PDF(Pubmed)
Abstract：
The implementation of cognitive health apps in patients with mild cognitive impairment (MCI) is challenging because of their cognitive, age, and other clinical characteristics. In this project, we aimed to evaluate the usability and feasibility of the Rehastart app tested in MCI patients. Eighteen subjects affected by MCI due to neurodegenerative disorders (including Parkinson\'s disease, multiple sclerosis, and amnestic/multidomain MCI) and eighteen healthcare professionals were recruited to this study. Patients were registered on the app by clinicians and they were assigned a protocol of specific cognitive exercises. The recruitment was conducted in the period between March and June 2023. The trial testing of the app consisted of three sessions per week for three weeks, with each session lasting about 30 min. After three weeks, the participants as well as medical personnel were invited to rate the usability and feasibility of the Rehastart mobile application. The instruments employed to evaluate the usability and feasibility of the app were the System Usability Scale (SUS), The Intrinsic Motivation Inventory (IMI) and the Client Satisfaction Questionnaire (CSQ). We did not find statistically significant differences on the SUS (p = 0.07) between healthcare professionals and patients. In addition, we found promising results on subscales of the Intrinsic Motivation Inventory, suggesting high levels of interest and enjoyment when using the Rehastart app. Our study demonstrated that smartphone-based telerehabilitation could be a suitable tool for people with MCI due to neurodegenerative disorders, since the Rehastart app was easy to use and motivating for both patients and healthy people.
摘要：
在轻度认知障碍（MCI）患者中实施认知健康应用程序具有挑战性，因为他们的认知，年龄,和其他临床特征。在这个项目中,我们旨在评估在MCI患者中测试的Rehastart应用程序的可用性和可行性.18名因神经退行性疾病（包括帕金森病，多发性硬化症,和遗忘/多域MCI）和18名医疗保健专业人员被招募到这项研究中。临床医生在应用程序上注册了患者，并为他们分配了特定的认知练习方案。招聘是在2023年3月至6月期间进行的。该应用程序的试用测试包括每周三个疗程，为期三周，每个会话持续约30分钟。三周后,参与者和医务人员被邀请对Rehastart移动应用程序的可用性和可行性进行评分.用于评估应用程序可用性和可行性的工具是系统可用性量表(SUS)，内在动机量表(IMI)和顾客满意度问卷(CSQ)。我们在医疗保健专业人员和患者之间的SUS上没有发现统计学上的显着差异（p=0.07）。此外,我们在内在动机清单的子量表上发现了有希望的结果，建议使用Rehastart应用程序时，高水平的兴趣和享受。我们的研究表明，基于智能手机的远程康复可能是由于神经退行性疾病而患有MCI的人的合适工具，因为Rehastart应用程序易于使用和激励患者和健康人。
