Nurse-Led Computerized Cognitive Training for Mild Cognitive Impairment: A Preliminary Study

Abstract

Purpose: This preliminary study aimed to compare the outcomes of an occupational therapist-led and a nurse-led computerized cognitive training (CCT) for mild cognitive impairment (MCI) in older adults. Design: A single-blind randomized controlled trial was performed. Methods: Participants 65 years of age and older with MCI were randomly assigned to a group led by an occupational therapist or by a nurse. Both groups received CCT for 4 weeks. Findings: Six participants in the occupational therapist-led group and nine in the nurse-led group completed CCT. The nurse-led group showed significant improvement in scores on the Seoul Verbal Learning Test-Elderly's version immediate recall scores (p = .030) and the Korean-Boston Naming Test (p = .012). Conclusions: Nurse-led CCT demonstrated improvement in some language and memory areas in older adults with MCI.Clinical Relevance: This study supports the idea of educating nurses to use a CCT program for treating older adults with MCI to improve their cognitive function.

Cognitive Intervention Using Information and Communication Technology for Older Adults with Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

“…In papers in which four or more items were found to be ‘high risk’, through author agreement, we decided to exclude them as papers for systematic review and data ex-traction. Accordingly, a total of 11 papers [ 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ] were included except Styliadis (2015) for systematic review and data extraction ( Figure 2 ).…”

“…In the cases of MMSE and MoCA, similar categories such as orientation, memory registration, memory recall, and attention were measured. Papers excluded from the analysis were ‘difficult to clearly extract data between the experimental group and the control group’ [ 36 ], ‘papers where both the control group and the intervention group used ICT’ [ 38 , 43 ], or ‘the content of the intervention in the two groups was the same, but only the intervention provider was different’ [ 42 ]. Accordingly, after excluding these four studies, seven studies were included in the final meta-analysis.…”

Systematic Review and Meta-Analysis of Effects of Nurse-Led Intervention for People With Dementia

“…Following the assessment, 24 articles were excluded because the population/problem was not persons with dementia (n = 4), the intervention was not nurse-led (n = 7), and the study was not in the form of a trial (n = 13). Eleven publications were included in the final analysis, including three studies discovered from previous systematic reviews and the gray literature (Bailey et al, 2017;Callahan et al, 2006;Chien & Chan, 2009;Hsieh et al, 2010;Jha et al, 2013;Lai et al, 2004;Moon & Park, 2020;Oh et al, 2021;Pan & Chen, 2019;Samus et al, 2014;Thyrian et al, 2017). Appendix C in SDC provides an overview of the selection procedure.…”

“…Summary characteristics of included studies are found in Tables 1 and 2. The reviewed research was carried out in the United States (Bailey et al, 2017;Callahan et al, 2006;Samus et al, 2014), China (Chien & Chan, 2009;Lai et al, 2004;Pan & Chen, 2019), Taiwan (Hsieh et al, 2010), South Korea (Moon & Park, 2020;Oh et al, 2021), the United Kingdom (Jha et al, 2013), and Germany (Thyrian et al, 2017). A total of 1,372 patients with dementia in nursing homes, community centers, dementia resource centers, day care centers, or hospitals, or living at home, including those with Alzheimer's disease and moderate cognitive impairment, were represented in the eight trials, with the mean age ranging from 77.40 (5.90) to 86.20 (6.30) years in the intervention group and 77.25 (10.49) to 86.80 (7.30) years in the control group.…”

“…Several trials have evaluated the potential effects of nurse-led interventions to improve the health outcomes of persons living with dementia. The findings showed that nurse-led interventions could provide greater benefits by improving cognitive function, daily activities, mental health, and quality of life (Chien & Chan, 2009; Jha et al, 2013; Oh et al, 2021; Pan & Chen, 2019). However, other studies found that nurse-led therapies did not enhance cognitive performance or reduce depression in patients with dementia (Callahan et al, 2006; Hsieh et al, 2010; Jha et al, 2013).…”