The impact of human-computer interaction-based comprehensive training on the cognitive functions of cognitive impairment elderly individuals in a nursing home
| Autor: | Li-Hua Liu, Xu-Hua Xu, Rong Fang, Jun-Peng Zhuang, Qing-Ke Bai, Sheng-Di Chen, Xia Feng, Zhen-Guo Zhao, Hui-Dong Tang |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Aging Audiology Neuropsychological Tests law.invention Fluency Randomized controlled trial law medicine Dementia Humans Learning Attention Cognitive Dysfunction Aged Cerebral atrophy Aged 80 and over Verbal Behavior General Neuroscience Neuropsychology Cognition General Medicine Training effect medicine.disease Magnetic Resonance Imaging Cognitive training Nursing Homes Psychiatry and Mental health Clinical Psychology Space Perception Therapy Computer-Assisted Physical therapy Female Geriatrics and Gerontology Psychology Comprehension |
| Zdroj: | Journal of Alzheimer's disease : JAD. 36(2) |
| ISSN: | 1875-8908 |
| Popis: | Background Given the increasing prevalence of dementia, any intervention that can effectively slow the deterioration of cognitive function is of great importance. Objective This study investigated the efficacy of a human-computer interaction-based comprehensive cognitive training program in cognitively impaired elderly individuals living in a nursing home. Methods All subjects, who were aged ≥70 years and had cognitive impairment, were randomly allocated to an intervention group (n = 19) or a control group (n = 14). The intervention group received human-computer interaction-based comprehensive cognitive training for 24 weeks. Neuropsychological examinations were conducted before and after this period. The intervention group was subdivided into two groups according to the scores of global cortical atrophy (GCA) to evaluate the impact of training effectiveness on GCA. Results After 24 weeks, neither group showed a significant change compared with baseline cognitive examinations. However, there was a tendency for greater improvement in memory, language, and visuospatial abilities for the intervention group as compared with controls. Patients with mild cognitive impairment showed improvements in language and visuospatial capacity, while patients with dementia showed improvements in attention/orientation, memory, language, and fluency. However, none of these findings were statistically significant. The results for the intervention subgroups showed that visuospatial ability improvement was significantly greater among those with a global cortical atrophy score of ≤15 (p Conclusion Human-computer interaction-based comprehensive training may improve cognitive functions among cognitively impaired elderly individuals. The training effect was most prominent among those with milder cerebral atrophy. |
| Databáze: | OpenAIRE |
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