Computer-based cognitive interventions in acquired brain injury: A systematic review and meta-analysis of randomized controlled trials

Introduction Acquired brain injury (ABI) leads to cognitive deficits in a great variety of cognitive functions. Interventions aimed at reducing such deficits include the use of computer-based cognitive interventions. The present work synthetizes and quantitively analyses the effect of computer-based...

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Published in:PloS one 2020-07, Vol.15 (7), p.e0235510-e0235510
Main Authors: Fernández López, Rodrigo, Antolí, Adoración, Muñoz-Moreno, Jose A
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Brain
Brain injuries
Brain injury
Care and treatment
Case studies
Clinical trials
Cognition & reasoning
Cognitive ability
Cognitive disorders
Cognitive therapy
Complications and side effects
Computers
Domains
Executive function
Handbooks
Head injuries
Health aspects
Injury analysis
Intervention
Language
Medicine and Health Sciences
Memory
Meta-analysis
Methods
Patients
Physical Sciences
Randomization
Rehabilitation
Research and Analysis Methods
Risk factors
Short term memory
Social Sciences
Stroke
Studies
Systematic review
Technology application
Traumatic brain injury
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description Introduction Acquired brain injury (ABI) leads to cognitive deficits in a great variety of cognitive functions. Interventions aimed at reducing such deficits include the use of computer-based cognitive interventions. The present work synthetizes and quantitively analyses the effect of computer-based cognitive interventions in ABI. Methods PubMed, Scopus, Web of Science, ProQuest and Ovid databases were searched for randomized controlled trials (RCT) addressing this issue. A total number of 8 randomized-controlled trials were included for systematic review and meta-analysis. Univariate meta-analyses were conducted for every cognitive function, producing aggregates when a study contributed more than one effect size per cognitive domain. Results Random-effects meta-analyses showed an improvement of Visual and Verbal working memory, while other domains like Attention, Processing speed, Executive functions and Memory were not benefited by the interventions. Conclusions Computer-based cognitive interventions might be a beneficial intervention for ABI population to improve Visual and Verbal working memory, although no effect was found in other cognitive domains. Implications and possible future directions of the research are discussed.
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Interventions aimed at reducing such deficits include the use of computer-based cognitive interventions. The present work synthetizes and quantitively analyses the effect of computer-based cognitive interventions in ABI. Methods PubMed, Scopus, Web of Science, ProQuest and Ovid databases were searched for randomized controlled trials (RCT) addressing this issue. A total number of 8 randomized-controlled trials were included for systematic review and meta-analysis. Univariate meta-analyses were conducted for every cognitive function, producing aggregates when a study contributed more than one effect size per cognitive domain. Results Random-effects meta-analyses showed an improvement of Visual and Verbal working memory, while other domains like Attention, Processing speed, Executive functions and Memory were not benefited by the interventions. Conclusions Computer-based cognitive interventions might be a beneficial intervention for ABI population to improve Visual and Verbal working memory, although no effect was found in other cognitive domains. Implications and possible future directions of the research are discussed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0235510</identifier><identifier>PMID: 32645046</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Biology and Life Sciences ; Brain ; Brain injuries ; Brain injury ; Care and treatment ; Case studies ; Clinical trials ; Cognition &amp; reasoning ; Cognitive ability ; Cognitive disorders ; Cognitive therapy ; Complications and side effects ; Computers ; Domains ; Executive function ; Handbooks ; Head injuries ; Health aspects ; Injury analysis ; Intervention ; Language ; Medicine and Health Sciences ; Memory ; Meta-analysis ; Methods ; Patients ; Physical Sciences ; Randomization ; Rehabilitation ; Research and Analysis Methods ; Risk factors ; Short term memory ; Social Sciences ; Stroke ; Studies ; Systematic review ; Technology application ; Traumatic brain injury</subject><ispartof>PloS one, 2020-07, Vol.15 (7), p.e0235510-e0235510</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Fernández López, Antolí. 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Interventions aimed at reducing such deficits include the use of computer-based cognitive interventions. The present work synthetizes and quantitively analyses the effect of computer-based cognitive interventions in ABI. Methods PubMed, Scopus, Web of Science, ProQuest and Ovid databases were searched for randomized controlled trials (RCT) addressing this issue. A total number of 8 randomized-controlled trials were included for systematic review and meta-analysis. Univariate meta-analyses were conducted for every cognitive function, producing aggregates when a study contributed more than one effect size per cognitive domain. Results Random-effects meta-analyses showed an improvement of Visual and Verbal working memory, while other domains like Attention, Processing speed, Executive functions and Memory were not benefited by the interventions. 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Interventions aimed at reducing such deficits include the use of computer-based cognitive interventions. The present work synthetizes and quantitively analyses the effect of computer-based cognitive interventions in ABI. Methods PubMed, Scopus, Web of Science, ProQuest and Ovid databases were searched for randomized controlled trials (RCT) addressing this issue. A total number of 8 randomized-controlled trials were included for systematic review and meta-analysis. Univariate meta-analyses were conducted for every cognitive function, producing aggregates when a study contributed more than one effect size per cognitive domain. Results Random-effects meta-analyses showed an improvement of Visual and Verbal working memory, while other domains like Attention, Processing speed, Executive functions and Memory were not benefited by the interventions. Conclusions Computer-based cognitive interventions might be a beneficial intervention for ABI population to improve Visual and Verbal working memory, although no effect was found in other cognitive domains. Implications and possible future directions of the research are discussed.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32645046</pmid><doi>10.1371/journal.pone.0235510</doi><tpages>e0235510</tpages><orcidid>https://orcid.org/0000-0002-3399-8626</orcidid><orcidid>https://orcid.org/0000-0001-7259-5080</orcidid><oa>free_for_read</oa></addata></record>
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subjects Biology and Life Sciences
Brain
Brain injuries
Brain injury
Care and treatment
Case studies
Clinical trials
Cognition & reasoning
Cognitive ability
Cognitive disorders
Cognitive therapy
Complications and side effects
Computers
Domains
Executive function
Handbooks
Head injuries
Health aspects
Injury analysis
Intervention
Language
Medicine and Health Sciences
Memory
Meta-analysis
Methods
Patients
Physical Sciences
Randomization
Rehabilitation
Research and Analysis Methods
Risk factors
Short term memory
Social Sciences
Stroke
Studies
Systematic review
Technology application
Traumatic brain injury
title Computer-based cognitive interventions in acquired brain injury: A systematic review and meta-analysis of randomized controlled trials
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