Torpil Berkan, Pekçetin Emel, Pekçetin Serkan
Department of Occupational Therapy, Faculty of Gülhane Health Sciences, University of Health Sciences Turkey, Ankara, Turkey.
Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
J Telemed Telecare. 2025 Apr;31(3):320-327. doi: 10.1177/1357633X231189541. Epub 2023 Aug 3.
IntroductionAlthough different cognitive rehabilitation (CR) approaches have been developed for mild cognitive impairment (MCI), a standard method has not been determined for interventions, especially with the telerehabilitation (TR) method, which is one of the alternative solutions to the problems of accessing rehabilitation services. The study was planned to compare the effectiveness of the CR intervention applied in the older adults with amnestic-MCI with face-to-face and TR methods.MethodsA total of 68 participants were randomly assigned to the TR and face-to-face groups. TR method was delivered by teleconference method in the participant's own home. A 12-week CR intervention was applied to both groups. Pre- and post-intervention cognitive skills of the participants were evaluated using the Loewenstein occupational therapy cognitive assessment-geriatric (LOTCA-G).ResultsCognitive skills were increased in both groups ( < 0.001). A statistically significant difference was observed between the groups in the post-intervention visual-spatial perception, praxis, and total LOTCA-G scores ( < 0.01).DiscussionIt was determined that a 12-week CR program had positive effects on cognitive functions in the older adults with amnestic MCI. Both TR and face-to-face methods can be used in CR interventions for amnestic MCI. In addition, the TR method can be advantageous in terms of time and accessibility.Clinical trial numberNCT05664984.
引言
尽管已针对轻度认知障碍（MCI）开发了不同的认知康复（CR）方法，但尚未确定干预的标准方法，尤其是远程康复（TR）方法，它是解决康复服务获取问题的替代方案之一。本研究旨在比较面对面和TR方法对遗忘型MCI老年人进行CR干预的效果。
方法
总共68名参与者被随机分配到TR组和面对面组。TR方法通过电话会议在参与者自己家中进行。两组均进行为期12周的CR干预。使用洛温斯坦老年认知评估量表（LOTCA-G）评估参与者干预前后的认知技能。
结果
两组的认知技能均有所提高（<0.001）。干预后，两组在视觉空间感知、实践能力和LOTCA-G总分上存在统计学显著差异（<0.01）。
讨论
确定为期12周的CR计划对遗忘型MCI老年人的认知功能有积极影响。TR和面对面方法均可用于遗忘型MCI的CR干预。此外，TR方法在时间和可及性方面可能具有优势。
临床试验编号
NCT05664984
