Department of Nursing Science, College of Nursing, Gachon University, Incheon, South Korea.
Department of Nursing Science, College of Nursing, Gachon University, Incheon, South Korea -
Eur J Phys Rehabil Med. 2024 Jun;60(3):423-432. doi: 10.23736/S1973-9087.24.08043-2. Epub 2024 Apr 22.
The fourth industrial revolution has brought about developments in information and communication technologies for interventions in older adults with dementia. Currently, most interventions focus on single interventions. However, community-dwelling older adults with dementia require comprehensive cognitive interventions, and clinical studies analyzing the effects of comprehensive interventions based on randomized controlled trials are lacking.
The aim of the study was to examine the effects of an information and communication technology-based comprehensive cognitive training program, Smart Brain, on multi-domain function among community-dwelling older adults with dementia.
This was a two-group, randomized, controlled trial.
This study was conducted at participant's home.
We analyzed older adults with dementia.
Participants were randomly allocated to either the intervention group (N.=30) or the control group (N.=30). Older adults with dementia in the intervention group received 8 weeks of Smart Brain comprehensive cognitive training using a tablet, whereas the control group received a similar tablet but without the training. We measured the outcomes at baseline, and at 4 and 8 weeks. Cognitive function, depression, quality of life, balance confidence, physical ability, nutrition, and caregiver burden were compared between groups.
In the intervention group, cognitive function statistically increased from baseline to both week 4 (2.03; 95% CI 1.26 to 2.81) and week 8 (2.70; 95% CI 1.76 to 3.64). Depression was statistically different from week 0 to week 8 (-1.67, 95% CI -2.85 to -0.48). Physical ability statistically increased from baseline to both week 4 (-0.85; 95% CI 1.49 to -0.20) and week 8 (-1.44; 95% CI -2.29 to -0.59). Nutrition statistically increased from baseline to both week 4 (0.67; 95% CI 0.05 to 1.28) and week 8 (1.10; 95% CI 0.36 to 1.84).
Smart Brain significantly improved cognitive function, reduced depression, and enhanced physical and nutritional status in older adults with dementia. This demonstrates its potential as an effective non-pharmacological intervention in community-based dementia care.
Smart Brain's personalized approach, which integrates user-specific preferences and expert guidance, enhances engagement and goal achievement in dementia care. This enhances self-esteem and clinical outcomes, demonstrates the application's potential to innovate rehabilitation practices.
第四次工业革命带来了信息和通信技术的发展，可用于干预痴呆症老年患者。目前，大多数干预措施都集中在单一干预上。然而，社区居住的痴呆症老年患者需要全面的认知干预，而基于随机对照试验分析全面干预效果的临床研究则较为缺乏。
本研究旨在探讨基于信息和通信技术的全面认知训练计划 Smart Brain 对社区居住的痴呆症老年患者多领域功能的影响。
这是一项两组成员、随机、对照试验。
研究在参与者家中进行。
我们分析了痴呆症老年患者。
参与者被随机分配到干预组（n=30）或对照组（n=30）。干预组的痴呆症老年患者使用平板电脑接受 8 周的 Smart Brain 全面认知训练，而对照组则使用类似的平板电脑，但不进行培训。我们在基线、4 周和 8 周时测量了结果。比较了两组之间的认知功能、抑郁、生活质量、平衡信心、身体能力、营养和照顾者负担。
在干预组中，认知功能从基线到第 4 周（2.03；95%CI 1.26 至 2.81）和第 8 周（2.70；95%CI 1.76 至 3.64）均有统计学意义的提高。抑郁状态从第 0 周到第 8 周（-1.67，95%CI -2.85 至 -0.48）有统计学差异。身体能力从基线到第 4 周（-0.85；95%CI 1.49 至 -0.20）和第 8 周（-1.44；95%CI -2.29 至 -0.59）均有统计学意义的提高。营养状况从基线到第 4 周（0.67；95%CI 0.05 至 1.28）和第 8 周（1.10；95%CI 0.36 至 1.84）均有统计学意义的提高。
Smart Brain 显著改善了痴呆症老年患者的认知功能，减轻了抑郁，并增强了他们的身体和营养状况。这表明它有潜力成为社区痴呆症护理中的一种有效的非药物干预措施。
Smart Brain 的个性化方法结合了用户特定的偏好和专家指导，增强了痴呆症护理中的参与度和目标实现。这提高了自尊心和临床结果，展示了该应用程序在创新康复实践方面的潜力。
