@Article{信息:doi 10.2196 / / jmir。3377,作者=“Tedim Cruz, V{\'i}tor and Pais, Joana and Alves, Iv{\ 'a} nia and Ruano, Lu{\'i}s and Mateus, C{\'a}tia and Barreto, Rui and Bento, Virg{\'i}lio and Colunas, M{\'a} cio and Rocha, Nelson and Coutinho, Paula”,标题=“基于网络的认知训练:患者坚持和治疗强度在门诊记忆诊所”,期刊=“J Med Internet Res”,年=“2014”,月=“5”,日=“07”,卷=“16”,数=“5”,页=“e122”,关键词=“认知训练;neurorehabilitation;基于网络的培训;电子健康系统;训练强度;依从性;背景:认知训练在认知障碍患者的治疗中发挥着越来越重要的作用。这种类型的干预,即其强度,可以通过结合基于信息技术的系统来优化。目的:本研究的目的是确定治疗强度和患者坚持以家庭为基础的认知训练策略(基于网络的认知训练)。 Methods: A cohort of 45 patients with neurologic and psychiatric diseases attending an outpatient memory clinic (average age 50.7 years, SD 17.0; average education 7.8 years, SD 4.9) was followed over 18 months. Participants were challenged to use a Web-based cognitive training system, ``COGWEB'', on a daily basis, and fulfilled at least four weeks of training supervised remotely. Additionally, 11 patients attended face-to-face sessions. Results: The average duration of continuous cognitive training was 18.8 weeks (SD 18.9). Each patient performed on average 363.5 minutes/week (SD 136.6). At 6-month follow-up, 82.8{\%} complied with their treatment plan. The average proportion of complete weeks was 0.75 (SD 0.22). Patients with dementia trained more intensively (444.6 minutes/week), followed by patients with static brain lesion (414.5 minutes/week; P=.01). The group that held face-to-face sessions performed more training overall (481.4 vs 366.9 minutes/week), achieving a stronger expression and statistical significance in the last week of training (652.6 versus 354.9 minutes/week, P=.027). Conclusions: Overall, the weekly training intensity was high. Patients with dementia and static lesions performed more cognitive training. Face-to-face sessions were associated with higher intensities. The combination of classical methods with information technology systems seems to ensure greater training intensity. ", issn="1438-8871", doi="10.2196/jmir.3377", url="//www.mybigtv.com/2014/5/e122/", url="https://doi.org/10.2196/jmir.3377", url="http://www.ncbi.nlm.nih.gov/pubmed/24808451" }
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