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- 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
- Proposal of a common terminology for the neuropsychological rehabilitationPublication . Pinto, Joana O.; Peixoto, Bruno; Dores, Artemisa R; Barbosa, FernandoThe literature on neuropsychological intervention (NI) uses a variety of terms to refer to equivalent constructs, making it difficult to compare intervention programmes and their outcomes. The purpose of this work is to propose a unified terminological framework for describing NI programmes. The terminological framework was developed based on a previous proposal for common terminology by Johnstone and Stonnington (Rehabilitation of neuropsychological disorders: A practical guide for rehabilitation professionals. Psychology Press, 2011) and driven by Cognitive Psychology concepts. The terminological framework was organized into two sections: (a) NI, which includes types of NI, methods and approaches, instructional methods, and strategies; and (b) neurocognitive functions, which include temporal and spatial orientation, sensation, perception, visuo-constructional abilities, attention, memory, language, reasoning of several sorts (e.g., abstract reasoning, and numerical reasoning), and executive functions. Most NI tasks target a main neurocognitive function, but there are underlying neurocognitive functions that may impair performance in the former. Since it is difficult to create a task that is solely focused on one neurocognitive function, the proposed terminology should not be viewed as a taxonomy, but rather as dimensional, with the same task allowing to work different functions, in varying grades. Adopting this terminological framework will allow to define the targeted neurocognitive functions more accurately and simplify the comparison between NI programmes and their outcomes. Future research should focus on describing the main techniques/strategies for each neurocognitive function and non-cognitive interventions.
- Ecological validity of neuropsychological interventions: A systematic reviewPublication . Pinto, Joana O.; Pontes, Diogo; Peixoto, Bruno; Dores, Artemisa R.; Barbosa, FernandoThe concept of ecological validity (EV) in neuropsychological interventions (NI) has been consistently advocated, but there is a lack of reviews focused on how EV is operationalized in NI programmes. This review aims to address this gap by exploring the outcome measures more commonly used for assessing EV and to understand the main characteristics of programmes with good EV. A literature search was conducted to identify studies that examined the EV of NI programmes, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Cochrane Collaboration Guidelines. A total of twenty-seven studies were included in this review. Among these, only three studies explicitly described the procedures used to assess EV. Additionally, almost half of the studies assumed that interventions had good EV based on the characteristics of the programmes. The inconsistent assessment of EV of NI programmes prevented the identification of specific characteristics of programmes demonstrating good EV. This systematic review reveals a significant gap in the literature concerning the operationalization of EV within the field of NI. Further research is required to establish a consistent definition of EV in the context of NI and to develop criteria for its effective operationalization.
- Ecological validity in neurocognitive assessment: Systematized review, content analysis, and proposal of an instrumentPublication . Pinto, Joana O.; Dores, Artemisa Rocha; Peixoto, Bruno; Barbosa, FernandoThe main objectives of this study are to identify the dimensions of Ecological Validity(EV) within the definitions of this concept, understand how they are operationalized in neurocog-nitive tests, and propose a checklist for EV attributes in neurocognitive tests. A systematized review was combined with content analysis of the selected papers, usingthe inductive method. We analyzed 82 studies on the EV of neurocognitive tests, 19 literaturereviews and 63 empirical studies. Based on this review, we identified the relevant criteria for evalu-ating EV. EV is a multidimensional concept with two main dimensions: representativeness and gen-eralization. Representativeness involves the subdimensions simplicity-complexity and artificial-nat-ural and several criteria organized on a continuum from low EV to high EV. Generalization isdependent on representativeness and is influenced by different cognitive and non-cognitive fac-tors. We propose six stages for operationalizing EV, from defining the objectives of the neurocog-nitive assessment to the methodology for scoring and interpreting the results.This systematized review helps to operationalize the concept of EV by providing atool for evaluating and improving EV while developing new tests. Further studies with a longitu-dinal design can compare the predictive value of tests with higher versus lower EV-checklistscores.
