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针对认知和视力受损者的计算机化认知训练效果:单组前后测设计。

Effects of computerized cognitive training for cognitive and visually impaired: one-group pre- and post-test design.

作者信息

Kuo Michael Chih Chien, Chiu Armstrong Tat San

机构信息

Tung Wah College, School of Medical and Health Sciences, Hong Kong SAR, China.

The Hong Kong Society for the Blind, Hong Kong SAR, China.

出版信息

Dement Neuropsychol. 2025 Aug 18;19:e20240245. doi: 10.1590/1980-5764-DN-2024-0245. eCollection 2025.

Abstract

UNLABELLED

Studies have shown that visual impairment is associated with an increased risk of cognitive decline. Individuals with co-existing cognitive and visual impairments are also at a higher risk of having disability, which can further impact on one's independence in everyday activities. Computerized Cognitive Training (CCT) is one of the non-pharmacological interventions in managing cognitive decline.

OBJECTIVE

This study investigated the effects of an auditory CTT program in a group of participants with both cognitive and visual impairment.

METHODS

Sixteen participants were recruited. Participants had cognitive complaints and visual impairment. They received eight sessions of auditory-based CCT once or twice a week for 45 minutes within a 6-week period for each participant. Pre- and post-assessments were conducted before and after the training. Neuropsychological assessments included the Cantonese version of the Mini-Mental State Examination (CMMSE), the digit span forward test, the Chinese version of the Verbal Learning Test (CVVLT), and memory subtest of Neurobehavioral Cognitive Status Examination (NCSE). Pre- and post- mean assessment scores were compared.

RESULTS

Mean CMMSE score for this group of participants was 18.1. Significant differences were found in four assessments (digit span forward, CVVLT-Total: CVVLT-first trial, and NCSE-memory). No significant differences were found in the other tests. Additional repeated measures analysis showed age might play a role in CVVLT first trial and CVVLT total scores.

CONCLUSION

The study is limited by its one-group design. The results provide preliminary evidence that auditory-based CCT may be beneficial to attention and memory in people with both cognitive and visual impairment.

摘要

未标注

研究表明,视力障碍与认知能力下降风险增加有关。同时存在认知和视力障碍的个体出现残疾的风险也更高,这可能会进一步影响其在日常活动中的独立性。计算机化认知训练(CCT)是管理认知能力下降的非药物干预措施之一。

目的

本研究调查了听觉CCT程序对一组同时患有认知和视力障碍参与者的影响。

方法

招募了16名参与者。参与者有认知方面的主诉和视力障碍。他们在6周内每周接受一次或两次基于听觉的CCT训练,每次45分钟,共8次。在训练前后进行了评估。神经心理学评估包括粤语版简易精神状态检查表(CMMSE)、数字顺背测验、中文版言语学习测验(CVVLT)以及神经行为认知状态检查(NCSE)的记忆子测验。比较了训练前后的平均评估得分。

结果

这组参与者的平均CMMSE得分为18.1。在四项评估(数字顺背、CVVLT总分、CVVLT首次试验和NCSE记忆)中发现了显著差异。在其他测试中未发现显著差异。额外的重复测量分析表明,年龄可能在CVVLT首次试验和CVVLT总分中起作用。

结论

本研究受单组设计的限制。结果提供了初步证据,表明基于听觉的CCT可能对同时患有认知和视力障碍的人的注意力和记忆力有益。

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