کاربرد آگاهی مغزی مبتنی بر طب مکمل در ارتقاء توانمندی‌های شناختی کودکان: شواهدی از یک پژوهش نیمه‌آزمایشی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 1. دانشجوی دکتری روانشناسی تربیتی، دانشگاه علامه طباطبایی، تهران، ایران

2 استاد روانشناسی تربیتی، دانشگاه علامه طباطبایی، تهران، ایران

3 دانشیار روانشناسی تربیتی، دانشگاه علامه طباطبایی، تهران، ایران

4 دانشیار طب سنتی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

زمینه و هدف: پژوهش حاضر با هدف بررسی اثربخشی آموزش آگاهی مغزی مبتنی بر طب مکمل بر بهبود کارکردهای اجرایی کودکان دبستانی انجام شد. روش پژوهش: طرح پژوهش از نوع نیمه‌آزمایشی با گروه کنترل و پیش‌آزمون–پس‌آزمون بود. جامعه آماری شامل کلیه دانش‌آموزان 9 تا 12 ساله یکی از مدارس ابتدایی شهر تهران در سال تحصیلی 1403-1402 بود که با روش نمونه‌گیری تصادفی خوشه‌ای انتخاب شدند. نمونه پژوهش شامل 60 دانش‌آموز بود که به‌طور تصادفی در دو گروه آزمایش (30 نفر) و کنترل (30 نفر) گماشته شدند. گروه آزمایش طی هشت هفته در قالب 15 جلسه آموزش آگاهی مغزی ساختارمند شرکت کرد. محتوای مداخله شامل چهار بخش اصلی تمرکز، تقویت حواس، نگرش آگاهانه و رفتار آگاهانه بود. ابزار پژوهش پرسشنامه کارکردهای اجرایی بریف والدین و آزمونهای عملکردی کارکردهای اجرایی بود که توسط والدین در دو مرحله پیش و پس از مداخله تکمیل شد. داده‌ها با استفاده از آزمون t همبسته، تحلیل کوواریانس و محاسبه اندازه اثر تحلیل گردید. یافته‌ها: نتایج نشان داد آموزش آگاهی مغزی موجب بهبود معنادار شاخص‌های تنظیم شناختی، تنظیم هیجان و تنظیم رفتار در گروه آزمایش نسبت به گروه کنترل شد (p<0.01). اندازه اثر به‌ویژه در شاخص تنظیم شناختی چشمگیر بود. نتیجه‌گیری: بر اساس یافته‌های این پژوهش، آموزش آگاهی مغزی می‌تواند رویکردی مؤثر، کم‌هزینه و قابل اجرا در محیط‌های آموزشی باشد و به ارتقای کارکردهای اجرایی و توانمندسازی کودکان دبستانی کمک کند.

کلیدواژه‌ها


عنوان مقاله [English]

The Application of Complementary Medicine-Based Mindup in Enhancing Children’s Cognitive Abilities: Evidence from a Quasi-Experimental Study

نویسندگان [English]

  • Fatemehsadat Gerami 1
  • Esmaeil Sadipour 2
  • Soghra Ebrahimi Ghavam 3
  • Mojgan Tansaz 4
  • Fariborz Dortaj 2
1 1. Ph.D. Candidate in Educational Psychology, Allameh Tabataba’i University, Tehran, Iran
2 Professor of Educational Psychology, Allameh Tabataba’i University, Tehran, Iran
3 Associate Professor of Educational Psychology, Allameh Tabataba’i University, Tehran, Iran
4 Associate Professor of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim: The present study aimed to investigate the effectiveness of a MindUP-based mindfulness training program informed by complementary medicine on improving the executive functions of elementary school children. Research Methods: This study employed a quasi-experimental design with a control group and pretest–posttest measurements. The statistical population included all 9–12-year-old students of an elementary school in Tehran during the 2023–2024 academic year, selected through cluster random sampling. The sample consisted of 60 students who were randomly assigned to an experimental group (n = 30) and a control group (n = 30). The experimental group participated in a structured eight-week mindfulness training program comprising fifteen sessions. The intervention content covered four main components: attention focusing, sensory enhancement, mindful attitude, and mindful behavior. Data were collected using the Behavior Rating Inventory of Executive Function (BRIEF-Parent Form) and a set of performance-based executive function tasks, both administered before and after the intervention. The data were analyzed using paired t-tests, analysis of covariance (ANCOVA), and effect size estimation. Results: Findings indicated that mindfulness training led to a significant improvement in cognitive regulation, emotional regulation, and behavioral regulation in the experimental group compared to the control group (p < 0.01). The effect size was particularly large for cognitive regulation indicators. Conclusion: Based on the findings, mindfulness training can be considered an effective, low-cost, and easily implementable approach in educational settings, contributing to the enhancement of executive functions and empowerment of elementary school children.

کلیدواژه‌ها [English]

