在轻度或重大神经认知障碍中进行远程康复的HomeCoRe:一个非劣势随机对照试验
Sara Bernini1, Alice Valcarenghi2, Silvia Panzarasa3
1IRCCS Mondino Foundation, Via Mondino 2, 27100, Pavia, Italy.
GeroScience
|November 12, 2025
概括
基于家庭的认知康复计划HomeCoRe证明,对于患有神经认知障碍的老年人来说,它与临床的CoRe软件相比并没有劣势. 这项研究强调了远程传递对于可访问和引人入胜的认知训练的潜力.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 患有神经认知障碍的老年人经常从认知康复中受益.
- 传统的临床内认知康复可能会带来可访问性挑战.
研究的目的:
- 评估家庭认知康复软件 (HomeCoRe) 与其临床版本 (CoRe) 相比的非劣势.
- 评估HomeCoRe对全球认知,特定认知领域以及老年人以参与者为中心的结果的影响.
主要方法:
- 一项随机对照试验 (RCT) 涉及77名患有轻度或重度神经认知障碍的老年人.
- 参与者接受了6周的认知训练,使用HomeCoRe或CoRe.
- 评估包括全球认知,特定的认知领域,幸福感和权重得分 (捕捉表现和进步).
主要成果:
- 在提高整体认知方面,HomeCoRe表现为与CoRe不逊色.
- 两组人都在工作记忆和逻辑执行功能方面显著改善.
- HomeCoRe独特地改善了全球认知,这两种干预措施都显著提高了权重得分.
结论:
- 对于患有神经认知障碍的老年人来说,HomeCoRe是临床认知康复的可行和有效替代方案.
- 基于家庭的交付增强了认知康复中的可访问性,参与性和自主性.
- 这项RCT提供了关于远程与亲临认知干预的有效性的关键证据.
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