Telehealth Rehabilitation for Cognitive Impairment: Randomized Controlled Feasibility Trial

Overview

Journal JMIR Res Protoc

Publisher JMIR Publications

Specialty General Medicine

Date 2018 Feb 10

PMID 29422453

Citations 24

Authors

Rachel L Burton

Megan E OConnell

Affiliations

Soon will be listed here.

Abstract

Background: Nonpharmacological interventions are needed to support the function of older adults struggling with subjective cognitive impairment (SCI), mild cognitive impairment (MCI), and dementia due to Alzheimer disease (AD). Telerehabilitation aims to provide rehabilitation at a distance, but cognitive rehabilitation by videoconferencing has not been explored.

Objective: The objective of this study was to compare goal-oriented cognitive rehabilitation delivered in-person with videoconferencing to determine whether telehealth cognitive rehabilitation appears feasible.

Methods: Random assignment to in-person or telehealth videoconferencing cognitive rehabilitation with a combined between-subjects, multiple baseline single-case experimental design, cognitive rehabilitation was delivered by a therapist to 6 participants with SCI (n=4), MCI (n=1), or dementia due to AD (n=1).

Results: Two of the 6 participants randomly assigned to the telehealth condition withdrew before beginning the intervention. For those who participated in the intervention, 6 out of 6 goals measured with the Canadian Occupational Performance Measure improved for those in the in-person group, and 7 out of 9 goals improved for those in the telehealth group.

Conclusions: Delivery of cognitive rehabilitation by telehealth appeared feasible but required modifications such as greater reliance on caregivers and clients for manipulating materials.

Citing Articles

Experiences, impacts, and requirements of synchronous video consultations between nurses, allied health professionals, psychological therapists, and adult service-users: A review of the literature.

McVey L, Fitzgerald M, Montague J, Sutton C, Branney P, Briggs A PLOS Digit Health. 2024; 3(12):e0000654.

PMID: 39630648 PMC: 11616882. DOI: 10.1371/journal.pdig.0000654.

How do you target cognitive training? Bridging the gap between standard and technological rehabilitation of cognitive domains.

Maffoni M, Pierobon A, Mancini D, Magnani A, Torlaschi V, Fundaro C Front Psychol. 2024; 15:1497642.

PMID: 39575336 PMC: 11578751. DOI: 10.3389/fpsyg.2024.1497642.

Telerehabilitation - historical perspectives and conceptual framework in reference to neurological disorders: A narrative review.

Olowoyo P, Dhamija R, Owolabi M NeuroRehabilitation. 2024; .

PMID: 38995808 PMC: 11902888. DOI: 10.3233/NRE-240079.

Long-lasting improvements in episodic memory among subjects with mild cognitive impairment who received transcranial direct current stimulation combined with cognitive treatment and telerehabilitation: a multicentre, randomized, active-controlled....

Manenti R, Baglio F, Pagnoni I, Gobbi E, Campana E, Alaimo C Front Aging Neurosci. 2024; 16:1414593.

PMID: 38966802 PMC: 11223647. DOI: 10.3389/fnagi.2024.1414593.

Remote activities of cognitive stimulation for older adults during the COVID-19 pandemic: a systematic review.

Madeira E, Souza P, Amaral A Cad Saude Publica. 2024; 40(2):e00081923.

PMID: 38422247 PMC: 10896484. DOI: 10.1590/0102-311XEN081923.

References

Bucks R, Ashworth D, Wilcock G, Siegfried K . Assessment of activities of daily living in dementia: development of the Bristol Activities of Daily Living Scale. Age Ageing. 1996; 25(2):113-20. DOI: 10.1093/ageing/25.2.113. View

ORourke N, Tuokko H . Psychometric properties of an abridged version of The Zarit Burden Interview within a representative Canadian caregiver sample. Gerontologist. 2003; 43(1):121-7. DOI: 10.1093/geront/43.1.121. View

von Steinbuchel N, Lischetzke T, Gurny M, Eid M . Assessing quality of life in older people: psychometric properties of the WHOQOL-BREF. Eur J Ageing. 2017; 3(2):116-122. PMC: 5546259. DOI: 10.1007/s10433-006-0024-2. View

Morgan D, Crossley M, Kirk A, DArcy C, Stewart N, Biem J . Improving access to dementia care: development and evaluation of a rural and remote memory clinic. Aging Ment Health. 2009; 13(1):17-30. PMC: 3966903. DOI: 10.1080/13607860802154432. View

