Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects

Leila Djabelkhir,1,2 Ya-Huei Wu,1,2 Jean-Sébastien Vidal,1 Victoria Cristancho-Lacroix,1,2 Fabienne Marlats,1,2 Hermine Lenoir,1,2 Ariela Carno,1 Anne-Sophie Rigaud1,2 1Department of Clinical Gerontology, Broca Hospital, Public Assistance – Paris Hospitals (AP-HP), 2Research Te...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Djabelkhir L, Wu YH, Vidal JS, Cristancho-Lacroix V, Marlats F, Lenoir H, Carno A, Rigaud AS
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://doaj.org/article/9d8a8069930c43e2a1c614ddeac500ab
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:9d8a8069930c43e2a1c614ddeac500ab
record_format dspace
spelling oai:doaj.org-article:9d8a8069930c43e2a1c614ddeac500ab2021-12-02T06:58:40ZComputerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects1178-1998https://doaj.org/article/9d8a8069930c43e2a1c614ddeac500ab2017-11-01T00:00:00Zhttps://www.dovepress.com/computerized-cognitive-stimulation-and-engagement-programs-in-older-ad-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Leila Djabelkhir,1,2 Ya-Huei Wu,1,2 Jean-Sébastien Vidal,1 Victoria Cristancho-Lacroix,1,2 Fabienne Marlats,1,2 Hermine Lenoir,1,2 Ariela Carno,1 Anne-Sophie Rigaud1,2 1Department of Clinical Gerontology, Broca Hospital, Public Assistance – Paris Hospitals (AP-HP), 2Research Team 4468, Paris Descartes University, Paris, France Purpose: Mild cognitive impairment (MCI) is associated with a higher risk of dementia and is becoming a topic of interest for pharmacological and nonpharmacological interventions. With advances in technology, computer-based cognitive exercises are increasingly integrated into traditional cognitive interventions, such as cognitive training. Another type of cognitive intervention involving technology use is cognitive engagement, consisting of involving participants in highly motivational and mentally challenging activities, such as learning to use a form of new digital technology. This study examined the feasibility and acceptability of a computerized cognitive stimulation (CCS) program and a computerized cognitive engagement (CCE) program, and then compared their effects in older adults with MCI.Patients and methods: In this randomized study, data from 19 MCI patients were analyzed (n=9 in CCS and n=10 in CCE). The patients attended a group weekly session for a duration of 3 months. Assessments of cognitive and psychosocial variables were conducted at baseline (M0) and at the end of the programs (M3).Results: All of the participants attended the 12 sessions and showed a high level of motivation. Attrition rate was very low (one dropout at M3 assessment). At M3, the CCS participants displayed a significant improvement in part B of the Trail Making Test (TMT-B; p=0.03) and self-esteem (p=0.005), while the CCE participants showed a significant improvement in part A of the Trail Making Test (TMT-A; p=0.007) and a higher level of technology acceptance (p=0.006). The two groups did not differ significantly (p>0.05) in cognitive and psychosocial changes after the intervention. However, medium effect sizes (Cohen’s d=0.56; 95% CI =–0.43:1.55) were found on the free recall, favoring the CCS group, as well as on TMT-A (d=0.51; 95% CI =–0.48:1.49) and technology acceptance (d=–0.65; 95% CI =–1.64:0.34), favoring the CCE group.Conclusion: Both interventions were highly feasible and acceptable and allowed improvement in different aspects of cognitive and psychosocial functioning in MCI subjects. Keywords: cognitive intervention, mild cognitive impairment, tablet computers, technologyDjabelkhir LWu YHVidal JSCristancho-Lacroix VMarlats FLenoir HCarno ARigaud ASDove Medical Pressarticlecognitive interventionMild Cognitive Impairmenttablet computerstechnologyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1967-1975 (2017)
institution DOAJ
collection DOAJ
language EN
topic cognitive intervention
Mild Cognitive Impairment
tablet computers
technology
Geriatrics
RC952-954.6
spellingShingle cognitive intervention
Mild Cognitive Impairment
tablet computers
technology
Geriatrics
RC952-954.6
Djabelkhir L
Wu YH
Vidal JS
Cristancho-Lacroix V
Marlats F
Lenoir H
Carno A
Rigaud AS
Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects
description Leila Djabelkhir,1,2 Ya-Huei Wu,1,2 Jean-Sébastien Vidal,1 Victoria Cristancho-Lacroix,1,2 Fabienne Marlats,1,2 Hermine Lenoir,1,2 Ariela Carno,1 Anne-Sophie Rigaud1,2 1Department of Clinical Gerontology, Broca Hospital, Public Assistance – Paris Hospitals (AP-HP), 2Research Team 4468, Paris Descartes University, Paris, France Purpose: Mild cognitive impairment (MCI) is associated with a higher risk of dementia and is becoming a topic of interest for pharmacological and nonpharmacological interventions. With advances in technology, computer-based cognitive exercises are increasingly integrated into traditional cognitive interventions, such as cognitive training. Another type of cognitive intervention involving technology use is cognitive engagement, consisting of involving participants in highly motivational and mentally challenging activities, such as learning to use a form of new digital technology. This study examined the feasibility and acceptability of a computerized cognitive stimulation (CCS) program and a computerized cognitive engagement (CCE) program, and then compared their effects in older adults with MCI.Patients and methods: In this randomized study, data from 19 MCI patients were analyzed (n=9 in CCS and n=10 in CCE). The patients attended a group weekly session for a duration of 3 months. Assessments of cognitive and psychosocial variables were conducted at baseline (M0) and at the end of the programs (M3).Results: All of the participants attended the 12 sessions and showed a high level of motivation. Attrition rate was very low (one dropout at M3 assessment). At M3, the CCS participants displayed a significant improvement in part B of the Trail Making Test (TMT-B; p=0.03) and self-esteem (p=0.005), while the CCE participants showed a significant improvement in part A of the Trail Making Test (TMT-A; p=0.007) and a higher level of technology acceptance (p=0.006). The two groups did not differ significantly (p>0.05) in cognitive and psychosocial changes after the intervention. However, medium effect sizes (Cohen’s d=0.56; 95% CI =–0.43:1.55) were found on the free recall, favoring the CCS group, as well as on TMT-A (d=0.51; 95% CI =–0.48:1.49) and technology acceptance (d=–0.65; 95% CI =–1.64:0.34), favoring the CCE group.Conclusion: Both interventions were highly feasible and acceptable and allowed improvement in different aspects of cognitive and psychosocial functioning in MCI subjects. Keywords: cognitive intervention, mild cognitive impairment, tablet computers, technology
format article
author Djabelkhir L
Wu YH
Vidal JS
Cristancho-Lacroix V
Marlats F
Lenoir H
Carno A
Rigaud AS
author_facet Djabelkhir L
Wu YH
Vidal JS
Cristancho-Lacroix V
Marlats F
Lenoir H
Carno A
Rigaud AS
author_sort Djabelkhir L
title Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects
title_short Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects
title_full Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects
title_fullStr Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects
title_full_unstemmed Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects
title_sort computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: comparing feasibility, acceptability, and cognitive and psychosocial effects
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/9d8a8069930c43e2a1c614ddeac500ab
work_keys_str_mv AT djabelkhirl computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
AT wuyh computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
AT vidaljs computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
AT cristancholacroixv computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
AT marlatsf computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
AT lenoirh computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
AT carnoa computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
AT rigaudas computerizedcognitivestimulationandengagementprogramsinolderadultswithmildcognitiveimpairmentcomparingfeasibilityacceptabilityandcognitiveandpsychosocialeffects
_version_ 1718399650761801728