológica tradicional, do estado emocional, qualidade de vida, funcionalidade, neurofisiologia (i.e., conectividade funcional), e das funções sensoriopercetivas
- Do juveniles who have committed sexual offenses have higher callous-unemotional traits compared to juveniles who have committed general offenses? A systematic review.Publication . Ramião, Eduarda; Geraldo, Andreia; Figueiredo, Patrícia; Barroso, Ricardo; Barbosa, FernandoThe importance of assessing psychopathic traits in juveniles who have committed sexual offenses has been established in individuals who demonstrate a particularly severe and violent pattern of behavior. Additionally, the assessment of these traits in other juveniles might be relevant considering that higher levels of these traits represent an increased probability of the juvenile committing offenses. This study is a systematic review of the literature about the presence of callous-unemotional (CU) traits in juveniles who have committed sexual and non-sexual offenses, in order to ascertain eventual differences between these groups regarding the presence of CU traits. Studies were obtained from multiple databases, with predefined exclusion and inclusion criteria, according to PRISMA-P guidelines. A total of 18 studies were reviewed and included in the final analysis. The 18 studies used measures of CU traits and reported descriptive categories of CU traits in juveniles who have committed general offenses or juveniles who have committed sexual offenses. Meta-analytic procedures such as pooled means, pooled variances, and pooled standard deviations are presented in this study. The main conclusion obtained is that juveniles who have committed general offenses present higher levels of CU traits compared to juveniles who have committed sexual offenses. Although the review highlights limitations in the literature, the identification of these characteristics in different types of juveniles who have committed offenses is important to shed light on the phenomenon and develop interventions better suited to their characteristics. Recommendations for future research are also presented.
- Efficacy of ICT-Based Neurocognitive Rehabilitation Programs for Acquired Brain InjuryPublication . Geraldo, Andreia; Dores, Artemisa Rocha; Coelho, Bárbara; Ramião, Eduarda; Castro-Caldas, Alexandre; Barbosa, FernandoThis systematic review aims to analyze the methods used in the assessment of the efficacy of Neurocognitive Rehabilitation Programs (NRP) based on Information and Communication Technologies in patients with Acquired Brain Injury, namely platforms and online rehabilitation programs. Studies with the main purpose of evaluating the efficacy of those programs were retrieved from multiple literature databases, accordingly to inclusion and exclusion criteria. The inclusion and analysis of the studies followed preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) and Cochrane Collaboration Guidelines. Thirty-one studies were included in this review. Results showed that most studies used a pre-post methodological design, with few studies performing assessment moments during intervention or follow-up. Attention, memory, and executive functions were the cognitive variables considered by a larger number of studies at the assessment of NRP efficacy. Despite that, there is a growing evidence on the inclusion of variables related to everyday functioning in this process, increasing its ecological validity. Concerning the instruments used, the studies presented a large heterogeneity of the instruments and methods used, even for the same assessment purpose, highlighting a lack of consensus regarding assessment protocol. Psychophysiological and neuroimaging techniques are seldom used on this field. This review identifies the main characteristics of the methodology used at the assessment of NRP and potential limitations, providing useful information to guide the practice of the health care professionals in rehabilitation of Acquired Brain Injury. It also suggests new directions for future studies
- Fostering advances to neuropsychological assessment based on the Research Domain Criteria: The bridge between cognitive functioning and physiologyPublication . Geraldo, Andreia; Azeredo, Andreia; Pasion, Rita; Dores, Artemisa Rocha; Barbosa, FernandoThe current review aimed to explore the advances in neuropsychological assessment in light of a recent research framework designed to improve our knowledge on mental health – the Research Domain Criteria (RDoC). RDoC proposals on neuropsychological tests were reviewed across the RDoC cognitive systems domain. The focus is on the physiological unit of analysis and the potential applications are illustrated given the functional relevance of RDoC constructs to psychopathological and neurological conditions. The advances in neuropsychology anchored in RDoC are not observable in terms of innovative paradigms, but rather in the eurobiological correlates that may be obtained from the classical neuropsychological tasks. The behavior unit of analysis may be integrated with physiological outcomes while mapping distinct cognitive constructs simultaneously. Under the aegis of RDoC, the integration of multiple levels of analysis allows to obtain a more detailed and complete neuropsychological characterization with high potential to be translated into better intervention strategies.
- Narrative review of the multisensory integration tasks used with older adults: inclusion of multisensory integration tasks into neuropsychological assessmentPublication . Pinto, Joana O.; Melo, Bruno B. Vieira de; Dores, Artemisa Rocha; Peixoto, Bruno; Geraldo, Andreia; Barbosa, FernandoAge-related changes in sensory functioning impact the activities of daily living and interact with cognitive decline.
