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Título
Determinants of Adherence to a “GRADIOR” Computer-Based Cognitive Training Program in People with Mild Cognitive Impairment (MCI) and Mild Dementia
Autor(es)
Palabras clave
Dementia
Rehabilitation
Software
Computer-based
Cognition
Psychology
Fecha de publicación
2022
Editor
MDPI
Citación
Diaz Baquero, A. A., Perea Bartolomé, M. V., Toribio-Guzmán, J. M., Martínez-Abad, F., Vidales, E. P., Aguado, Y. B., van der Roest, H. G., Franco-Martín, M. A., Diaz Baquero, A. A., Perea Bartolomé, M. V., Toribio-Guzmán, J. M., Martínez-Abad, F., Vidales, E. P., Aguado, Y. B., van der Roest, H. G., & Franco-Martín, M. A. (2022). Determinants of Adherence to a “GRADIOR” Computer-Based Cognitive Training Program in People with Mild Cognitive Impairment (MCI) and Mild Dementia. Journal of Clinical Medicine, 11(6), Article 6. https://doi.org/10.3390/JCM11061714
Resumen
[EN]Background: Computer-based programs have been implemented from a psychosocial
approach for the care of people with dementia (PwD). However, several factors may determine
adherence of older PwD to this type of treatment. The aim of this paper was to identify the sociodemographic,
cognitive, psychological, and physical-health determinants that helped predict
adherence or not to a “GRADIOR” computerized cognitive training (CCT) program in people with
mild cognitive impairment (MCI) and mild dementia. Method: This study was part of a randomized
clinical trial (RCT) (ISRCTN: 15742788). However, this study will only focus on the experimental
group (n = 43) included in the RCT. This group was divided into adherent people (compliance: 60%
of the sessions and persistence in treatment up to 4 months) and non-adherent. The participants were
60–90 age and diagnosed with MCI and mild dementia. We selected from the evaluation protocol
for the RCT, tests that evaluated cognitive aspects (memory and executive functioning), psychological
and physical health. The CCT with GRADIOR consisted of attending 2–3 weekly sessions for
4 months with a duration of 30 min Data analysis: Phi and Biserial-point correlations, a multiple
logical regression analysis was obtained to find the adherence model and U Mann–Whitney was
used. Results: The adherence model was made up of the Digit Symbol and Arithmetic ofWechsler
Adult Intelligence Scale (WAIS-III) and Lexical Verbal Fluency (LVF) -R tests. This model had 90%
sensitivity, 50% specificity and 75% precision. The goodness-of-fit p-value of the model was 0.02.
Conclusions: good executive functioning in attention, working memory (WM), phonological verbal
fluency and cognitive flexibility predicted a greater probability that a person would be adherent.
URI
DOI
10.3390/JCM11061714
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