Bernini Sara, Panzarasa Silvia, Quaglini Silvana, Costa Alfredo, Picascia Marta, Cappa Stefano F, Cerami Chiara, Tassorelli Cristina, Vecchi Tomaso, Bottiroli Sara
Dementia Research Center, IRCCS Mondino Foundation, Pavia, Italy.
Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy.
Front Med (Lausanne). 2023 Feb 17;10:1129914. doi: 10.3389/fmed.2023.1129914. eCollection 2023.
Telerehabilitation has enabled a broader application of cognitive rehabilitation programs. We have recently developed HomeCoRe, a system for supporting cognitive intervention remotely with the assistance of a family member. The main goal of the present study was to determine usability and user experience of HomeCoRe in individuals at risk of dementia and in their family members. The association between subjects' technological skills and main outcome measures was evaluated as well.
Fourteen individuals with subjective cognitive decline (SCD) or mild neurocognitive disorder (mNCD) were recruited to participate in this pilot study. All participants received a touch-screen laptop implemented with the HomeCoRe software. The intervention consisted of 18 sessions and included a patient-tailored adaptive protocol of cognitive exercises. Usability was assessed in terms of treatment adherence and participants' performance across sessions; user experience self-reported questionnaires and a descriptive diary.
Usability and user experience were overall satisfactory and suggested usability, pleasantness, and high motivation while using HomeCoRe. Technological skills correlated only with the perceived ability to start and/or perform exercises autonomously.
These results, although preliminary, suggest that the usability and user experience of HomeCoRe are satisfactory and independent of technological skills. These findings encourage wider and more systematic use of HomeCoRe to overcome the current limitations of in-person cognitive rehabilitation programs and to reach more individuals at risk of dementia.
远程康复使认知康复计划得到更广泛的应用。我们最近开发了HomeCoRe，这是一个在家庭成员协助下远程支持认知干预的系统。本研究的主要目的是确定HomeCoRe在有痴呆风险的个体及其家庭成员中的可用性和用户体验。还评估了受试者的技术技能与主要结局指标之间的关联。
招募了14名主观认知下降（SCD）或轻度神经认知障碍（mNCD）的个体参与这项试点研究。所有参与者都收到一台安装了HomeCoRe软件的触摸屏笔记本电脑。干预包括18次疗程，包括针对患者量身定制的认知练习适应性方案。从治疗依从性和各疗程参与者的表现方面评估可用性；通过自我报告问卷和描述性日记评估用户体验。
可用性和用户体验总体令人满意，表明使用HomeCoRe时具有可用性、愉悦性和高度积极性。技术技能仅与自主开始和/或进行练习的感知能力相关。
这些结果虽然是初步的，但表明HomeCoRe的可用性和用户体验令人满意，且与技术技能无关。这些发现鼓励更广泛、更系统地使用HomeCoRe，以克服当前面对面认知康复计划的局限性，并惠及更多有痴呆风险的个体。