Clare L, Linden D, Woods R, Whitaker R, Evans S, Parkinson C . Goal-oriented cognitive rehabilitation for people with early-stage Alzheimer disease: a single-blind randomized controlled trial of clinical efficacy. Am J Geriatr Psychiatry. 2010; 18(10):928-39. DOI: 10.1097/JGP.0b013e3181d5792a. View

Smith J . Single-case experimental designs: a systematic review of published research and current standards. Psychol Methods. 2012; 17(4):510-50. PMC: 3652808. DOI: 10.1037/a0029312. View

Jackson J, Wesley Ely E, Morey M, Anderson V, Denne L, Clune J . Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigation. Crit Care Med. 2011; 40(4):1088-97. PMC: 3755871. DOI: 10.1097/CCM.0b013e3182373115. View

Bergquist T, Gehl C, Lepore S, Holzworth N, Beaulieu W . Internet-based cognitive rehabilitation in individuals with acquired brain injury: a pilot feasibility study. Brain Inj. 2008; 22(11):891-7. DOI: 10.1080/02699050802405487. View

Rogante M, Grigioni M, Cordella D, Giacomozzi C . Ten years of telerehabilitation: A literature overview of technologies and clinical applications. NeuroRehabilitation. 2010; 27(4):287-304. DOI: 10.3233/NRE-2010-0612. View

10.

Tam S, Man W, Hui-Chan C, Lau A, Yip B, Cheung W . Evaluating the efficacy of tele-cognitive rehabilitation for functional performance in three case studies. Occup Ther Int. 2003; 10(1):20-38. DOI: 10.1002/oti.175. View

11.

Provencher V, Bier N, Audet T, Gagnon L . Errorless-based techniques can improve route finding in early Alzheimer's disease: a case study. Am J Alzheimers Dis Other Demen. 2008; 23(1):47-56. PMC: 10846214. DOI: 10.1177/1533317507307228. View

12.

Serafini J, Damianakis T, Marziali E . Clinical practice standards and ethical issues applied to a virtual group intervention for spousal caregivers of people with Alzheimer's. Soc Work Health Care. 2007; 44(3):225-43. DOI: 10.1300/J010v44n03_07. View

13.

Ng E, Polatajko H, Marziali E, Hunt A, Dawson D . Telerehabilitation for addressing executive dysfunction after traumatic brain injury. Brain Inj. 2013; 27(5):548-64. DOI: 10.3109/02699052.2013.766927. View

14.

Clare L, Wilson B, Carter G, Hodges J . Cognitive rehabilitation as a component of early intervention in Alzheimer's disease: a single case study. Aging Ment Health. 2003; 7(1):15-21. DOI: 10.1080/1360786021000045854. View

15.

Thivierge S, Simard M, Jean L, Grandmaison E . Errorless learning and spaced retrieval techniques to relearn instrumental activities of daily living in mild Alzheimer's disease: A case report study. Neuropsychiatr Dis Treat. 2009; 4(5):987-99. PMC: 2626924. DOI: 10.2147/ndt.s3684. View

16.

Bourgeois M, Camp C, Rose M, White B, Malone M, Carr J . A comparison of training strategies to enhance use of external aids by persons with dementia. J Commun Disord. 2003; 36(5):361-78. DOI: 10.1016/s0021-9924(03)00051-0. View

17.

Carswell A, McColl M, Baptiste S, Law M, Polatajko H, Pollock N . The Canadian Occupational Performance Measure: a research and clinical literature review. Can J Occup Ther. 2004; 71(4):210-22. DOI: 10.1177/000841740407100406. View

18.

OSullivan M, Coen R, OHora D, Shiel A . Cognitive rehabilitation for mild cognitive impairment: developing and piloting an intervention. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2014; 22(3):280-300. DOI: 10.1080/13825585.2014.927818. View

19.

Greene C, Morland L, Macdonald A, Frueh B, Grubbs K, Rosen C . How does tele-mental health affect group therapy process? Secondary analysis of a noninferiority trial. J Consult Clin Psychol. 2010; 78(5):746-50. DOI: 10.1037/a0020158. View

20.

Skevington S, Lotfy M, OConnell K . The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004; 13(2):299-310. DOI: 10.1023/B:QURE.0000018486.91360.00. View