Effectiveness of a Multifaceted Cognitive Training Programme for People with Mild Cognitive Impairment: A One-Group Pre- and Posttest Design

IF 0.8 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy Pub Date : 2012-06-01 DOI:10.1016/j.hkjot.2012.04.002

Michelle H.X. Lim , Karen P.Y. Liu , Gloria S.F. Cheung , Michael C.C. Kuo , Ruijie Li , Choy-Ying Tong

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引用次数: 17

Abstract

Objectives

The effectiveness of a cognitive training programme in enhancing the functional abilities of elderly persons with mild cognitive impairments was tested in an integrated home and institutional training programme focused on performing daily tasks.

Methods

Twenty elderly participants were taught cognitive stimulation and memory encoding strategies for 10 weeks by an occupational therapist, or by nonprofessionals and community caregivers. The programme consisted of attention and memory stimulation, association-based and imagery-based strategies. Functional assessment (Chinese version of the disability assessment for dementia instrument and the instrumental activities of daily living scale) and neuropsychological tests (digit span forward test, word list memory subtest of the neuropsychological test battery developed by the Consortium to Establish a Registry for Alzheimer's Disease, Cognistat) were administered before and after the programme.

Results

After the 10-week programme the participants showed significant improvements in average attention and memory. The participants showed improved memory (word list memory: p ≤ .001) and other cognitive function as measured by the naming (p ≤ .001), construction (p ≤ .001), memory (p ≤ .001) and similarities (p ≤ .001) subtests of the Cognistat.

Conclusion

These results provide initial evidence supporting the use of daily tasks as the context in teaching cognitive stimulation and memory encoding strategies to mildly impaired elderly people.

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轻度认知障碍患者多层面认知训练方案的有效性:一组测试前和测试后设计

目的通过一项以日常任务为重点的综合家庭和机构培训计划，测试认知训练计划在提高轻度认知障碍老年人功能能力方面的有效性。方法对20名老年人进行为期10周的认知刺激和记忆编码策略教学，由职业治疗师或非专业人员和社区护理人员进行。该方案包括注意和记忆刺激、基于联想和基于图像的策略。在项目前后分别进行功能评估(中文版的痴呆症残疾评估工具和日常生活活动工具量表)和神经心理测试(由阿尔茨海默病建立登记联盟开发的神经心理测试组的手指跨距前向测试和单词列表记忆子测试)。结果经过10周的训练，参与者的平均注意力和记忆力都有了显著的提高。通过Cognistat的命名(p≤0.001)、结构(p≤0.001)、记忆(p≤0.001)和相似性(p≤0.001)子测试，参与者表现出记忆力(单词列表记忆:p≤0.001)和其他认知功能的改善。结论本研究结果为使用日常任务作为背景对轻度损伤老年人进行认知刺激和记忆编码策略教学提供了初步证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hong Kong Journal of Occupational Therapy 医学-康复医学

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.