Effect of Screen Based Cognitove Therapy on Mild Dementi in Elderly
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Cognitive functions assessment
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
盲法说明
The aim of study is to find the effects of screen based cognitive therapy on mild dementia in elderly .
入排标准
- 年龄范围
- 65 Years 至 85 Years(Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •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 .
研究组 & 干预措施
group A
(Therapy group) It will include subjects that will receive computer based cognitive therapy sessions training.
omega 3 supplement .
干预措施: 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 .
干预措施: cognitive therapy (Behavioral)
group c
It won't receive interventions. only omega 3 supplement
干预措施: cognitive therapy (Behavioral)
结局指标
主要结局
Cognitive functions assessment
时间窗: 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
次要结局
- Quality of life survey(1 year)
研究者
Nourhan Hesham Ali
physiotherapist /Nourhan Hisham Ali
Cairo University
