This study evaluated the potential effectiveness of a tablet-based, volunteer-led intervention (Lok Chi In-home Training) for cognitively impaired older people in improving cognitive and emotional health.
Method:
A one-group pretest and posttest design was adopted, involving 57 community-dwelling older people with cognitive impairments (Montreal Cognitive Score between 13 and 22, without neuropsychiatric behavioral problem). Trained volunteers performed eight in-home training sessions using a tablet to facilitate. Outcome measures include cognitive function, depression, activity of daily living, and instrumental activity of daily living.
Results:
A paired sample t test indicated that after receiving Lok Chi In-home Training, participants showed significantly large improvements on cognitive ability, moderate improvements on depression, and small improvements on instrumental activity of daily living.
Conclusions:
This study demonstrated the feasibility and potential benefits of Lok Chi intervention for improving cognition and emotion.
BainesS.SaxbyP.EhlertK. (1987). Reality orientation and reminiscence therapy: A controlled cross-over study of elderly confused people. British Journal of Psychiatry, 151, 222–231. doi:10.1192/bjp.151.2.222
2.
BakerL. D.FrankL. L.Foster-SchubertK.GreenP. S.WilkinsonC. W.McTiernanA.…CraftS. (2010). Effects of aerobic exercise on mild cognitive impairment: A controlled trial of aerobic exercise for mild cognitive impairment. JAMA Neurology, 67, 71–79. doi:10.1001/archneurol.2009.307
3.
BanerjeeS.SamsiK.PetrieC. D.AlvirJ.TregliaM.SchwamE. M.del ValleM. (2009). What do we know about quality of life in dementia? A review of the emerging evidence on the predictive and explanatory value of disease specific measures of health related quality of life in people with dementia. International Journal of Geriatric Psychiatry, 24, 15–24. doi:10.1002/gps.2090
4.
ChanA. C. M. (1996). Clinical validation of the Geriatric Depression Scale (DGS): Chinese version. Journal of Aging and Health, 8, 238–253. doi:10.1177/089826439600800205
5.
ChanC.HoP. S. Y.ChowE. (2002). A body-mind-spirit model in health. Social Work in Health Care, 34, 261–282. doi:10.1300/J010v34n03_02
6.
ChanC. H. Y.ChanT. H. Y.ChanC. L. W. (2014). Translating Daoist concepts into integrative social work practice: An empowerment program for persons with depressive symptoms. Journal of Religion & Spirituality in Social Work: Social Thought, 33, 61–72. doi:10.1080/15426432.2014.873662
7.
ChanC. L. W.HoR. T. H.LeeP. W. H.ChengJ. Y. Y.LeungP. P. Y.FooW.…SpiegelD. (2006). A randomized controlled trial of psychosocial interventions using the psychophysiological framework for chinese breast cancer patients. Journal of Psychosocial Oncology, 24, 3–26. doi:10.1300/J077v24n01_02
8.
ChanC.HoloskoM. J. (2016). A review of information and communication technology enhanced social work interventions. Research on Social Work Practice, 26, 88–100. doi:10.1177/1049731515578884
9.
CheungD. S. K.LiB.LaiD. W. L.LeungA. Y. M.YuC. T. K.TsangK. T. (2019). Cognitive stimulating play intervention for dementia: A feasibility randomized controlled trial. American Journal of Alzheimer’s Disease & Other Dementias, 34, 63–71. doi:10.1177/1533317518808036
10.
ChowA.ChowP.ShinseiO.ChanK. (2017). Integrative Body–Mind–Spirit intervention for people with dementia: A holistic revitalization model. In LeeM. Y.ChanC. H. Y.ChanC. L. W., et al. (Eds.), Integrative body-mind-spirit social work: An empirically-based approach to assessment and treatment (2nd ed., pp. 216–227). New York, NY: Oxford University Press.
11.
ChuL. W.NgK. H.LawA. C.LeeA. M.KwanF. (2015). Validity of the Cantonese Chinese montreal cognitive assessment in Southern Chinese. Geriatrics & Gerontology International, 15, 96–103. doi:10.1111/ggi.12237
12.
ChungJ. C. C. (2009). An intergenerational reminiscence programme for older adults with early dementia and youth volunteers: Values and challenges. Scandinavian Journal of Caring Sciences, 23, 259–264. doi:10.1111/j.1471-6712.2008.00615.x
13.
CooperC.SommerladA.LyketsosC. G.LivingstonG. (2015). Modifiable predictors of dementia in mild cognitive impairment: A systematic review and meta-analysis. American Journal of Psychiatry, 172, 323–334. doi:10.1176/appi.ajp.2014.14070878
14.
CotelliM.ManentiR.ZanettiO. (2012). Reminiscence therapy in dementia: A review. Maturitas, 72, 203–205. doi:10.1016/j.maturitas.2012.04.008
15.
