The Effectiveness of HAMRAH Cognitive Rehabilitation Package on Improving Executive Functions (Working Memory and Response Inhibition) in Students with Dysgraphia

Authors
Razi University
Abstract
Dysgraphia is one of the common symptoms of specific learning disorders. children with dysgraphia have several cognitive problems. This research was conducted with the aim of investigating the effectiveness of HAMRAH cognitive rehabilitation package on improving executive functions (working memory and response inhibition) in children with dysgraphia. The present research was semi-experimental in the form of pre-test-post-test with a control group. The statistical population of the research was students with dysgraphia who referred to education counseling centers in Kermanshah city in 1401. Among them, 40 people (initially 20 people in the experimental group and 20 people in the control group, but one of the control group was removed by the end of the experiment) who were willing to cooperate and were also available were selected and then randomly divided into experimental and control group. Then, in both groups, the pre-test was implemented, and after that, the experimental group received 12 intervention sessions of the HAMRAH cognitive rehabilitation package, but there was no intervention for the control group. Then, a post-test was performed for both groups. The data were analyzed using covariance. The results showed that the Hamrah cognitive rehabilitation package has an effect on improving working memory and response inhibition in children with dysgraphia (P<0.01). It is suggested that the HAMRAH cognitive rehabilitation package be used in medical centers by mental health specialists, along with other treatment methods, in order to improve working memory and response inhibition for children with dysgraphia
Keywords

Alabdulakareem, E. Jamjoom, M. (2020). Computer-Assisted Learning for Improving ADHD Individuals’ Executive Functions Through Gamified Interventions: A Review. Entertainment Computing
Ansari Ardali, S., Haji Hoseini Dare Shouri, K., Haji Hoseini Dare Shouri, P., Haji Hoseini Dare Shouri, K. 2021. Investigating learning disorders and their prevalence among students. Journal of new developments in psychology, educational sciences and education. 4 (34), 43-44. [persian]
Asghari Nikah, M., Kalani, S., Ghanai Chaman Abad, A. 2012. A study on the design of computer-educational games with a linguistic approach in specific learning disorders. Exceptional education, 13 (5), 36-48. [persian]
Bahana, R., Gaol, F. L., Wiguna, T., Hendric, S. W. H. L., Soewito, B., Nugroho, E., … Abdurachman, E. (2018). Performance test for prototype game for children with adhd. In Journal of Physics: Conference Series (Vol. 978).
Barkley, R. A.(1997). Behavioral inhibition, sustained, and executive function: constructing a unifying theory of ADHD. Psycholigical bulletin, 121; 65-94.
Ben-Yashai, Y., Diller, L. 2014. Holistic neuropsychological rehabilitation manual (outpatient rehabilitation of traumatic brain injury). (Translated by H. Zare, & A.A. Sharifi). First Edition. Tehran: Aiizh.
Bikic, A., Leckman, J. F., Christensen, T., Bilenberg, N., & Dalsgaard, S. (2018). Attention and executive functions computer training for attention-deficit/hyperactivity disorder (ADHD): results from a randomized, controlled trial. European Child and Adolescent Psychiatry, 27(12), 1563–1574.
Biotteau, M.; Albaret, J. M.; Lelong, S. & Chaix, Y. (2016). Neuropsychological status of French than one ?. Child Neuropsychology. 31(5):1-20.
Brooks BL. 2010. Seeing the forest for the trees: prevalence of low scores on the Wechsler Intelligence Scale for Children,(WISC-IV). Psychological assessment.22 (3), 650.
Cisnerosa, E., Beausejour, V., Guise, E., Bellevilleb, S., McKerral M. 2021. The impact of multimodal cognitive rehabilitation on executive functions in older adults with traumatic brain injury. Annals of Physical and Rehabilitation Medicine. 64 (5): 1-8.
Chena, P. Ch., Zhangb, J.,. Thayerc, J.FMednick, S.C. 2022. Understanding the roles of central and autonomic activity during sleep in the improvement of working memory and episodic memory. PNAS.
Eivazi, S., Yazdanbakhsh, K , Moradi, A. 2018. The effectiveness of computer cognitive rehabilitation on improvement of executive function of response inhibition in children with attention deficit /hyperactivity disorder. Neuropsychology, 4 (3), 9-22. [persian]
Eivazi, S., Yazdanbakhsh, K , Moradi, A. 2019. The effectiveness of computer cognitive rehabilitation on improvement of executive function of Working Memory in children with attention deficit /hyperactivity disorder. Neuropsychology, 5 (1), 121-134. [persian]
Feifer, S. (2015). The neuropsychology of reading disorders: Diagnosis and intervention. WEATHER, 2, 25.
Hill, J., and Wefeuler, K. 2013. Neuropsychology in school (user's guide). (Translated by J. Hashemi). (2007). First edition, Tehran: Arjmand.
Kehler, P. M. (2006). Strategy training and working memory task performance in students with learning disabilities. University of California.
Kellogg, R.T. (2001). Competition for working memoryamong writing processes. American Journal of Psychology, 114, 175-191.
Khodadadi, M., Mashhadi, A., Amani, H. (2014). Simple Stroop software. Tehran. Sina Behavioral-Cognitive Sciences Research Institute. [persian]
Maggio M.G., Cuzzola M.F., Calatozzo p., Marchese D., Andaloro A, Calabr`o R.S. 2021. Improving cognitive functions in adolescents with learning difficulties: A feasibility study on the potential use of telerehabilitation during Covid-19 pandemic in Italy. Journal of Adolescence, 89, 194-202.
Maghsudloo, M., Nejati, V., fathabadi, J. 2019. Effectiveness of ARAM cognitive rehabilitation package on improvement of executive function based on behavioral rating in preschool children with ADHD symptoms Quarterly of Psychology of Exceptional Individuals, 9 (33), 23-43.
Manzine PR, Pavarini SC. Cognitive Rehabiliation literature review based on levels of ovidenc. (2009). Dementia, Neuropsychologia; 3(3): 48-255.
Menon, V., D’Esposito, M. 2021. The role of PFC networks in cognitive control and executive function. Neuropsychopharmacology 47, 90–103.
Miller E.n., Lundqvist M., Bastos A.M. (2018). Working Memory. Neuron, 100 (2), 463-475.
Mirzaie, V., Tabatabaee, S.M, Makvand Hosseini. Sh. 2022. The effectiveness of computer-based cognitive rehabilitation on working memory and problem solving of high school students. Journal of Cognitive psychology, 9 (4), 122-136. [persian]
Movahedi, Y. 2020. The effectiveness of neuropsychological rehabilitation treatment on improving the performance of response inhibition in students with learning disabilities in math and dyscalculia. Journal of Learning Disabilities, 9(2), 171-178. [persian]
Nejati V. 2021. Program for attention rehabilitation and strengthening (PARS) improves executive functions in children with attention deficit hyperactivity disorder (ADHD). Research in Developmental Disabilities. 113, 1-9. [persian]
Powell, T. Brain rehabilitation exercise and workbook (more than 140 exercises to rehabilitate damaged brain functions). Translated by Mehdi Sharif Al-Husseini (2015).
Rezvani, Sh., Sharifi, A.A., Zare, H. 2022. The effectiveness of cognitive rehabilitation on improving working memory of adolescents with brain injury. Journal of Cognitive Psychology, 9 (2), 1-15. [persian]
Schutz & Trainor .(2007). Brain Injury, 21(6):545-557.