Department of Public Health, Research Unit for General Practice, The Research Initiative for Activity Studies and Occupational Therapy, University of Southern Denmark, Odense, Denmark.
The National Board of Social Services, Odense, Denmark.
Disabil Rehabil Assist Technol. 2020 Oct;15(7):810-824. doi: 10.1080/17483107.2020.1765032. Epub 2020 May 14.
A systematic review was performed evaluating the effectiveness of Information and Communication Technology-based Assistive Technology (ICT-based-AT) to compensate for impaired cognition in everyday life activities. The study was registered in PROSPERO, registration number CRD42018114913. Six databases were searched (years 2008-2019). Randomized controlled trials (RCTs) or cohort studies; people with impaired cognition due to non-degenerative diseases; and evaluation of ICT-based-ATs' effectiveness regarding activity and participation, including prospective memory, execution of tasks and satisfaction with task execution. Each study's level of evidence and quality were assessed using "JBI Levels of Evidence" and the "JBI Meta-Analysis of Statistics Assessment and Review Instrument", respectively. About 3,153 publications were located, of which 12 were included. The levels of evidence were: 1.c (RCT) ( = 7), 1.d (pseudo-RCT) ( = 1) and 3.e (observational study without control group) ( = 4). Three studies had high quality (2 RCT/1 cohort), eight acceptable (5 RCT/3 cohort) and one low (RCT) quality.Conclusions: Smartphones, personal digital assistants (PDAs), etc. with e.g. calendars and reminder alarms can improve prospective memory, especially for people with ABI. Furthermore, PDAs and similar products with prompts can improve execution of tasks for people with cognitive impairment due to different diagnoses. Products should be tailored to the users' needs and the users trained in product use. Further studies concerning children, older people and people with intellectual and developmental disability are required; as well as studies on cost-effectiveness and the effectiveness of related services.Implications for rehabilitationIn order to support activity and participation in everyday life for people with prospective memory problems, especially people with acquired brain injury, they should be offered information and communication technology-based products, such smart phones, mobile phones, personal digital assistants or similar mainstream products equipped with reminding software.People with cognitive impairment having difficulties executing tasks independently should be offered PDAs and mobile telephones and similar products with prompting software, e.g. audio-verbal, picture and video-based task-sequencing prompts.The ICT-based products should be individually tailored, and the person should be trained in using the selected product.
系统评价评估了基于信息和通信技术的辅助技术（基于 ICT 的 AT）在补偿日常生活活动中受损认知方面的有效性。该研究已在 PROSPERO 中注册，注册号为 CRD42018114913。搜索了六个数据库（2008 年至 2019 年）。随机对照试验（RCT）或队列研究；由于非退行性疾病而认知受损的人；以及评估基于 ICT 的 AT 对活动和参与的有效性，包括前瞻性记忆、任务执行和对任务执行的满意度。使用“JBI 证据水平”和“JBI 荟萃分析统计评估和审查工具”分别评估每项研究的证据水平和质量。共定位了约 3153 篇出版物，其中 12 篇被纳入。证据水平为：1.c（RCT）（ = 7）、1.d（伪 RCT）（ = 1）和 3.e（无对照组的观察性研究）（ = 4）。三项研究质量较高（2 项 RCT/1 项队列研究），八项研究质量尚可（5 项 RCT/3 项队列研究），一项研究质量较低（RCT）。结论：例如带有日历和提醒闹钟的智能手机、个人数字助理（PDA）等，可以改善前瞻性记忆，尤其是对患有 ABI 的人。此外，带有提示的 PDA 和类似产品可以改善因不同诊断而认知受损的人的任务执行。产品应根据用户的需求进行定制，并对用户进行产品使用培训。需要对儿童、老年人和智力和发育障碍患者进行进一步研究；以及关于成本效益和相关服务有效性的研究。康复意义为了支持有前瞻性记忆问题的人，特别是有后天性脑损伤的人，在日常生活中进行活动和参与，应为他们提供基于信息和通信技术的产品，例如智能手机、移动电话、个人数字助理或类似的主流产品，配备提醒软件。难以独立执行任务的认知受损者应提供 PDA 和移动电话以及类似的带有提示软件的产品，例如基于音频-口头、图片和视频的任务排序提示。基于 ICT 的产品应根据个人需要进行定制，并对选定产品的使用进行培训。
