A digital reminiscence intervention program using a time-traveling road map for community-dwelling older adults with subjective cognitive decline

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2025-02-18 DOI:10.1016/j.archger.2025.105789

Yeon-Ha Kim , Chung-Min Cho

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引用次数: 0

Abstract

Background

Subjective cognitive decline (SCD) is a common concern among older adults in the South Korean population. Thus, non-pharmacological interventions are needed to reduce cognition, communication, and mood complaints.

Objective

This study evaluated the effects of a Roadmap Time-Traveling Intervention program (RMTI), a digital reminiscence therapy intervention, on cognitive measurements, communication, and mood in older adults with SCD.

Methods

Fifty participants were randomly assigned to the experimental or control group. Cognitive function, communication difficulties, quality of life (QoL), depression, and anxiety were assessed at baseline (T0), immediately after the intervention (T1), and four weeks post-intervention (T2). Generalized estimation equations were utilized to analyze the program's effectiveness over time (T0-T1) between groups. A repeated measures ANOVA and the Friedman/Wilcoxon signed-rank tests examined changes across the three time points (T0-T1-T2) within the experimental group. The study followed the Consolidated Standards of Reporting Trials guidelines.

Results

The experimental group exhibited significant improvements in the Korean version of the Mini-Mental State Examination (MMSE-K) scores (p < .001) and QoL (p < .001) compared with the control group: MMSE-K scores (Ⲭ² = 9.55, p = .008), communication difficulties (Ⲭ² = 8.57, p = .014), and QoL (Ⲭ² = 3.35, p = .046) improved significantly across the three time points (T0-T1-T2).

Conclusions

The RMTI effectively enhanced MMSE-K scores, reduced communication difficulties, and enhanced the QoL in older adults with SCD. This program shows promise for broader implementation in community settings for older adults with SCD.

查看原文本刊更多论文

一个使用时间旅行路线图的数字回忆干预项目，用于社区居住的主观认知衰退的老年人

背景：主观认知能力下降（SCD）是韩国老年人普遍关注的问题。因此，需要非药物干预来减少认知、沟通和情绪抱怨。目的本研究评估路线图时间旅行干预程序（RMTI）对老年SCD患者认知测量、沟通和情绪的影响，RMTI是一种数字回忆治疗干预。方法50例患者随机分为实验组和对照组。分别在基线（T0）、干预后（T1）和干预后4周（T2）评估认知功能、沟通困难、生活质量（QoL）、抑郁和焦虑。使用广义估计方程来分析组间程序随时间（T0-T1）的有效性。重复测量方差分析和Friedman/Wilcoxon符号秩检验检查了实验组内三个时间点（t1 - t1 - t2）的变化。该研究遵循了报告试验的统一标准指导方针。结果实验组学生的韩文精神状态测验（MMSE-K）成绩显著提高(p <；.001)和生活质量(p <；MMSE-K评分（Ⲭ²= 9.55,p = 0.008）、沟通困难（Ⲭ²= 8.57,p = 0.014）和生活质量（Ⲭ²= 3.35,p = 0.046）在T0-T1-T2三个时间点均有显著改善。结论RMTI有效提高老年SCD患者MMSE-K评分，减少沟通困难，提高生活质量。该计划有望在社区环境中为患有SCD的老年人提供更广泛的实施。

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

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.