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KMID : 0603920210290010027
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Journal of Korean Academy of Occupational Therapy
2021 Volume.29 No. 1 p.27 ~ p.39
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Development and Effectiveness Verification of Application-Based Cognitive Training Program for the Elderly with Dementia in Community
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Kwon Mi-Hwa
Lee Jae-Shin
Cha Tae-Hyun
Yoo Doo-Han
Kim Hee
Kim Soo-Kyung
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Abstract
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Purpose: The purpose of this study was to develop a cognitive training program based on a smart device applicationfor the prevention and treatment of dementia and to verify its effectiveness.
Methods: This study consisted of the development stages of a cognitive training program and a verification of itseffectiveness. The developed program consisted of an application and a paper-based workbook. To verify theeffectiveness, 60 subjects with mild cognitive impairment and mild dementia were randomly assigned to twogroups, and the changes in cognitive function, visual perception ability, and daily living ability were comparedthrough a pre-post design. The two groups conducted a workbook-based common cognitive training program held20 times a week. As a home program, the experimental group provided cognitive training using an application, andthe control group provided cognitive training using a workbook for 20 min each day.
Results: As a result of verifying the effectiveness, the experimental group showed significant changes in cognitivefunction (Seoul Verbal Learning Test-Eldery (SVLT-E), memory; Digit Span Test (DST), attention; Short-formKorean version Boston Naming Test (S-K-BNT), language ability; Korean-Color Word Stroop Test (K-CWST),executive function), visual perception ability (Motor-free Visual Perception Test-Vertical (MVPT-V)), and dailyliving ability (Korean Instrumental Activities of Daily Living Scale (K-IADL)). In the control group, a significantdifference was found in areas excluding attention, whereas the intervention of the experimental group was foundto be more effective in comparing the amount of change between groups.
Conclusion: In this study, an application-based cognitive training program that can be repeatedly applied at low costwas developed and its effectiveness was verified. In this way, it will be possible to provide a variety ofoccupational therapy interventions and expect positive effects on improvements of the cognitive function of theelderly within the community.
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KEYWORD
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Mild cognitive impairment,, Visual perception ability, Application, Cognitive function, Daily living ability, Dementia
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