Effect of Screen Based Cognitove Therapy on Mild Dementi in Elderly
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Cognitive functions assessment
Study Overview
Brief Summary
Cognitive technology therapies, including interactive video gaming, computer soft wares and mobile technology, have been used to implement cognitive training and rehabilitation programs. Potential advantages to using technology-based interventions include enhanced accessibility and cost-effectiveness, providing a user experience to be good communicator, immersive and comprehensive.
Detailed Description
Aging over 60 years is associated with some progressive decline in cognitive domains, such as processing speed and executive function. A significant decline in cognitive function, particularly memory, which is an early symptom of dementia, can lead to mild cognitive impairment (MCI). Currently it is estimated that 50 million are living with dementia worldwide and nearly 10 million new cases occur every year, representing a serious public health problem. As such, the WHO has suggested that preventing cognitive decline and dementia is a global mental health priority. In addition to impacting the patient, dementia also has a significant impact on the family and society in general. Age is the biggest risk factor for the development of dementia, and aging is associated with a decline of cognitive function. Non-pharmacological interventions such as physical exercise and cognitive interventions may offer an alternative to pharmacological intervention in delaying dementia-related functional decline. Over the last decade, the accessibility and use of computers, smartphones and mobile internet has quickly expanded .
Cognitive technology therapies, including interactive video gaming, computer soft wares and mobile technology, have been used to implement cognitive training and rehabilitation programs. Potential advantages to using technology-based interventions include enhanced accessibility and cost-effectiveness, providing a user experience to be good communicator, immersive and comprehensive.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Masking Description
The aim of study is to find the effects of screen based cognitive therapy on mild dementia in elderly .
Eligibility Criteria
- Ages
- 65 Years to 85 Years (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •1- Age ≥ 65 years. 2- Literate with ≥ 15 years of education. 3- Older adults with mild dementia. 4- Montreal cognitive assessment score 18-26 .( Pinto et al .,2019). 5- Android smartphone user. 6- Well ability to write and read.
Exclusion Criteria
- •Major Cardiovascular events , such as Stroke or Myocardial infraction in past three months.
- •Alzheimer's disease.
- •Sever cognitive dementia.
- •Sever hearing difficulty or visual disturbance.
- •Brain injury.
- •Limitation in communications.
- •Chronic kidney diseases.
- •Liver diseases.
- •Low or high educated.
- •Uncontrolled diabetic patients.
- •Thyroid disturbance.
- •Mental and psychological instability .
Arms & Interventions
group A
(Therapy group) It will include subjects that will receive computer based cognitive therapy sessions training.
omega 3 supplement .
Intervention: cognitive therapy (Behavioral)
Group B
(Smartphone group) It will include subjects that will receive home program training by using their smartphones cognitive applications .
omega 3 supplement .
Intervention: cognitive therapy (Behavioral)
group c
It won't receive interventions. only omega 3 supplement
Intervention: cognitive therapy (Behavioral)
Outcomes
Primary Outcomes
Cognitive functions assessment
Time Frame: 1 year
Cognitive function : It was assessed by rehacom software and Montreal cognitive assessment (MoCA) which are a highly sensitive and specific screening tool for patients with impaired cognitive function. 1- Rehacom software screening: 9 screening modules detect cognitive functions: 4Attention, 2memory, 1logical reasoning and 2 visual field. Montreal test is a short in duration (10- 15 min) 30-point screening test that measures a number of cognitive domains such as visuospatial abilities, executive function, short-term memory, attention/concentration, language, abstract thinking, and orientation. . Patients with MoCA scores of less than 26 are considered cognitively impaired Arabic version was used
Secondary Outcomes
- Quality of life survey(1 year)
Investigators
Nourhan Hesham Ali
physiotherapist /Nourhan Hisham Ali
Cairo University