Trial reportBMC psychology2025
Improving Refugee Children: A Randomized Controlled Trial on the Impact of Cognitive Activity Training.
Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05093738 (Investigation of the Effect of School Based Cognitive Rehabilitation on Cognitive Skills, Academic Performance and Quality of Life in Refugee Children), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Investigation of the Effect of School Based Cognitive Rehabilitation on Cognitive Skills, Academic Performance and Quality of Life in Refugee Children
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backroundRefugee children’s cognitive skills are negatively impacted by war and displacement, reducing school performance. Addressing these challenges requires developmentally appropriate and function-oriented approaches that align with occupational therapy’s focus on participation and skill-building. It was aimed to examine the effects of Cognitive Activity Training (CAT) on cognitive skills, academic performance and quality of life in refugees.
methodsThe study was designed as a randomized controlled study, including pre and post testing. A total of 34 refugee children in study group (14.29 ± 0.84years) and control group (14.41 ± 0.61years) were included. Children in the study group received the CAT program (10 weeks, 2 sessions per week), based on occupational therapy principles and implemented as part of a cognitive rehabilitation approach. Children in the control group received no intervention. Refugee children were assessed before and after the intervention using the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), Reading Speed Test (RST), Minnesota Handwriting Test (MHT), and Pediatric Quality of Life Inventory (PedsQL).
resultsIt was found that the school-based CAT given to the refugee children had a statistically significant effect on all cognitive skill parameters, reading speed and handwriting skills reflecting academic performance, and quality of life (p < .05). ANCOVA results showed that post-test adjusted means of LOTCA Total and LOTCA Visual Perception scores were significantly higher in study group compared to control group (p < .001). Similarly, Mixed Design ANOVA indicated significant interaction effects in cognitive skill subdomains, academic performance measures (RST and MHT), and PedsQL total and subdomain scores (p < .001). While there were no significant differences between pre-test scores of study and control groups, study group demonstrated significant within-group improvements post-intervention, whereas control group showed no significant changes.
conclusionThis study demonstrated that CAT may support cognitive, academic, and quality of life outcomes in refugee children exposed to war. Thus, cognitive skills should be assessed in schools for refugee children and cognitive activity training to be applied within the scope of rehabilitation should be included in occupational therapy programs for this population.
trial registrationClinicalTrials.gov identifier: NCT05093738- 09/ 28/ 2021 ( https://clinicaltrials.gov/study/NCT05093738?id=NCT05093738&rank=1 ).
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