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基于计算机的认知康复程序 GRADIOR 用于轻度痴呆和轻度认知障碍:新功能。

Computer-based cognitive rehabilitation program GRADIOR for mild dementia and mild cognitive impairment: new features.

机构信息

Psychiatric Department, Rio Hortega University Hospital, Valladolid, Spain.

Zamora Hospital, Zamora, Spain.

出版信息

BMC Med Inform Decis Mak. 2020 Oct 22;20(1):274. doi: 10.1186/s12911-020-01293-w.

Abstract

BACKGROUND

The growing number of older people and, with it, the increase of neurological impairments such as dementia has led to the implementation of the use of computer programs for cognitive rehabilitation in people with dementia. For 20 years, we have been developing the GRADIOR cognitive rehabilitation program and conducted several studies associated with its usability and effectiveness. This paper describes the development of the latest version of the GRADIOR computer-based cognitive rehabilitation program for people with different neurological etiologies, especially mild cognitive impairment and mild dementia.

RESULTS

GRADIOR is a program that allows cognitive evaluation and rehabilitation of people affected by cognitive impairment. The new version of GRADIOR is characterized by a structure that is dynamic and flexible for both user and therapist, consisting of: Clinical Manager, Clinical History Manager, Treatment Manager and Report Manager. As a structure based on specific requirements, GRADIOR includes a series of modalities and sub-modalities, each modality comprising a series of exercises with different difficulty levels.

DISCUSSION

Previous studies associated with earlier versions of GRADIOR have allowed the development of a new version of GRADIOR. Taking into account aspects associated with user experience, usability and effectiveness. Aspects that have made it possible to achieve a program that can meet the needs of older people with dementia.

摘要

背景

随着老年人数量的增加,以及痴呆等神经损伤的增加,已经开始在痴呆患者中使用计算机程序进行认知康复。20 年来,我们一直在开发 GRADIOR 认知康复程序,并进行了多项与其可用性和有效性相关的研究。本文描述了针对不同神经病因(尤其是轻度认知障碍和轻度痴呆)的最新版本的 GRADIOR 基于计算机的认知康复程序的开发。

结果

GRADIOR 是一个允许认知评估和康复的程序,适用于认知障碍患者。新版本的 GRADIOR 的特点是用户和治疗师的结构都具有动态和灵活性,包括:临床经理、临床病史经理、治疗经理和报告经理。作为基于特定要求的结构,GRADIOR 包括一系列模式和子模式,每种模式都包含一系列具有不同难度级别的练习。

讨论

与早期版本的 GRADIOR 相关的先前研究,使我们能够开发新版本的 GRADIOR。考虑到与用户体验、可用性和有效性相关的方面,这些方面使我们能够开发出一个能够满足痴呆老年人需求的程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bff6/7584078/38bd68dea85d/12911_2020_1293_Fig1_HTML.jpg

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