مقایسه اثربخشی روش‌های آموزش توجه بر اساس برنامه fletcher و روش بازتوانی شناختی رایانه‌ای بر اجتناب شناختی کارکردهای اجرایی کودکان دارای اختلال یادگیری خاص

مقدمه: یکی از مواردی که روی فرایند یادگیری اثر می گذارد و به تبع آن علایق و آموزش ها در فرد تحت تاثیر قرار می گیرد اختلالات یادگیری است. هدف از پژوهش حاضر، اثربخشی دو روش آموزش توجه بر اساس برنامه fletcher و بازتوانی شناختی رایانه‌ای بر کارکردهای اجرایی و اجتناب شناختی کودکان دارای اختلال یادگیری خاص انجام شد. روش کار: این پژوهش نیمه ‌آزمایشی با طرح پیش ‌آمون_پس ‌آزمون سه گروهی با گروه کنترل (دو گروه آزمایش و یک گروه کنترل) بود. جامعه آماری کلیه دانش‌آموزان 7 تا 10 سال دارای اختلال یادگیری مراجعه‌کننده به مراکز اختلال یادگیری آموزش ‌و پرورش واقع در شهر تهران در سال تحصیلی 1399-1398 بودند که از میان آنان 30 نفر به‌ عنوان نمونه به شیوه نمونه‌گیری در دسترس انتخاب شدند. جهت جمع‌آوری داده‌ها از پرسشنامه‌های اجتناب شناختی sexton وdugas  (2008) و کارکردهای اجرایی (فرم والدین) gioia و همکاران (2000) استفاده شد. آموزش توجه بر اساس برنامه fletcher (12 جلسه 45 دقیقه‌ای گروهی )، بازتوانی شناختی رایانه‌ای (10 جلسه 30 دقیقه‌ای به‌ صورت فردی) استفاده شد. تجزیه ‌و تحلیل داده‌ها با استفاده از آزمون‌های تحلیل کوواریانس چند متغیره و یک متغیره و با نرم‌افزار spss24 انجام گرفت. یافته ‌ها:. هر دو مداخله آموزش توجه بر اساس برنامه fletcher، و روش بازتوانی شناختی رایانه‌ای، بر افزایش کارکرد اجرایی و میزان اجتناب شناختی کودکان دارای یادگیری خاص تاثیرگذار بودند. از طرفی تفاوت معنا‌داری میان این دو روش مشاهده نشد.نتیجه‌ گیری: با توجه به نتایج پژوهش پیشنهاد می ‌شود و نظر به این که به طور تقریبی در تمامی مدارس رایانه وجود دارد می‌توان این گونه برنامه ‌ها را به عنوان بخشی از برنامه آموزشی دانش‌ آموزانی که با مشکلات یادگیری روبه ‌رو هستند قرار داد. 

comparing the effectiveness of attention training methods based on fletcher’s program and subsidized cognitive rehabilitation method on cognitive avoidance of executive functions of children with special learning disabilities

