Showing posts with label computerized cognitive training. Show all posts
Showing posts with label computerized cognitive training. Show all posts
Tuesday, August 7, 2018
Saturday, June 16, 2018
Understanding the experience of compensatory and restorative memory rehabilitation: A qualitative study of stroke survivors
Shit, another useless research piece. No protocols that came out of it. Nothing that a survivor could take to their therapists or doctors to get recovered.
Understanding the experience of compensatory and restorative memory rehabilitation: A qualitative study of stroke survivors
, Dana Wong
Received 19 Dec 2017, Accepted 16 May 2018, Published online: 11 Jun 2018
Translator disclaimer
ABSTRACT
Memory impairment is common following stroke. Memory skills groups (MSGs) utilising compensatory strategies and computerised cognitive training (CCT) are two rehabilitation approaches available to improve memory function; however, there is no consensus as to which is more effective following stroke. This study aimed to explore and contrast the qualitative experiences of 20 stroke survivors (Mage = 61.90, SD = 10.48, range: 34–77 years) who received six weeks’ training in MSG (manualised memory skills group, n = 10) or individual-CCT (LumosityTM, n = 10). Using semi-structured interviews, data were collected and analysed thematically, adopting a critical realist approach. Six themes were identified: (1) Facilitators and barriers to intervention engagement, (2) Improving knowledge and understanding, (3) Connecting with others, (4) Perception of the intervention, (5) Impact on everyday memory and (6) Impact on emotions and sense of purpose. Encouragingly, most participants valued and enjoyed participating in the memory interventions, irrespective of rehabilitation approach. MSG participants reported learning and sharing with similar others as important to the experience and described everyday memory improvements. CCT participants described enjoyment of its game-like nature, yet reported frustration associated with game-specific characteristics, and did not report everyday memory improvements.
Thursday, July 27, 2017
Computer brain games for treating cognitive impairment
This came out a couple of days ago.
“Use it or lose it.” That advice
can apply to many situations but is often used to stress the importance
of keeping our bodies and minds active in order to stay healthy,
independent and mentally fit for as long as possible.
Research evidence supports this old adage (1) and there are plenty of good options for staying physically active… but how can we best exercise our brains? One option for a cognitive “work out” is computerized cognitive training (CCT): various types of computer programs designed to strengthen overall cognition and improve memory, attention span and learning. With many options now available online, CCT is showing promise in helping to prevent cognitive decline in healthy older adults (2;3).
That led researchers to investigate whether CCT could benefit those who have already experienced cognitive decline (4).They include people with mild cognitive impairment (MCI) who have noticeable problems with thinking, memory, language and decision making but are still able to function independently, and people with dementia whose cognitive impairments interfere with daily activities.
Study groups participated in supervised computerized cognitive skills training, video games or virtual reality activities for at least four hours in total, after which their cognitive abilities were measured and compared to control groups who didn’t take part in CCT or did different types of training.
People with MCI experienced moderate improvement in their overall cognitive abilities after taking part in computerized cognitive training sessions, specifically in areas such as memory, attention, verbal and non-verbal learning, and psychosocial functioning (4). For people with dementia, the evidence was less encouraging but some minor improvements were noted.
Cognition tests were taken immediately after the completion of training, so the results don’t tell us much about the longer term impacts of CCT. More research is needed to address those and other questions, including whether CCT can help prevent the progression of mild cognitive impairment to full dementia.
Although these results are promising, computer “brain games” should not be considered a one-step solution to keep our brains healthy and sharp. Research evidence shows that people with cognitive impairment, and their caregivers, benefit most when support programs have multiple components, including physical exercise and social interaction (5), and most of us can benefit from less sedentary screen time! However, this research suggests that computer-based cognitive training can be considered one promising addition to treatment for people with cognitive impairment.
Report challenges claims of cognitive benefits of online brain-training games
So what the fuck are you as stroke survivor supposed to do? Your doctor will hem and haw and never give you a stroke protocol on this.
Computer brain games for treating cognitive impairment
The Bottom Line
- Computerized cognitive training (CCT) is an enjoyable, easy and relatively inexpensive way to stay mentally fit.
- CCT contributes to short-term cognitive improvements in people with mild cognitive impairment. Small improvements were also seen in people with dementia.
- More research is needed to find out the longer term benefits of CCT, and if it helps prevent people with mild cognitive impairment from developing dementia.
Research evidence supports this old adage (1) and there are plenty of good options for staying physically active… but how can we best exercise our brains? One option for a cognitive “work out” is computerized cognitive training (CCT): various types of computer programs designed to strengthen overall cognition and improve memory, attention span and learning. With many options now available online, CCT is showing promise in helping to prevent cognitive decline in healthy older adults (2;3).
That led researchers to investigate whether CCT could benefit those who have already experienced cognitive decline (4).They include people with mild cognitive impairment (MCI) who have noticeable problems with thinking, memory, language and decision making but are still able to function independently, and people with dementia whose cognitive impairments interfere with daily activities.
Study groups participated in supervised computerized cognitive skills training, video games or virtual reality activities for at least four hours in total, after which their cognitive abilities were measured and compared to control groups who didn’t take part in CCT or did different types of training.
What the research tells us
Cognitive “brain games” may be screen time well spent!People with MCI experienced moderate improvement in their overall cognitive abilities after taking part in computerized cognitive training sessions, specifically in areas such as memory, attention, verbal and non-verbal learning, and psychosocial functioning (4). For people with dementia, the evidence was less encouraging but some minor improvements were noted.