CoyleH.TraynorV.SolowijN. (2015). Computerized and virtual reality cognitive training for individuals at high risk of cognitive decline: Systematic review of the literature. The American Journal of Geriatric Psychiatry, 23, 335–359. doi:10.1016/j.jagp.2014.04.009
16.
Des RochesC. A.BalachandranI.AscensoE. M.TripodisY.KiranS. (2015). Effectiveness of an impairment-based individualized rehabilitation program using an iPad-based software platform. Frontiers in Human Neuroscience, 8, 1015. doi:10.3389/fnhum.2014.01015
17.
García-CasalJ. A.LoizeauA.CsipkeE.Franco-MartínM.Perea-BartoloméM. V.OrrellM. (2017). Computer-based cognitive interventions for people living with dementia: A systematic literature review and meta-analysis. Aging & Mental Health, 21, 454–467. doi:10.1080/13607863.2015.1132677
18.
GatesN. J.VernooijR. W. M.Di NisioM.KarimS.MarchE.MartínezG.RutjesA. W. S. (2019). Computerised cognitive training for preventing dementia in people with mild cognitive impairment. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD012279.pub2
HanA.BrownD.RichardsonA. (2018). Older adults’ perspectives on volunteering in an activity-based social program for people with dementia. Activities, Adaptation & Aging, 1–19. doi:10.1080/01924788.2018.1500055
21.
HillN. T.MowszowskiL.NaismithS. L.ChadwickV. L.ValenzuelaM.LampitA. (2016). Computerized cognitive training in older adults with mild cognitive impairment or dementia: A systematic review and meta-analysis. American Journal of Psychiatry, 174, 329–340. doi:10.1176/appi.ajp.2016.16030360
HughesT. F.FlattJ. D.FuB.ChangC.C. H.GanguliM. (2013). Engagement in social activities and progression from mild to severe cognitive impairment: The MYHAT study. International Psychogeriatrics, 25, 587–595. doi:10.1017/S1041610212002086
25.
KueiderA. M.ParisiJ. M.GrossA. L.RebokG. W. (2012). Computerized cognitive training with older adults: A systematic review. PLoS One, 7, e40588. doi:10.1371/journal.pone.0040588
26.
LawtonM. P.BrodyE. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179–186. doi:10.1093/geront/9.3_Part_1.179
27.
LeeE. K. O.YoonH.LeeJ.YoonJ.ChangE. (2012). Body–Mind–Spirit practice for healthy aging. Educational Gerontology, 38, 473–485. doi:10.1080/03601277.2011.567182
28.
LiH.LiJ.LiN.LiB.WangP.ZhouT. (2011). Cognitive intervention for persons with mild cognitive impairment: A meta-analysis. Ageing Research Reviews, 10, 285–296. doi:10.1016/j.arr.2010.11.003
29.
LiangJ. H.ShenW. T.LiJ. Y.QuX. Y.LiJ.JiaR. X.…LinL. (2019). The optimal treatment for improving cognitive function in elder people with mild cognitive impairment incorporating Bayesian network meta-analysis and systematic review. Ageing Research Reviews, 51, 85–96. doi:10.1016/j.arr.2019.01.009
30.
LiuC. Y.LuC. H.YuS.YangY. Y. (1998). Correlations between scores on Chinese versions of long and short forms of the geriatric depression scale among elderly Chinese. Psychological Reports, 82, 211–214. doi:10.2466/pr0.1998.82.1.211
31.
LivingstonG.SommerladA.OrgetaV.CostafredaS. G.HuntleyJ.AmesD.…MukadamN. (2017). Dementia prevention, intervention, and care. The Lancet, 390, 2673–2734. doi:10.1016/S0140-6736(17)31363-6
32.
LoS.LouV. W. (2015). Evidence-based practice in care support service to elderly with depressive sign and memory loss in Hong Kong. In PengM. H.ZengJ. W. (Eds.), Welfare services: Social work paradigm interaction in Chinese community (pp. 330–339). Beijing, China: China Social Sciences Press. [in Chinese].
33.
MahoneyF. I.BarthelD. W. (1965). Functional evaluation: The Barthel Index: A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Maryland State Medical Journal, 14, 61–65.
34.
MartinM.ClareL.AltgassenA. M.CameronM. H.ZehnderF. (2011). Cognition-based interventions for healthy older people and people with mild cognitive impairment. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD006220.pub2
35.
NasreddineZ. S.PhillipsN. A.BédirianV.CharbonneauS.WhiteheadV.CollinI.…ChertkowH. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53, 695–699. doi:10.1111/j.1532-5415.2005.53221.x
36.
PetersenR. C. (2016). Mild cognitive impairment. Continuum: Lifelong Learning in Neurology, 22, 404–418. doi:10.1212/CON.0000000000000313
37.
