National University of Singapore, Singapore, Singapore.
Singapore General Hospital, Singapore, Singapore.
J Adv Nurs. 2021 Mar;77(3):1141-1154. doi: 10.1111/jan.14664. Epub 2020 Dec 1.
To evaluate the effectiveness of online memory training interventions in improving memory of patients diagnosed with early-stage dementia. The secondary outcomes comprised cognitive and psychological outcomes.
This review was conducted for accordance to the Cochrane Handbook for Systematic Reviews of Interventions.
A comprehensive search from six electronic databases: PubMed, Embassy, The Cochrane Library, The Cumulative Index to Nursing and Allied Health Literature, Scopus and Web of Science was conducted (2000-2020).
The populations included in this review comprised adults who had been clinically diagnosed with early-stage dementia and involved in online memory training interventions. Two reviewers appraised the risks of bias through the Cochrane Collaboration's tool and performed the meta-analysis, including the assessment of heterogeneity.
Eleven randomized controlled trials retrieved from six databases demonstrated low to moderate levels of quality of evidence according to the GRADE approach. The meta-analysis revealed that online memory training interventions have demonstrated a moderate effect size in improving memory outcomes (d = 0.57; 95% confidence interval 0.28-0.85; p = 0.0001). Additionally, such interventions have shown improvements in secondary outcomes of cognition and psychological with small to medium effects. Duration of each online memory training session and its frequencies did not affect the memory outcome. As opposed to the conventional face-to-face interventions conducted for a group, it is more effective to be conducted for an individual setting.
Online memory training intervention was effective in improving the memory for adults with dementia.
Memory interventions have the prospect of reducing everyday problems caused by lapses in memory and improving well-being. With factors such as limited resources and restriction of social gathering due to pandemic, this review could offer relevant information for clinical decision-makers when planning online memory training interventions for adults with dementia.
评估在线记忆训练干预在改善早期痴呆症患者记忆方面的有效性。次要结果包括认知和心理结果。
本综述是根据 Cochrane 干预系统评价手册进行的。
从六个电子数据库进行了全面检索：PubMed、Embase、The Cochrane Library、Cumulative Index to Nursing and Allied Health Literature、Scopus 和 Web of Science（2000-2020 年）。
本综述的研究对象包括经临床诊断为早期痴呆症并参与在线记忆训练干预的成年人。两位审查员使用 Cochrane 协作工具评估偏倚风险，并进行荟萃分析，包括对异质性的评估。
从六个数据库中检索到的 11 项随机对照试验，根据 GRADE 方法评估，证据质量为低至中等。荟萃分析表明，在线记忆训练干预在改善记忆结果方面具有中等的效应量（d=0.57；95%置信区间 0.28-0.85；p=0.0001）。此外，这些干预措施在认知和心理的次要结果方面显示出小到中等的效果改善。每次在线记忆训练课程的持续时间及其频率不会影响记忆结果。与针对群体进行的传统面对面干预相比，针对个体进行的干预更为有效。
在线记忆训练干预对改善痴呆症患者的记忆有效。
记忆干预有希望减少因记忆失误而导致的日常问题，并改善幸福感。由于资源有限以及大流行导致社交聚会受限等因素，当为痴呆症患者规划在线记忆训练干预时，本综述可以为临床决策者提供相关信息。
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