Cognition tests were taken immediately after the completion of training, so the results don’t tell us much about the longer term impacts of CCT. More research is needed to address those and other questions, including whether CCT can help prevent the progression of mild cognitive impairment to full dementia.
Although these results are promising, computer “brain games” should not be considered a one-step solution to keep our brains healthy and sharp. Research evidence shows that people with cognitive impairment, and their caregivers, benefit most when support programs have multiple components, including physical exercise and social interaction (5), and most of us can benefit from less sedentary screen time! However, this research suggests that computer-based cognitive training can be considered one promising addition to treatment for people with cognitive impairment.
Friday, May 12, 2017
Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trial
Why would you want to do this for depression rather than SSRIs which also gives you better recovery? The comparison should have also been against SSRIs. Now more followup research still needs to be done. All because there is NO stroke strategy and NO stroke leadership.
NARIC Accession Number: J75822. What's this?
ISSN: 0003-9993.
Author(s): Kootker, Joyce A.; Rasquin, Sascha M. C.; Lem, Frederick C.; van Heugten, Caroline M.; Fasotti, Luciano; Geurts, Alexander C. H..
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study evaluated the effectiveness of individually tailored cognitive behavioral therapy (CBT) for reducing depressive symptoms with or without anxiety after stroke. Sixty-one patients who had a Hospital Anxiety and Depression Scale-depression subscale (HADS-D) score >7 at least 3 months poststroke were randomly allocated to either augmented CBT or computerized cognitive training (CCT). The CBT intervention was based on the principles of recognizing, registering, and altering negative thoughts and cognitions. CBT was augmented with goal-directed real-life activity training given by an occupational or movement therapist. The HADS-D score was the primary outcome, and measures of participation and quality of life were secondary outcomes. Outcome measurements were performed at baseline, immediately posttreatment, and at 4- and 8-month follow-up. Analysis was performed with linear mixed models using group (CBT versus CCT) as the between-subjects factor and time (4 assessments) as the within-subjects factor. Mixed-model analyses showed a significant and persistent time effect for HADS-D and for participation and quality of life in both groups. There was no significant group-by-time effect for any of the outcome measures. Findings indicated that the augmented CBT intervention was not superior to CCT for the treatment of mood disorders after stroke. Future studies should determine whether both interventions are better than natural history.
Descriptor Terms: ANXIETY DISORDERS, DEPRESSION, INTERVENTION, OUTCOMES, PSYCHOTHERAPY, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Kootker, Joyce A., Rasquin, Sascha M. C., Lem, Frederick C., van Heugten, Caroline M., Fasotti, Luciano, Geurts, Alexander C. H.. (2017). Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 687-694. Retrieved 5/13/2017, from REHABDATA database.
* The majority of journal articles, books, and reports in our collection are only available by regular mail, rather than downloadable electronic format. Learn more about our digital collection and our document delivery service.
More information about this publication:
Archives of Physical Medicine and Rehabilitation.
Common antidepressant can help stroke patients improve movement and coordination Sept. 2015
Antidepressants may help people recover from stroke even if they are not depressed Jan. 2013
Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trial
Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 687-694.NARIC Accession Number: J75822. What's this?
ISSN: 0003-9993.
Author(s): Kootker, Joyce A.; Rasquin, Sascha M. C.; Lem, Frederick C.; van Heugten, Caroline M.; Fasotti, Luciano; Geurts, Alexander C. H..
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study evaluated the effectiveness of individually tailored cognitive behavioral therapy (CBT) for reducing depressive symptoms with or without anxiety after stroke. Sixty-one patients who had a Hospital Anxiety and Depression Scale-depression subscale (HADS-D) score >7 at least 3 months poststroke were randomly allocated to either augmented CBT or computerized cognitive training (CCT). The CBT intervention was based on the principles of recognizing, registering, and altering negative thoughts and cognitions. CBT was augmented with goal-directed real-life activity training given by an occupational or movement therapist. The HADS-D score was the primary outcome, and measures of participation and quality of life were secondary outcomes. Outcome measurements were performed at baseline, immediately posttreatment, and at 4- and 8-month follow-up. Analysis was performed with linear mixed models using group (CBT versus CCT) as the between-subjects factor and time (4 assessments) as the within-subjects factor. Mixed-model analyses showed a significant and persistent time effect for HADS-D and for participation and quality of life in both groups. There was no significant group-by-time effect for any of the outcome measures. Findings indicated that the augmented CBT intervention was not superior to CCT for the treatment of mood disorders after stroke. Future studies should determine whether both interventions are better than natural history.
Descriptor Terms: ANXIETY DISORDERS, DEPRESSION, INTERVENTION, OUTCOMES, PSYCHOTHERAPY, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Kootker, Joyce A., Rasquin, Sascha M. C., Lem, Frederick C., van Heugten, Caroline M., Fasotti, Luciano, Geurts, Alexander C. H.. (2017). Augmented cognitive behavioral therapy for poststroke depressive symptoms: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 687-694. Retrieved 5/13/2017, from REHABDATA database.
* The majority of journal articles, books, and reports in our collection are only available by regular mail, rather than downloadable electronic format. Learn more about our digital collection and our document delivery service.
More information about this publication:
Archives of Physical Medicine and Rehabilitation.
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