The Effectiveness of Neuropsychological Rehabilitation in Young Dyslexic Adults
|Dyslexia||Behavioral: Individual neuropsychological rehabilitation Behavioral: Group based neuropsychological rehabilitation|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||The Effectiveness of Neuropsychological Rehabilitation in Young Dyslexic Adults - a Single Blind, Randomized, Controlled Study|
- Subjective cognitive performance [ Time Frame: 5 months ]The effects of rehabilitation on subjective cognitive performance: Everyday Memory Questionnaire (EMQ)
- Subjective reading related performance [ Time Frame: 5 months ]Effects of rehabilitation on subjective reading related performance: Adult Reading History Questionnaire (ARHQ) modified
- Objective cognitive performance [ Time Frame: 5 months ]Effects of rehabilitation on objective cognitive performance: a neuropsychological test battery (verbal and design fluency, SDMT, WAIS-IV Digit span, WMS-III Word list, V3/AVO-9, WMS-III Logical Memory I, WMS-III Visual Reproduction, TM-a, TM-b, RAS)
- Goal achievement [ Time Frame: 5 months ]Goal achievement: Goal Attainment Scaling (GAS)
- Quality of life [ Time Frame: 5 months ]The effects of rehabilitation on QoL: QOLIBRI bref.
- Mood [ Time Frame: 5 months ]The effects of rehabilitation on mood: Profile of Mood States (POMS)
- Social and cognitive behavioral strategies [ Time Frame: 5 months ]Strategy and Attribution Questionnaire (SAQ) bref
|Study Start Date:||November 2012|
|Estimated Study Completion Date:||December 2017|
|Primary Completion Date:||November 2015 (Final data collection date for primary outcome measure)|
Experimental: Individual neuropsychological rehabilitation
12 times 90 minutes, once per week or once per two weeks, during 5 months
Behavioral: Individual neuropsychological rehabilitation
Psychoeducation, teaching compensatory strategies and offering psychological support to better cope with dyslexia
Experimental: Group based neuropsychological rehabilitation
12 times 120 minutes + a brake, once per week or once per two weeks, during 5 months
Behavioral: Group based neuropsychological rehabilitation
Psychoeducation, teaching compensatory strategies and offering psychological support and peer support to better cope with dyslexia
No Intervention: Control group
Control group does not receive neuropsychological rehabilitation or any other intervention during the first 5 months. After the control period they will be randomized to receive either individual or group based rehabilitation.
Background: Untreated dyslexia causes problems for individuals in studies, work and employment. High quality research on the best and most cost-effective rehabilitation methods is needed.
Objective: To study whether neuropsychological rehabilitation improves the psychosocial wellbeing and perceived cognitive deficits in dyslexic young adults and to evaluate potential differences between individual and group based neuropsychological rehabilitation.
Methods: Altogether 120 young adults diagnosed with dyslexia are randomized either to one of the intervention groups (individual neuropsychological rehabilitation / group neuropsychological rehabilitation) or to a control group which will receive either one of the interventions after a 5 month waiting period. All the study subjects are assessed with a short neuropsychological test battery as well as self-rating questionnaires evaluating mood, QoL, perceived cognitive deficits, and the impact of the learning disability at baseline, after five months (immediately after interventions or control period) and after 10 months. After 20 months a shorter follow-up using only self-ratings will be done via mail. Subjects in the intervention groups are offered neuropsychological rehabilitation in 12 sessions conducted once a week or once in two weeks during five months. Subjects in the control group do not receive any intervention for the first five months.
Results: The effects of interventions on psychosocial wellbeing and perceived cognitive deficits are evaluated using appropriate statistical procedures and comparing the differences between the interventions groups and the control group.
The present status: All the interventions are completed, follow-up data is still beeing collected
Please refer to this study by its ClinicalTrials.gov identifier: NCT01930500
|Helsinki, Malminkartano, Finland, 00410|
|Study Director:||Erja Poutiainen, PhD||Rehabilitation Foundation|
|Principal Investigator:||Johanna Nukari, LicPsych||Rehabilitation Foundation|