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Reducing everyday memory and planning problems by means of a paging system: a randomised control crossover study
B A Wilson1, H C Emslie, K Quirk
1MRC Cognition and Brain Sciences Unit, Box 58, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK. barbara.wilson@mrc-cbu.cam.ac.uk
Journal of Neurology, Neurosurgery, and Psychiatry
|March 20, 2001
Summary
A paging system significantly improved daily functioning for individuals with memory and executive deficits. Most users maintained these gains even after discontinuing the device.
Area of Science:
- Neuroscience
- Rehabilitation Technology
- Cognitive Science
Background:
- Memory problems and executive deficits significantly impair daily independence.
- Existing assistive technologies often have limitations in addressing these cognitive challenges.
- The need for effective, user-friendly interventions is critical for individuals with brain injuries or cognitive impairments.
Purpose of the Study:
- To assess the efficacy of a novel paging system in enhancing independence.
- To evaluate the impact of the paging system on everyday activities for individuals with cognitive deficits.
- To determine the long-term effects of using the paging system on daily task completion.
Main Methods:
- A randomized controlled trial with a crossover design was employed.
- 143 participants (aged 8-83) with memory, planning, attention, or organization problems were enrolled.
- Assessments were conducted at baseline, 7 weeks, and 14 weeks post-baseline.
Main Results:
- Over 80% of participants demonstrated significant improvements in daily activities (e.g., self-care, medication management, appointments) while using the pager.
- These functional improvements were largely sustained 7 weeks after the pager was returned.
- The paging system proved effective for individuals with diverse conditions, including traumatic brain injury and stroke.
Conclusions:
- The evaluated paging system effectively reduces everyday memory and planning failures.
- This technology offers a promising solution for improving independence in individuals with brain injuries.
- The findings support the use of paging systems as a valuable assistive tool for cognitive rehabilitation.