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A Hierarchical Multi-Dimensional Cognitive Training Program for Preventive Cognitive Decline in Acute Ischemic Stroke
1Nursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Journal of Alzheimer'S Disease Reports
|December 25, 2023
Summary
This study introduces a new WeChat-based cognitive training program for stroke patients to prevent cognitive decline. The program aims to improve cognitive function and daily living abilities, potentially reducing long-term impairment.
Area of Science:
- Neuroscience
- Gerontology
- Rehabilitation Medicine
Background:
- Cognitive decline is a significant challenge, often considered permanent.
- Preventive cognitive training during the acute phase may offer a solution.
- Stroke patients are a key demographic experiencing cognitive deterioration.
Purpose of the Study:
- To design and evaluate a hierarchical, multi-dimensional preventive cognitive training program.
- To assess the effectiveness of this training in stroke patients.
- To explore a novel approach to cognitive rehabilitation via a digital platform.
Main Methods:
- A randomized controlled trial involving stroke patients in a Chinese hospital.
- A four-week hierarchical, multi-dimensional cognitive training intervention delivered via WeChat.
- Primary outcomes include Montreal Cognitive Assessment, Mini-Mental State Examination, and Post-Stroke Cognitive Impairment (PSCI) incidence.
- Secondary outcomes assess depression, anxiety, daily living, and neurological deficits.
- Measurements taken at baseline, 12, and 24 weeks.
Main Results:
- The hierarchical, multi-dimensional preventive cognitive training program is expected to be easily implementable.
- Anticipated variations in cognitive function, psychology, and daily living abilities across different settings.
- The WeChat platform facilitates home-based practice and adherence.
Conclusions:
- The study will provide evidence for a novel home-based cognitive training strategy via WeChat.
- This approach represents an advanced concept for preventive cognitive training in the acute stage post-stroke.
- The program shows potential for high effectiveness in reducing cognitive impairment and the risk of Alzheimer's disease.
