关键词: Aging Cognitive functioning Deterioro cognitivo leve Envejecimiento Funcionamiento cognitivo Intervención neuropsicológica Mild cognitive impairment Neuropsychological treatment Tele-neuropsychology Teleneuropsicología

来  源:   DOI:10.1016/j.regg.2024.101526

Abstract:
BACKGROUND: Mild Cognitive Impairment (MCI) is considered a decline in cognitive functions, which becomes more pronounced with age. These patients may benefit from cognitive treatments that help attenuate or slow down a potential progression towards dementia.
OBJECTIVE: To assess the feasibility, fidelity, satisfaction, and effectiveness of the Memory Training and Cognitive Stimulation Program (PEMEC, by its Spanish acronym) in individuals with MCI in an online setting.
METHODS: A non-probabilistic convenience sample of 14 patients with MCI received the PEMEC (PEMEC online) through an electronic device, were assessed with MoCA, NEUROPSI Brief, Yesavage Geriatric Depression Scale before and after treatment, comparing these measurements with those of a waiting list control group.
RESULTS: 92,85% completed the treatment; with an average of 92% fidelity to the original intervention, an average of 91,61% for satisfaction with the activities of each session and the perceived usefulness was 97,98%. Statistically significant differences were found in the NEUROPSI Brief and the MoCA, before and after treatment in the intervention group and, when comparing the scores with the waiting list control group, a statistically significant difference was found in the MoCA scores.
CONCLUSIONS: Following the cultural adaptation of the program (from a Spanish to a Mexican treatment group), these results establish a precedent that systematic group cognitive interventions are feasible and effective in virtual tele-neuropsychology contexts for older adults.
摘要:
背景:轻度认知障碍(MCI)被认为是认知功能的下降,随着年龄的增长变得更加明显。这些患者可能受益于有助于减轻或减缓痴呆的潜在进展的认知治疗。
目的:为了评估可行性,保真度,满意,以及记忆训练和认知刺激计划的有效性(PEMEC,通过其西班牙语首字母缩写)在在线环境中具有MCI的个人中。
方法:14名MCI患者的非概率便利样本通过电子设备接受了PEMEC(在线PEMEC),与MoCA一起评估,NEUROPSI简报,治疗前后老年抑郁量表,将这些测量值与等待列表控制组的测量值进行比较。
结果:92,85%完成了治疗;与原始干预措施的平均保真度为92%,对每节活动的满意度平均为91,61%,感知有用性为97,98%。在NEUROPSI简报和MoCA中发现了统计学上的显着差异,干预组治疗前后,当将分数与等待列表控制组进行比较时,在MoCA评分中发现了统计学上的显著差异.
结论:遵循该计划的文化适应(从西班牙语到墨西哥治疗组),这些结果建立了一个先例,即系统的团体认知干预在老年人的虚拟远程神经心理学背景下是可行和有效的.
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