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Long-term individual cognitive stimulation program in patients with mild neurocognitive disorder: A pilot study

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Detalhes bibliográficos
Resumo:Introduction. There is evidence to suggest that cognitive stimulation produces cognitive benefi ts in people with mild neurocognitive disorder. However, the eff ect has been previously demonstrated to be minimal to moderate and the effect of long-term individual interventions, namely on specifi c cognitive domains, is unknown. Aim. To assess the effi cacy, feasibility and acceptability of a long-term individual cognitive stimulation intervention for patients with mild neurocognitive disorder. Patients and methods. Patients (n = 30) with mild neurocognitive disorder were assigned to a cognitive stimulation intervention group (n = 15) or to a control group (n = 15). The intervention consisted of 88 individual sessions, approximately 45 minutes long, with two sessions per week. External evaluators assessed the level of alteration in cognitive performance, depressive symptoms and the level of independence in the performance of basic activities of daily living. Results. After the intervention, a signifi cant improvement was found in the intervention group compared to the control group in overall cognitive performance (d = 0.83), specifi cally in the language domain (d until 1.50). There were also lower depressive symptoms in the intervention group compared to the control group (d = 0.93). Only 6.7% of the participants dropped out the study, with participants attending a mean of 83 ± 12.1 sessions. Conclusions. The results support the effi cacy, feasibility and acceptability of the intervention for mild neurocognitive disorder and justify a randomized controlled trial of the program with a larger sample.
Autores principais:Marques-Castro, Ana
Outros Autores:Otero, Patricia; Vázquez, Fernando; Torres, Ángela; Henriques, Susana
Assunto:Cognitive stimulation Elderly Individual intervention Mild cognitive impairment Mild neurocognitive disorder Non-pharmacological therapy
Ano:2019
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Beja
Idioma:inglês
Origem:Repositório Institucional do IPBeja
Descrição
Resumo:Introduction. There is evidence to suggest that cognitive stimulation produces cognitive benefi ts in people with mild neurocognitive disorder. However, the eff ect has been previously demonstrated to be minimal to moderate and the effect of long-term individual interventions, namely on specifi c cognitive domains, is unknown. Aim. To assess the effi cacy, feasibility and acceptability of a long-term individual cognitive stimulation intervention for patients with mild neurocognitive disorder. Patients and methods. Patients (n = 30) with mild neurocognitive disorder were assigned to a cognitive stimulation intervention group (n = 15) or to a control group (n = 15). The intervention consisted of 88 individual sessions, approximately 45 minutes long, with two sessions per week. External evaluators assessed the level of alteration in cognitive performance, depressive symptoms and the level of independence in the performance of basic activities of daily living. Results. After the intervention, a signifi cant improvement was found in the intervention group compared to the control group in overall cognitive performance (d = 0.83), specifi cally in the language domain (d until 1.50). There were also lower depressive symptoms in the intervention group compared to the control group (d = 0.93). Only 6.7% of the participants dropped out the study, with participants attending a mean of 83 ± 12.1 sessions. Conclusions. The results support the effi cacy, feasibility and acceptability of the intervention for mild neurocognitive disorder and justify a randomized controlled trial of the program with a larger sample.