- Remote delivered cognitive rehabilitation programs in Acquired Brain Injury: a systematic review of methods and outcomesPublication . Câmara, Joana ; Geraldo, Andreia; Vilar, Manuela ; Fermé, EduardoRemote delivered cognitive rehabilitation programs (r-CRP) are increasingly recognized as alternative and complementary intervention approaches to traditional cognitive rehabilitation (CR) in the context of several neurological conditions, including acquired brain injuries (ABI). This systematic review examines the methodological characteristics of currently available r-CRP for ABI patients and investigates their impact on cognitive and noncognitive outcomes. A systematic search was performed on EBSCOhost, PubMed, and Web of Science, complemented by a manual search. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the Cochrane Collaboration Guidelines were followed. Out of 1624 studies, a total of 19 studies were included. The results demonstrate that most r-CRP were administered to middle-aged community-dwelling chronic stroke survivors and that there was no consensus regarding assessment and intervention protocols. Moreover, most r-CRP were delivered through information and communication technologies (ICTs), primarily relying on cognitive training (CT) interventions addressing multiple cognitive domains (e.g., attention, memory). These ICT-based CT programs included tasks with low ecological validity, i.e., tasks with limited real-world application (e.g., cancelation tasks with artificial stimuli), and were asynchronous, meaning that participants performed the sessions at their own pace, without real-time monitoring from a therapist. In terms of the impact of r-CRP, class I studies reported mixed and inconsistent results regarding the effect of this mode of delivery on cognitive and noncognitive outcomes of ABI patients while supporting its high feasibility and acceptability among patients. Specific recommendations for future research are provided to improve the methodological quality of clinical studies and establish the evidence base for r-CRP.
- Sensory stimulation programs in dementia: a systematic review of methods and effectivenessPublication . Pinto, Joana O.; Dores, Artemisa Rocha; Geraldo, Andreia; Peixoto, Bruno; Barbosa, FernandoDementia is characterized by the presence of cognitive decline and can lead to sensory-perceptual alterations, compromising the functionality in activities of daily living. The main objective of this work is to review the characteristics of sensory stimulation programs in dementia and its effectiveness.
- Systematic review of sensory stimulation programs in the rehabilitation of acquired brain injuryPublication . Pinto, Joana O.; Dores, Artemisa R.; Peixoto, Bruno; Geraldo, Andreia; Barbosa, FernandoAcquired Brain Injury (ABI) can lead to sensory deficits and compromise functionality. However, most studies have been focused on motor stimulation in stroke and traumatic brain injury (TBI). Sensory stimulation in stroke and mild/moderate TBI has received reduced interest. The main objective of this review is to know the methodological characteristics and effects of sensory programs in ABI. Studies with the purpose of testing the efficacy of those programs were identified through a literature search, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the Cochrane Collaboration Guidelines. Twenty-three studies were included in this review. The results show that in most studies sensory stimulation started within 12 months after injury and there is no consensus regarding frequency, duration and number of sessions, duration of intervention, and instruments used to assess outcomes. Most programs involved unisensory stimulation, and vision was the predominant target. The most used methods were compensation and somatosensory discrimination training. Most studies used a pre- and post-intervention assessment, with few studies comprising follow-up assessment. Regarding the studies revised, the interventions with positive outcomes in ABI are: compensation, cognitive training, vestibular intervention, somatosensory discrimination training, proprioceptive stimulation with muscle vibration, and sustained attention training with olfactory stimulation. Available findings suggest that sensory stimulation has positive results with immediate and long-term improvements in sensory functioning. This review provides useful information to improve rehabilitation and to design future investigation.
- The road to digitally-driven Mental Health Services: Remote psychological interventionsPublication . Dores, Artemisa Rocha; Geraldo, Andreia; Martins, HelenaIntervention in mental health urges new solutions that merge solid theoretical foundations and new pos sibilities provided by technological development. This chapter is structured around results from a data mining technique using VOSViewer, which organized the field into five clusters of published literature: (1) most affected populations, (2) mental illness/disorders and their impact, (3) the expansion of remote interventions, (4) ICT potential to overcome limitations and (5) a positive approach to ICTs in mental health care. Solutions and recommendations are presented to overcome the issues identified, including how future interventions should consider old and new issues as the ones raised by the COVID-19 pan demic. Computer-based or web-based interventions are hereby presented as part of the revolution towards digital mental health or e-mental health. This approach has the potential to deconfine interventions, releasing them from the traditional settings and reaching new populations. It also reinforces the path already started, from the secondary to the primary and primordial prevention, towards the modification of the psychopathological trajectories.
- The role of gamification in neurocognitive rehabilitationPublication . Dores, Artemisa Rocha; Geraldo, Andreia; Martins, HelenaNeurocognitive rehabilitation continues to face difficult challenges related to patient and institutional characteristics. This reality requires innovate solutions to increase patient motivation and involvement in the process, turning rehabilitation more meaningful and pleasurable, as well as to help therapists overcome difficulties such as the absence of material and human resources. Innovate rehabilitation techniques have the potential to create motivating, personalized, and ecologically valide tasks. In this chapter, the authors describe the reality of neurocognitive rehabilitation in acquired brain injury and present the advantages nd potential of digital information and communication technologies, especially serious games and gamification. Distinctive elements of these solutions and a reflection on the evolution of this area are presented. In order to establish evidence-based practices, it will be necessary demonstrate unequivocally the development of competences by the patients, supported by theses new solutions, and its generalization to real-life activities in future research. (80-99)