Dionne Timothy, Richardson Jessica D, Quinn Davin, Luo Karen, Burns Suzanne Perea
Center for Brain Recovery and Repair, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
Bioengineering (Basel). 2025 Jul 18;12(7):778. doi: 10.3390/bioengineering12070778.
People with post-stroke cognitive impairment (PSCI) are at increased risk of recurrent stroke, dementia, and accelerated cognitive decline.
To examine the feasibility, safety, acceptability, and suitability of a virtually-delivered vascular risk reduction intervention that integrates tailored cognitive strategy training for people with executive function (EF) impairments post-stroke.
This case series included eight participants who completed up to ten virtual sessions focused on vascular risk reduction and metacognitive strategy training. Sessions averaged 40 min over a 4-5-week period.
The intervention was found to be feasible, safe, and acceptable. The recruitment rate was 66.7%, and the retention rate was 87.5% (7 of 8 completed the training). No serious adverse events were reported. Most participants demonstrated improvements on the Canadian Occupational Performance Measure (COPM), with mean performance and satisfaction change scores of 1.22 ± 0.87 and 1.18 ± 0.83, respectively.
This technology-enabled intervention was feasible and acceptable for individuals with post-stroke EF impairments. Virtual delivery was a key factor in its accessibility and success. The results are promising for improving self-management of vascular risk factors, warranting further study in larger trials.
中风后认知障碍（PSCI）患者复发中风、患痴呆症以及认知能力加速衰退的风险增加。
探讨一种虚拟提供的血管风险降低干预措施的可行性、安全性、可接受性和适用性，该干预措施为中风后有执行功能（EF）障碍的患者整合了量身定制的认知策略训练。
本病例系列包括8名参与者，他们完成了多达10次以血管风险降低和元认知策略训练为重点的虚拟课程。课程在4 - 5周内平均每次40分钟。
该干预措施被认为是可行、安全且可接受的。招募率为66.7%，保留率为87.5%（8人中有7人完成了训练）。未报告严重不良事件。大多数参与者在加拿大职业表现测量（COPM）上有改善，平均表现和满意度变化得分分别为1.22±0.87和1.18±0.83。
这种基于技术的干预措施对中风后EF障碍患者是可行且可接受的。虚拟授课是其可及性和成功的关键因素。这些结果对于改善血管危险因素的自我管理很有前景，值得在更大规模试验中进一步研究。
