通过平板电脑和计算机平台进行计算机认知训练对轻度认知障碍患者的认知功能的影响:系统性审查和元分析
Meiqi Jiao1, Zhong Ding1,2, Chaocong Huang1
1Department of Psychological and Behavioral Sciences, Zhejiang University, Hangzhou 310027, China.
Behavioral sciences (Basel, Switzerland)
|January 28, 2026
概括
使用平板电脑/计算机的计算机认知训练 (CCT) 显著提高了轻度认知障碍 (MCI) 患者的全球认知能力. 游戏化可能会进一步增强这些积极影响,这表明它对未来干预的潜力.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 数字健康数字健康
背景情况:
- 轻度认知障碍 (MCI) 是痴呆症的关键前体.
- 基于平板电脑/计算机的计算机化认知训练 (CCT) 是MCI的常见干预措施.
- 关于CCT的有效性和游戏化的具体作用需要进一步研究.
研究的目的:
- 评估基于平板电脑/计算机的CCT对被诊断患有MCI的老年人全球认知功能的影响.
- 探索CCT中的游戏化是否会影响其有效性.
主要方法:
- 系统审查和随机对照试验 (RCT) 的元分析,发表到2025年10月.
- 包括55岁及以上患有MCI的参与者,通过数字设备接受基于任务的CCT.
- 主要结局指标是全球认知功能,使用随机效应模型进行分析.
主要成果:
- 分析了包括1013名参与者在内的19个RCT.
- CCT对全球认知表现出显著的中度积极影响 (赫奇斯的g=0.57).
- 一个趋势表明,随着游戏化水平的提高,潜在的好处可能会更大,尽管在统计学上并不显著.
结论:
- 基于平板电脑/计算机的CCT是改善MCI患者的全球认知能力的有效策略.
- 游戏化显示出增强CCT参与度和成果的前景,值得进一步研究.
- 建议进行更大规模的临床试验,以证实游戏化的附加效益.
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