Table 3A.
An overview of attention training studies with double baseline measurement.
Study | Population | Sample size | Training (focus) | Duration training (actual mean) | Setting | Outcome measures | Significance of comparisons of pre-training (t0), second baseline (t0b), post-training (t1), and follow-up (t2) | Multiple testing adjusted | Ecological valid measure | Train. improv. Evaluated | Reported conflicts of interest | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Within Ss | Between Ss | ||||||||||||||||
t0b–t0 | t1–t0 | t2–t0 | t2–t1 | t1–t0 | t2–t0 | t2–t1 | |||||||||||
Gauggel et al., 1996 | ABI, post-acute - chronic (4–16 m post onset) with deficit in ≥2/3 NPA att. tasks | N = 4 | Hierarchical (alertness, RT, vigilance, suppress interference, selective and divided att.) | 30–40 min, 5 d/w, 2–4 w = 12.5 h (unkn.) | Unkn. | Attention: | No | No, only global question-naire | No | Not reported | |||||||
WDG | *a | − | . | . | . | . | . | ||||||||||
Numb. connect. | *a | *a | . | . | . | . | . | ||||||||||
D2 | − | *a | . | . | . | . | . | ||||||||||
WMS: | |||||||||||||||||
Logical mem. | − | − | . | . | . | . | . | ||||||||||
Assoc. learning | − | − | . | . | . | . | . | ||||||||||
CFT - Rey | − | − | . | . | . | . | . | ||||||||||
LPS (IQ) | − | − | . | . | . | . | . | ||||||||||
Sat. w Life Scale | *a | − | . | . | . | . | . | ||||||||||
CES-D | − | − | . | . | . | . | . | ||||||||||
Hauke et al., 2011 | Brainstem encephalitis, chronic (4.5 y post onset) | N = 1 | CogniPlus (alertness) | 45 min, 5 d/w, 3 w = 11 h (unkn.) | Unkn. | Intrinsic alert. | − | * | . | - | . | . | . | No | Yes, question-naire of att. deficit | No | Not reported |
Focused att. | * | * | . | - - | . | . | . | ||||||||||
Vigilance | * | * | . | - | . | . | . | ||||||||||
Divided att.: | |||||||||||||||||
Audio | * | * | . | - - | . | . | . | ||||||||||
Visual | * | * | . | - | . | . | . | ||||||||||
subj. att. (FEDA) | . | * | . | - | . | . | . | ||||||||||
Ponsford et al., 1988 | Very severe HI, post-acute (<9 m post onset) with deficit in SoP | N = 15 (10 comple-ted) | Unkn. (speed of visual RT, visual search, selective att.) | 15 times 30 min, 3 w = 7.5 h (unkn.) | Rehab.? | Four-choice RT | ↑ | − | ↑ | . | . | . | . | No | Yes, clerical task | No | Not reported |
SDMT | ↑ | − | ↑ | . | . | . | . | ||||||||||
2-letter cancel. | ↑ | − | ↑ | . | . | . | . | ||||||||||
Similarities | . | − | * | . | . | . | . | ||||||||||
subj. Att. Beh. | ↑ | − | * | . | . | . | . | ||||||||||
Clerical task | . | − | − | . | . | . | . | ||||||||||
Sturm et al., 2003 | ABI, post-acute - chronic (3 m - 13 y post onset) with att. deficits in ≥2 att. domains | N = 33: 9: alertness 7: vigilance 11: selective att. 6: divided att. | AIXTENT (either alertness, vigilance, selective, or divided att.) + CAU (but no other att. therapies) | 14 times 1 h = 14 h (unkn.) | Rehab. | TAP: | Yes, Bonfer-roni correct. | No | No | Not reported | |||||||
Alertness: | |||||||||||||||||
Phasic | -* | +b | . | . | . | . | . | ||||||||||
Intrinsic | -* | +b | . | . | . | . | . | ||||||||||
Vigilance: | |||||||||||||||||
Error | -* | -* | . | . | . | . | . | ||||||||||
Omission | -* | +b | . | . | . | . | . | ||||||||||
Selective att.: | |||||||||||||||||
Error | -* | -* | . | . | . | . | . | ||||||||||
RT | -* | -* | . | . | . | . | . | ||||||||||
Divided att.: | |||||||||||||||||
Omission | + | +b | . | . | . | . | . |
+, significant (sign.) and survives adjustment for multiple testing (Bonferroni-Holm adjustment is based on the number of outcome measures used at that time-point); -, not sign.; *, sign. but unknown whether it would survive adjustment; -*, not sign. but unknown whether it would be sign. without adjustment; - -, sign; decrease ↑, improvement but not statistically tested;., not mentioned in methods; a, max 1/4 of patients sign. improved; b, max 1/4 training programs resulted in sign. improvement.
Train. improv., training improvements; Ss, subjects; N, sample size; y, years; m, months; w, weeks; d/w, days per week; h, hours; min, minutes; ABI, acquired brain injury; NPA, Neuropsychological assessment; att., attention; HI, head injury; SoP, speed of processing; RT, reaction time; unkn., unknown; CAU, care as usual; rehab., rehabilitation center; correct., correction.
Abbreviations neuropsychological tests: WDG, Wiener Determination Apparatus; Numb. connect., Number Connection Test; WMS, Wechsler Memory Scale; mem., memory; Assoc., Associated; CFT, Complex Figure Test; LPS, Leistungsprüfsystem; Sat. w Life Scale, Satisfaction with Life Scale; CES-D, Center for Epidemiologic Studies Depression Scale; alert., alertness; subj. att. (FEDA), subjective attention (Fragebogen erlebter Defizite der Aufmerksamkeit); SDMT, Symbol Digit Modalities Test; 2-letter cancel., Two-letter cancellation task; subj. Att. Beh., Rating Scale of Attentional Behaviors; TAP, Test of Attentional Performance.