introductionin the range of human individual and social life, there are numerous topics with different ways to learn. learning can be considered the most fundamental process as a result of which the helpless and helpless creature becomes a transformed person whose cognitive abilities and thinking power know no bounds during the interaction with physical growth. the term executive functions refer to general structures, including several functions such as planning decisions and inhibitions in an organization that require excellent cognitive skills of the brain such as attention, working memory, language, perception, and creative thinking. these functions help people with learning tasks, intelligence stretches, and academic issues. the present study aimed to compare the effectiveness of two methods of attention training based on fletcher program and computerized cognitive rehabilitation on executive functions and cognitive avoidance of children with particular learning disabilities.methodsthis is a quasiexperimental study with a pretestposttest design of three groups with a control group (two experimental and one control group). attention training based on fletcher’s program and computerized rehabilitation training for children was applied to two experimental groups. the control did not receive any training. the statistical population of all students aged seven to ten years had learning disabilities referring to learning disability centers in tehran in the academic year of 20192020. among them, 30 people were selected as the statistical sample by the convenience sampling method. then, this number was randomly divided into three groups (a 10person group for attention training based on fletcher’s program, a 10person group for computerized cognitive rehabilitation for the child, and one group of ten as the control group). to collect data, this study used sexton and dogas’s (2008) cognitive avoidance questionnaires and executive functions (parent form) gioia et al. (2000), attention training based on fletcher’s program (a 12session of 45 minutes), computerized cognitive rehabilitation (10 sessions of 30 minutes individually) was used. inclusion criteria of the present study were interesting in participating in the study, firstto fourthgrade elementary students based on a referral to learning disability centers, iq test and validation assessment in the center of learning disability, moderate to high intelligence (no mental retardation), no other disorders, and no psychological and medical treatment during the last two months. exclusion criteria were absent from more than two sessions, students with intelligence under 85, and students whose learning disabilities are due to visual, auditory, motor, or mental retardation, emotional distress, environmental, cultural, or economic deprivation. children with learning disabilities were selected from the centers for this disorder. admission to these centers is such that at the discretion of the normal school teacher, they were referred to these centers, and in these centers, they were revised by conducting an intelligence test. the parents of the children received final confirmation of the learning disability, and a case was registered in the learning disabilities center. first, for students with learning disabilities, the cognitive avoidance questionnaire was presented by the student, and the executive functions questionnaire (parent form) was presented by one of the parents (pretest). in the initial assessment, students with approved criteria remained in the study, and students who did not have the approved criteria and had intelligence under 85 were excluded from the study. students were divided into three groups based on inclusion and exclusion criteria. after that, training sessions were held in groups for students. a group of ten people for the treatment method of attention training was used based on fletcher’s program, which was implemented in 12 sessions. a group of ten people used computerized cognitive rehabilitation treatment with selfgrammar training in ten sessions individually. the third group was in the control group without therapeutic intervention. considering the passage of seven to ten days after training and treatment, students were reevaluated by cognitive avoidance test, and parents were reevaluated by executive functions test (parent form) (posttest). posttest was retaken after one month to followup on the treatment. multivariate and univariate analyses of covariance were used to analyze the data using spss software version 24.resultsconsidering the level of significance (p<0.05), it can be stated that the rate of cognitive avoidance in the control group is significantly different from the attention training groups based on fletcher’s program and cognitive rehabilitation (p=0.000). nevertheless, the cognitive avoidance scores in the attention groups based on fletcher’s program and computerized cognitive rehabilitation did not show a significant difference (p=0.051). this means that both interventions have been able to reduce cognitive avoidance. due to the small size of the groups, the comparison of means was used to compare the reduction rate. considering the significance level of 0.05, it can be stated that in the executive function variable, the score of the control group showed a significant difference from the scores of both attention training groups based on fletcher program and computerized cognitive rehabilitation method (p<0.001). this indicates that both fletcherbased attention training interventions and the computerized cognitive rehabilitation method effectively increased children’s executive function with unique learning. on the other hand, no significant difference was observed between these two methods (p=0.738). conclusionthe results showed that two methods of attention training based on fletcher’s program and the computerized cognitive rehabilitation affect executive functions and cognitive avoidance of children with particular learning disabilities. applying cognitive computerized exercises can improve the performance of this range of students in the field of working memory. besides, the close relationship between memory ability and cognitive processes can improve academic performance. due to the cognitive processes involved in learning disabilities, the cognitive rehabilitation program mainly focuses on developing cognitive abilities. thus, it is a special and unique type of treatment. a cognitive training computerized program provides tools that can be used to help improve basic mental processes that are significant in highlevel learning.ethical considerations compliance with ethical guidelinesall subjects received information about the research. they were assured that all information would remain confidential and only be used for research purposes. in order to respect privacy, the details of the subjects were not recorded. in the end, informed consent was obtained from all of them. this research has been approved by the ethics committee of the islamic azad university of sari with the code ir.iau.sari.rec.1398.080.authors’ contributions marzieh sadat khalili and seyedeh olya emadian: defined the concepts in choosing the subject and designing the study. all authors performed a search of the research literature and background. marzieh sadat khalili: collected and analyzed data. writing and drafting: ramazan hassanzadeh. all authors discussed the results and participated in preparing and editing the article’s final version.fundingno financial support has been received from any organization for this research.acknowledgmentsthis research was extracted from the phd thesis of the first author, in the department of psychology, faculty of psychology, islamic azad university, sari branch, sari, iran. in the end, the authors are grateful to all participants in the research and all those who have facilitated the implementation of the research.conflict of interestthe author declared no conflict of interest.