PitkalaK. H.RoutasaloP.KautiainenH.SintonenH.TilvisR. S. (2011). Effects of socially stimulating group intervention on lonely, older people’s cognition: A randomized, controlled trial. The American Journal of Geriatric Psychiatry, 19, 654–663. doi:10.1097/JGP.0b013e3181f7d8b0
38.
PotterG. G.SteffensD. C. (2007). Contribution of depression to cognitive impairment and dementia in older adults. The Neurologist, 13, 105–117. doi:10.1097/01.nrl.0000252947.15389.a9
39.
ReijndersJ.van HeugtenC.van BoxtelM. (2013). Cognitive interventions in healthy older adults and people with mild cognitive impairment: A systematic review. Ageing Research Reviews, 12, 263–275. doi:10.1016/j.arr.2012.07.003
40.
SheikhJ. I.YesavageJ. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health, 5, 165–173. doi:10.1300/J018v05n01_09
41.
SöderhamnU.LandmarkB.AasgaardL.EideH.SöderhamnO. (2012). Volunteering in dementia care—A Norwegian phenomenological study. Journal of Multidisciplinary Healthcare, 5, 61–67. doi:10.2147/JMDH.S28240
42.
SpectorA.WoodsB.OrrellM.DaviesS. (2000). Reality orientation for dementia: A systematic review of the evidence of effectiveness from randomized controlled trials. The Gerontologist, 40, 206–212. doi:10.1093/geront/40.2.206
43.
SubramaniamP.WoodsB. (2012). The impact of individual reminiscence therapy for people with dementia: Systematic review. Expert Review of Neurotherapeutics, 12, 545–555. doi:10.1586/ern.12.35
44.
SunN.RauP.L. P.LiY.OwenT.ThimblebyH. (2016). Design and evaluation of a mobile phone-based health intervention for patients with hypertensive condition. Computers in Human Behavior, 63, 98–105. doi:10.1016/j.chb.2016.05.001
45.
SungkaratS.BoripuntakulS.ChattipakornN.WatcharasaksilpK.LordS. R. (2017). Effects of Tai Chi on cognition and fall risk in older adults with mild cognitive impairment: A randomized controlled trial. Journal of the American Geriatrics Society, 65, 721–727. doi:10.1111/jgs.14594
46.
Van der PloegE. S.WalkerH.O’ConnorD. W. (2014). The feasibility of volunteers facilitating personalized activities for nursing home residents with dementia and agitation. Geriatric Nursing, 35, 142–146. doi:10.1016/j.gerinurse.2013.12.003
47.
VaughanS.WallisM.PolitD.SteeleM.ShumD.MorrisN. (2014). The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: A randomised controlled trial. Age and Ageing, 43, 623–629. doi:10.1093/ageing/afu010
48.
WongA.NyenhuisD.BlackS. E.LawL. S.LoE. S.KwanP. W.…NasreddineZ. (2015). Montreal Cognitive Assessment 5-minute protocol is a brief, valid, reliable, and feasible cognitive screen for telephone administration. Stroke, 46, 1059–1064. doi:10.1161/STROKEAHA.114.007253
49.
WongA.XiongY. Y.KwanP. W. L.ChanA. Y. Y.LamW. W. M.WangK.…MokV. C. T. (2009). The validity, reliability and clinical utility of the Hong Kong Montreal Cognitive Assessment (HK-MOCA) in patients with cerebral small vessel disease. Dementia and Geriatric Cognitive Disorders, 28, 81–87. doi:10.1159/000232589
50.
WoodsB.AguirreE.SpectorA. E.OrrellM. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD005562.pub2
51.
WoodsB.O’PhilbinL.FarrellE. M.SpectorA. E.OrrellM. (2018). Reminiscence therapy for dementia. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD001120.pub3
52.
YasamyM.DuaT.HarperM.SaxenaS. (2013). Mental health of older adults, addressing a growing concern. World Health Organization, Department of Mental Health and Substance Abuse, 10, 4–9.
53.
YeungP.WongL.ChanC.LeungJ.YungC. (2014). A validation study of the Hong Kong version of Montreal Cognitive Assessment (HK-MoCA) in Chinese older adults in Hong Kong. Hong Kong Medical Journal, 20, 504–510.
54.
YouJ. S.ChenR. Z.ZhangF. M.ZhouZ. Y.CaiY. F.LiG. F. (2011). The Chinese (Cantonese) montreal cognitive assessment in patients with subcortical ischemic vascular dementia. Dementia and Geriatric Cognitive Disorders Extra, 1, 276–282. doi:10.1159/000331238
55.
YoungD. K. W.NgP. Y. N.ChengD. (2017). Psychoeducation group on improving quality of life of mild cognitive impaired elderly. Research on Social Work Practice, 29, 303–310. doi:10.1177/1049731517732420
