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Competition Enhances the Effectiveness and Motivation of Attention Rehabilitation After Stroke. A Randomized Controlled Trial

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Competition Enhances the Effectiveness and Motivation of Attention Rehabilitation After Stroke. A Randomized Controlled Trial

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dc.contributor.author Navarro, María Dolores es_ES
dc.contributor.author Llorens Rodríguez, Roberto es_ES
dc.contributor.author Borrego, Adrián es_ES
dc.contributor.author Alcañiz Raya, Mariano Luis es_ES
dc.contributor.author Noé, Enrique es_ES
dc.contributor.author Ferri, Joan es_ES
dc.date.accessioned 2021-05-07T03:32:28Z
dc.date.available 2021-05-07T03:32:28Z
dc.date.issued 2020-09-30 es_ES
dc.identifier.issn 1662-5161 es_ES
dc.identifier.uri http://hdl.handle.net/10251/166062
dc.description.abstract [EN] Attention deficits are among the most common cognitive impairments observed after experiencing stroke. However, a very limited number of studies have investigated the effectiveness of interventions that specifically focus on the rehabilitation of attention deficits among subjects with impaired attention. Although several interventions have included the use of computerized programs to provide dynamic stimuli, real-time performance feedback, and motivating tasks, existing studies have not exploited the potential benefits of multi-user interactions. Group-based and competitive interventions have been reported to be more enjoyable and motivating, depending on individual traits, and may potentially be more demanding, which may increase their effectiveness. This study investigated the effectiveness and motivating abilities of an intervention specifically designed to address attention deficits. This intervention combined paper-and-pencil tasks and interactive, computerized, multi-touch exercises, which were administered, either non-competitively or competitively, to a group of 43 individuals with chronic stroke. The mediating effects of competitiveness were evaluated for both intervention effectiveness and motivation. Participants were randomly sorted into two groups and underwent 20 one-hour group-based sessions, during which they either worked individually or competed with peers, according to their group allocation. Participants were assessed before and after the intervention, using the Conners' Continuous Performance Test, the d2 Test of Attention, the Color Trail Test, the Digit Span Test, and the Spatial Span Test. The competitiveness and subjective experiences of the participants after the intervention were investigated with the Revised Competitiveness Index and the Intrinsic Motivation Inventory, respectively. The results showed that participants who competed demonstrated significantly greater improvements in all cognitive abilities, except for divided attention, and reported greater enjoyment than their non-competitive peers. Both groups reported comparable levels of perceived competence, pressure, and usefulness. Interestingly, the competitiveness of the participants did not alter either the effectiveness or the subjective experience of the intervention. These findings suggest that competition might enhance the effectiveness and enjoyment of rehabilitation interventions designed to address attention deficits in individuals post-stroke, regardless of their level of competitiveness and without having a negative effect on their perceived pressure and competence. es_ES
dc.description.sponsorship This study was funded by Ministerio de Economia y Competitividad of Spain (Project IDI-20110844), by Conselleria de Educacion, Cultura y Deporte of Generalitat Valenciana of Spain (Project SEJI/2019/017) and the European Union through the Operational Program of the European Regional Development Fund (ERDF) of the Valencian Community 2014-2020 (IDIFEDER/2018/029). es_ES
dc.language Inglés es_ES
dc.publisher Frontiers Media SA es_ES
dc.relation.ispartof Frontiers in Human Neuroscience es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject Attention es_ES
dc.subject Competition es_ES
dc.subject Motivation es_ES
dc.subject Competitiveness es_ES
dc.subject Stroke es_ES
dc.subject Cognitive rehabilitation es_ES
dc.subject Group-based interventions es_ES
dc.subject Virtual reality es_ES
dc.subject.classification TEORIA DE LA SEÑAL Y COMUNICACIONES es_ES
dc.subject.classification EXPRESION GRAFICA EN LA INGENIERIA es_ES
dc.subject.classification INGENIERIA TELEMATICA es_ES
dc.title Competition Enhances the Effectiveness and Motivation of Attention Rehabilitation After Stroke. A Randomized Controlled Trial es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.3389/fnhum.2020.575403 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MICINN//IDI-20110844/ES/PLATAFORMA INTEGRAL DE TELERREHABILITACIÓN MOTORA, COGNITIVA Y PSICOSOCIAL, MEDIANTE EL USO DE TECNOLOGÍAS TIC E INTERFACES NATURALES (TEREHA) (3%2F5)/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//IDIFEDER%2F2018%2FA%2F029/ES/INTERFACES DE REALIDAD MIXTA APLICADA A SALUD Y TOMA DE DECISIONES/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//SEJI%2F2019%2F017/ES/ACTIVA: ALTERACIONES DE LA CONSCIENCIA. PROTOCOLOS DE INTERVENCIÓN Y VALORACIÓN ACTIVA/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Ingeniería Gráfica - Departament d'Enginyeria Gràfica es_ES
dc.description.bibliographicCitation Navarro, MD.; Llorens Rodríguez, R.; Borrego, A.; Alcañiz Raya, ML.; Noé, E.; Ferri, J. (2020). Competition Enhances the Effectiveness and Motivation of Attention Rehabilitation After Stroke. A Randomized Controlled Trial. Frontiers in Human Neuroscience. 14:1-14. https://doi.org/10.3389/fnhum.2020.575403 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.3389/fnhum.2020.575403 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 14 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 14 es_ES
dc.identifier.pmid 33192404 es_ES
dc.identifier.pmcid PMC7556305 es_ES
dc.relation.pasarela S\424706 es_ES
dc.contributor.funder Generalitat Valenciana es_ES
dc.contributor.funder European Regional Development Fund es_ES
dc.contributor.funder Ministerio de Ciencia e Innovación es_ES
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