  • Mindup
  • Complementary Medicine
  • Executive Functions
  • Elementary School Children
مصدق، مهدی؛ شریعت‌پناهی، نسرین؛ مینایی، محمود و احمدیان‌عطاری، محمد. (۱۳۹۱). مروری بر هیجانات در طب سنتی ایران. مجله طب سنتی اسلام و ایران، ۳ (2)، ۷–۱۷. https://ijtim.tums.ac.ir/article-1-71-en.html
Alhamdan, A. A., Murphy, M. J., Pickering, H. E., & Crewther, S. G. (2023). The contribution of visual and auditory working memory and non-verbal IQ to motor multisensory processing in elementary school children. Brain Sciences, 13(2), 270. https://doi.org/10.3390/brainsci13020270
Baddeley, A. (2010). Working memory. Current Biology, 20(4), R136–R140. https://doi.org/10.1016/j.cub.2009.12.014
Beaugrand, M., Muehlematter, C., Markovic, A., Camos, V., & Kurth, S. (2023). Sleep as a protective factor of children’s executive functions: A study during COVID-19 confinement. PLOS ONE, 18(1), e0279034. https://doi.org/10.1371/journal.pone.0279034
Best, J. R., & Miller, P. H. (2010). A developmental perspective on executive function. Child Development, 81(6), 1641–1660. https://doi.org/10.1111/j.1467-8624.2010.01499.x
Chatterjee, A. (2021). Why do chronic illness patients decide to use complementary and alternative medicine? A qualitative study. Complementary Therapies in Clinical Practice, 43, 101363. https://doi.org/10.1016/j.ctcp.2021.101363
Cohen, J. (2013). Statistical power analysis for the behavioral sciences (2nd ed.). Routledge. https://doi.org/10.4324/9780203771587
Costello, S. E., Geiser, E., & Schneider, N. (2021). Nutrients for executive function development and related brain connectivity in school-aged children. Nutrition Reviews, 79(12), 1293–1306. https://doi.org/10.1093/nutrit/nuaa139
Dew, K. (2021). Complementary and alternative medicine: Containing and expanding therapeutic possibilities. Taylor & Francis. https://books.google.com/books?id=KB4gEAAAQBAJ
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168. https://doi.org/10.1146/annurev-psych-113011-143750
Field, A. (2024). Discovering statistics using IBM SPSS statistics (6th ed.). Sage Publications. https://uk.sagepub.com/en-gb/eur/discovering-statistics-using-ibm-spss-statistics/book283056
Flook, L., Smalley, S. L., Kitil, M. J., Galla, B. M., Kaiser-Greenland, S., Locke, J., Ishijima, E., & Kasari, C. (2010). Effects of mindful awareness practices on executive functions in elementary school children. Journal of Applied School Psychology, 26(1), 70–95. https://doi.org/10.1080/15377900903379125
Foundation, H. (2011). he MindUP Curriculum: Grades 3-5: Brain-Focused Strategies for Learning and Living. Scholastic Teaching Resources.
Foundation, H. (2011). The MindUP Curriculum: Grades 3–5: Brain-focused strategies for learning and living. Scholastic Teaching Resources. https://shop.scholastic.com/teachers-ecommerce/teacher/books/the-mindup-curriculum-grades-3-5-9780545267137.html
Ghaemi, F., Rostami, R., Mirkamali, S. M., & Salehi, K. (2021). Systematic and analytical review of theories, components and models of executive functions of the brain. Rooyesh-e-Ravanshenasi Journal (RRJ), 10(6), 211–226. https://doi.org/10.52547/rrj.10.6.211
Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2015). Behavior Rating Inventory of Executive Function® – Second Edition (BRIEF®2). APA PsycTests. https://doi.org/10.1037/t63593-000
Hiscock, H., & Sciberras, E. (2019). Sleep and ADHD: An evidence-based guide to assessment and treatment. Elsevier. https://books.google.com/books?id=L-DvuwEACAAJ
Kaplan, B. J., & Rucklidge, J. J. (2021). The Better Brain: Overcome anxiety, combat depression, and reduce ADHD and stress with nutrition. Houghton Mifflin Harcourt. https://www.hmhbooks.com/shop/books/the-better-brain/9780358447108
March, A., Stapley, E., Hayes, D., Town, R., & Deighton, J. (2022). Barriers and facilitators to sustaining school-based mental health and wellbeing interventions: A systematic review. International Journal of Environmental Research and Public Health, 19(6), 3587. https://doi.org/10.3390/ijerph19063587
Naidoo, U. (2020). This is your brain on food: An indispensable guide to the surprising foods that fight depression, anxiety, PTSD, OCD, ADHD, and more. Hachette UK. https://www.hachettebookgroup.com/titles/uma-naidoo-md/this-is-your-brain-on-food/9780316536820/
Salimi Nave, F., Andishmand, V., Zeinaddini, Z., & Soltani, A. (2022). Factor structure and validation of the electronic form of Persian Behavioral Rating Inventory of Executive Functions in male school students with learning disabilities. The Scientific Journal of Rehabilitation Medicine, 11(1), 144–153. https://doi.org/10.22034/SJRM.2021.325419.2256
Schonert-Reichl, K. A., Oberle, E., Lawlor, M. S., Abbott, D., Thomson, K., Oberlander, T. F., & Diamond, A. (2015). Enhancing cognitive and social–emotional development through a simple-to-administer mindfulness-based school program for elementary school children: A randomized controlled trial. Developmental Psychology, 51(1), 52–66. https://doi.org/10.1037/a0038454
Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics (7th ed.). Pearson Education. https://www.pearson.com/en-us/subject-catalog/p/using-multivariate-statistics/P200000006318
Tang, Y.-Y., Hölzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience, 16(4), 213–225. https://doi.org/10.1038/nrn3916
Thin, S. M., Thet, D., Li, J. Y., Nakpun, T., Nitadpakorn, S., Phanudulkitti, C., Sorofman, B. A., Watcharadamrongkun, S., & Kittisopee, T. (2022). A systematic review of community pharmacist practices in complementary medicine. Pharmacy Practice, 20(3), 01–25. https://doi.org/10.18549/PharmPract.2022.3.2662
Weber, W. J., & Hopp, D. C. (2020). National Center for Complementary and Integrative Health perspectives on clinical research involving natural products. Drug Metabolism and Disposition, 48(10), 963–965. https://doi.org/10.1124/dmd.120.000088
Wechsler, D. (2009). WMS-IV: Wechsler Memory Scale – Fourth Edition. Pearson/PsychCorp. https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Cognition-%26-Neuro/WMS-IV/p/100000322.html