- Inventory of sensory, emotional, and cognitive reserve (SECri): Proposal of a new instrument and preliminary dataPublication . Pinto, Joana O.; Vieira, Isabel; Barroso, Beatriz C. R.; Peixoto, Miguel; Pontes, Diogo; Peixoto, Bruno; Dores, Artemisa R.; Barbosa, FernandoA new model of reserve, the Sensory, Emotional, and Cognitive Reserve (SEC) model, has beenrecently proposed, but so far this model has not been operationalized in instruments to evaluatethe different domains of the reserve. This study introduces the SEC reserve inventory (SECri) alongwith preliminary data obtained from a study involving 57 adults, aged 35 and older. The SECriassesses the SEC domains using specific proxies: (a) sensory reserve (SR) through sensory acuity andsensory perception proxies; (b) emotional reserve (ER) through life events, resilience, and emotionalregulation proxies; and (c) cognitive reserve (CR) through education, occupation, socioeconomicstatus, bilingualism, leisure activities, and personality traits proxies. Key features of SECri includeself- and informant-report forms, fine-grained response scales, and the evaluation of reservedevelopment across the lifespan. Findings on the acceptability, convergent validity between SECridomains and validated tests for the same constructs, internal consistency of each domain, andpredictive validity of Montreal Cognitive Assessment scores support further research with thisinventory. Future studies should consider determining SECri’s psychometric properties in clinical andsubclinical conditions to evaluate its prognostic value in cases of neurocognitive decline.
- Measures of cognitive reserve: an umbrella reviewPublication . Pinto, Joana O.; Peixoto, Bruno; Dores, Artemisa R.; Barbosa, FernandoRecently, there has been a growing interest in operationalizing and measuring cognitive reserve (CR) for clinical and research purposes. This umbrella review aims to summarize the existing systematic and meta-analytic reviews about measures of CR. A literature search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the guidelines of Aromataris et al. (Citation2015) to identify the systematic reviews and meta-analysis involving the assessment of CR. The methodological quality of the papers included in this umbrella review was assessed with A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR-2) and Specialist Unit for Review Evidence (SURE). Thirty-one reviews were identified, sixteen of which were systematic reviews, and fifteen were meta-analyses. Most of the reviews had a critically low quality, according to AMSTAR-2. The reviews included between two and 135 studies. Most of the papers focused on older adults, mainly those with dementia. CR was measured using one to six proxies, but most considered each proxy separately. The most assessed proxies of CR were education on its own, combined with occupation and/or engagement in activities or combined with parental education, bilingualism, and engagement in activities when four CR proxies were studied. Most of the studies included in higher quality reviews focused on three proxies, with education and engagement in activities being the most evaluated using CR questionnaires. Despite the growing interest in measuring CR, its operationalization did not improve since the last umbrella review in this field.
- Neuropsicologia no espaço da LusofoniaPublication . Pinto, Joana O.; Pereira, Dilma; Geraldo, Andreia,; Dores, Artemisa Rocha; Peixoto, Bruno; Araújo, Jeane; Dele, João; Serra, Lídia; Leite, Manuela; Moreno, RaquelA Neuropsicologia é uma área científica recente, cuja afirmação como disciplina independente data da segunda metade do século XIX. A neuropsicologia cultural reconhece o papel das experiências culturais na relação cérebro-comportamento e considera que a diversidade cultural deve ser o ponto de partida para o estudo da cognição. Apesar da relevância da neuropsicologia cultural, tanto quanto é do nosso conhecimento os estudos transculturais no espaço da lusofonia são escassos.
- Critical review of multisensory integration programs and proposal of a theoretical framework for its combination with neurocognitive trainingPublication . Pinto, Joana O.; Dores, Artemisa Rocha; Peixoto, Bruno; Vieira De Melo, Bruno; Barbosa, FernandoThe main purpose of this manuscript is to critically review the Multisensory Integration (MI) training programs applied to older adults, their characteristics, target sensory systems, efficacy, assessment methods, and results. We also intend to propose an integrated framework to support combined interventions of neurocognitive and sensory training. A critical review was conducted covering the most relevant literature on the MI training programs applied to older adults. Two MI training programs applied to cognitively healthy older adults were found: (a) audio-visual temporal discrimination training and (b) simultaneity judgment training. Both led to the improvement of the MI between pre- and post-training. However, only the audio-visual temporal discrimination training led to the generalization of the improvements to another MI task. Considering the relationship between sensory and cognitive functioning, this review supports the potential advantages of combining MI with neurocognitive training in the rehabilitation of older adults. We suggested that this can be achieved within the framework of Branched Programmed Neurocognitive Training (BPNT). Criteria for deciding the most suitable multisensory intervention, that is, MI or Multisensory Stimulation, and general guidelines for the development of MI intervention protocols with older adults with or without cognitive impairment are provided.
- 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.