Cediara - Associação de Solidariedade Social de Ribeira de Fráguas, Aveiro, Portugal.
Universidad de A Coruña, A Coruña, España.
Rev Neurol. 2021 Aug 15;73(4):121-129. doi: 10.33588/rn.7304.2021114.
Cognitive stimulation may be beneficial in slowing the progression of mild neurocognitive disorder (NCD), but the results of existing research are inconsistent. Furthermore, there are no long-term interventions nor individual (one-on-one) interventions applied by professionals. Objetive. The aim of this study was to assess the efficacy of a long-term individual cognitive stimulation intervention on people with mild NCD.
A pre-post test design with a non-equivalent control group was conducted. A total of 82 participants with mild NCD were assigned to a cognitive stimulation intervention group or to a control group. The intervention consisted of 88 individual format sessions of approximately 45 minutes, twice per week. Independent evaluators assessed cognition, depressive symptomatology and autonomy level in activities of daily living at pre-intervention, intra-intervention (6 months) and post-intervention (12 months).
At intra- and post-intervention, significant improvement on cognition and depressive symptomatology in the intervention group compared to the control group were found. Younger participants and those with better cognitive function and status in pre-intervention achieved better results. Adherence to the intervention was high.
Results suggest the efficacy of long-term individual cognitive intervention in people with mild NCD, which could delay the progression towards a major NCD.
认知刺激可能有益于减缓轻度神经认知障碍(NCD)的进展,但现有研究的结果不一致。此外,目前还没有长期干预措施或专业人员提供的个体(一对一)干预措施。目的:本研究旨在评估长期个体认知刺激干预对轻度 NCD 患者的疗效。
采用前后测试设计和非等效对照组进行。共有 82 名轻度 NCD 患者被分配到认知刺激干预组或对照组。干预包括每周两次、每次约 45 分钟的 88 次个体格式会话。独立评估者在干预前、干预期间(6 个月)和干预后(12 个月)评估认知、抑郁症状和日常生活活动中的自主水平。
在干预期间和干预后,与对照组相比,干预组的认知和抑郁症状均有显著改善。年轻参与者以及在干预前认知功能和状态较好的参与者取得了更好的结果。对干预的依从性很高。
结果表明,长期个体认知干预对轻度 NCD 患者有效,可延缓向更严重 NCD 的进展。