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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Technology and Dementia Preconference.

Jennifer A Flexman1, Jessie Ng2, Paul A Campbell3

  • 1Moneta Health, Seattle, WA, USA.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
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Summary
This summary is machine-generated.

Cognitive rehabilitation via an AI-powered telephone system significantly improved cognitive function and quality of life in older adults. This scalable model enhances access to care for those with cognitive impairment, including mild cognitive impairment and dementia.

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Area of Science:

  • Gerontology
  • Neurology
  • Digital Health

Background:

  • Cognitive impairment affects over 32% of adults over 65 globally, impacting 250 million individuals.
  • Cognitive rehabilitation is vital for maintaining independence in dementia patients, but access is limited by provider shortages, especially in remote areas.

Purpose of the Study:

  • To evaluate the effectiveness of Moneta Health's automated, AI-powered telephone-based cognitive rehabilitation system.
  • To address the unmet need for accessible cognitive rehabilitation services for older adults.

Main Methods:

  • Patients received personalized, interactive cognitive activities via a voice agent, guided by AI and reviewed by a speech-language pathologist (SLP).
  • The system focused on stimulating cognitive deficits and teaching compensatory strategies through automated calls and weekly SLP feedback.

Main Results:

  • In a cohort of 75 patients (average age 73), 59% had mild cognitive impairment (MCI) and 33% had dementia.
  • Cognitive function improved by 18% (p <0.001), surpassing traditional outpatient therapy (13%).
  • Self-reported quality of life significantly improved by 11% (p <0.001).

Conclusions:

  • Moneta's AI-driven telephone program offers a scalable solution to improve access to cognitive rehabilitation.
  • The program demonstrates real-world effectiveness in enhancing cognitive function and quality of life for older adults with cognitive impairment.