Andreassen Maria, Danielsson Henrik, Hemmingsson Helena, Jaarsma Tiny
Department of Health Medicine and Caring Sciences, Linköping University, Norrköping, Sweden.
Swedish Institute for Disability Research and Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Scand J Occup Ther. 2022 May;29(4):270-281. doi: 10.1080/11038128.2021.1917654. Epub 2021 Apr 28.
People with cognitive impairment often need support to perform everyday-life activities. Interventions are available, but evidence-based interventions are lacking.
This pilot RCT aimed to investigate use of an intervention with an interactive digital calendar with mobile phone reminders (RemindMe) in relation to change in outcomes and impact on occupational performance, independence, health-related quality of life, and psychosocial impact of the support for people with cognitive impairment.
The study design was a multi-centre parallel-group pilot RCT [ClinicalTrails.gov, identifier: NCT04470219]. Fifteen participants from primary rehabilitation centres in Sweden were recruited and randomly assigned to intervention group ( = 8) receiving the intervention with RemindMe, or control group ( = 7) receiving usual treatment by an occupational therapist. Data were collected at baseline, after two- and four months, and analysed using descriptive and non-parametric statistics.
The Canadian Occupational Performance Measure (COPM), and the Functional Independence Measure (FIM item n-r) showed significant differences. There were no significant differences in health-related quality of life nor in the psychosocial impact of the used support.
Plausible changes in outcome measures were found in COPM and FIM (items n-r). These instruments indicate change in outcome measures and impact on occupational performance and independence.
认知障碍患者在进行日常生活活动时通常需要支持。虽然有一些干预措施，但缺乏基于证据的干预措施。
这项试点随机对照试验旨在研究使用带有手机提醒功能的交互式数字日历干预措施（RemindMe）对认知障碍患者的结局变化、职业表现、独立性、健康相关生活质量以及支持的心理社会影响。
该研究设计为多中心平行组试点随机对照试验[ClinicalTrails.gov，标识符：NCT04470219]。从瑞典的初级康复中心招募了15名参与者，随机分配到接受RemindMe干预的干预组（n = 8）或接受职业治疗师常规治疗的对照组（n = 7）。在基线、两个月和四个月后收集数据，并使用描述性和非参数统计进行分析。
加拿大职业表现测量量表（COPM）和功能独立性测量量表（FIM项目n - r）显示出显著差异。在健康相关生活质量以及所用支持的心理社会影响方面没有显著差异。
在COPM和FIM（项目n - r）中发现了结局测量指标的合理变化。这些工具表明了结局测量指标的变化以及对职业表现和独立性的影响。
