Parisa Rostambegyi - Assistant Professor in nursing, Department of Nursing and Midwifery, Estahban branch, Islamic Azad university, Estahban, Iran.
Seyede Zahra Ghaemi - Assistant professor of sexual and reproductive health, Department of midwifery, Estahban Branch, Islamic Azad University, Estahban, Iran.
Ali Khakshour - Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Sedigheh Yeganeh - Instructor In Nursing, School of Nursing, Gerash University of Medical Sciences, Gerash, Iran.
Zohreh Abbasi - Assistant Professor of Reproductive Health .Department of Midwifery, Medical School, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Salar Poorbarat - Student Research Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran.

Background: Children and adolescents with intellectual disabilities are the most challenging groups of individuals among exceptional people. In this regard, the main responsibility lies with the parents, tutors, psychologists, and nurses. The present study aimed to evaluate the effect of cognitive flexibility training on reducing cognitive problems in adolescents with intellectual disabilities. Methods: The present quasi-experimental study used a pretest-posttest design with a control group. The participants included ۴۰ female students aged ۱۳-۱۸ years who attended special schools in the city of Shiraz, Iran. Data were collected using the Wisconsin Card Scoring Test (WCST) and the Test for Severe Impairment (TSI). The data were analyzed through SPSS software (version ۱۸.۰), using descriptive statistics and inferential statistics of covariance analysis. Results: After moderating the pretest scores, cognitive flexibility training showed to have a significant effect (P<۰.۰۵) on reduction of cognitive impairment. The effect of cognitive flexibility training on reducing cognitive impairment was ۷۰.۲%. Moreover, the training used also had a significant effect (P<۰.۰۵) on reduction of motor impairment, language comprehension impairment, language processing, memory impairment, and general knowledge by ۳۳.۷%, ۱۰.۴%, ۱۴.۸%, ۲۸.۶%, and ۱۱%, respectively. The results showed that the cognitive flexibility training did not have a significant effect (P>۰.۰۵) on reduction of impairment in abstract conceptualization. Conclusion: It was revealed that ۱۳-۱۸-year-old adolescents with intellectual disabilities who attended a total of ۱۵ training sessions had fewer cognitive problems such as motor function, language comprehension, language processing, memory, and general knowledge.

Adolescent, Cognitive, Education, Flexibility, Intellectual Disability