Ferrandez Y Montesinos Marion, Guerchouche Rachid, Lemaire Justine, Brill Esther, Klöppel Stefan, Bremond François, Solari Fabio, Robert Philippe, Sacco Guillaume, Manera Valeria
CoBTeK, Université Côte d'Azur, Nice, PACA, France.
Association Innovation Alzheimer, Nice, France.
Digit Health. 2025 Mar 25;11:20552076251324015. doi: 10.1177/20552076251324015. eCollection 2025 Jan-Dec.
Computerized cognitive training (CCT) represents promising solutions for remote training of cognitive abilities in older people with cognitive decline. In the present article, we tested the feasibility and acceptability of a CCT performed at home via a telehealth platform, with participants connected remotely to a clinician, in comparison to an in-person CCT.
Thirty participants took part in the study. Twelve participants opted for classical in-person training and met a neuropsychologist twice a week for 12 weeks, for a total of 24 30-minute sessions. Eighteen participants opted for the remote home-based training and met with the clinician virtually via a telehealth system at the same frequency and duration. The intervention consisted of a serious-game platform training memory, spatial abilities, and executive functions. All participants underwent a neuropsychological and clinical assessment before and after the training.
Results showed a high adherence to training and a strong acceptability in both the remote and the in-person groups. A significant improvement in mental flexibility and planning abilities was observed in both groups (as measured by the Zoo planning test), but no other neuropsychological tests showed improvement.
This non-randomized study suggests the feasibility and acceptability of the telehealth CCT intervention. When participants are able to select their preferred intervention modality, training adherence and efficacy are comparable between remote and in-person delivery. Future studies should be performed to verify which are the most effective intervention parameters, such as training frequency and duration.
计算机化认知训练（CCT）是针对认知能力下降的老年人进行远程认知训练的有前景的解决方案。在本文中，我们测试了通过远程医疗平台在家中进行的CCT的可行性和可接受性，参与者通过远程与临床医生连接，与面对面的CCT进行比较。
30名参与者参与了该研究。12名参与者选择了传统的面对面训练，每周与神经心理学家会面两次，共12周，总计24次30分钟的课程。18名参与者选择了远程居家训练，通过远程医疗系统以相同的频率和时长与临床医生进行虚拟会面。干预包括一个严肃游戏平台，训练记忆、空间能力和执行功能。所有参与者在训练前后都接受了神经心理学和临床评估。
结果显示，远程组和面对面组对训练的依从性都很高，且可接受性都很强。两组在心理灵活性和计划能力方面均有显著改善（通过动物园计划测试衡量），但其他神经心理学测试均未显示出改善。
这项非随机研究表明了远程医疗CCT干预的可行性和可接受性。当参与者能够选择他们偏好的干预方式时，远程和面对面授课的训练依从性和效果相当。未来应开展研究以验证哪些是最有效的干预参数，如训练频率和时长。
