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Effect of Mobile App-Based Cognitive Training Program for Middle-aged Women

갱년기 중년여성을 위한 앱 기반 인지훈련 프로그램의 효과

  • Received : 2021.08.06
  • Accepted : 2021.11.20
  • Published : 2021.11.28

Abstract

This study sought to identify the effectiveness of training programs by developing mobile app-based training programs to enhance memory, attention, and language function, which is known to be vulnerable to menopause women. It was conducted on 40 Climacteric woman between 40 to 60 years complaining about cognitive function decline. The mobile app-based cognitive training was an 8 week program. There were a total of 24 sessions and each session took 20-30 minutes, three times per week. The survey was carried out including a baseline study pre and post intervention study. The research variables were objective cognitive function (overall cognitive function, memory, attention, and language function), subjective cognitive function and quality of life. The cognitive training program showed a significant increase in overall cognitive function(t=-8.688, p<.001), memory(t=-4.765, p<.001), attention : number of correct answers(t=-7.293, p<.001), language high frequency response speed(Z=-2.179, p=.036), language low frequency response speed(Z=-2.737, p=.009) and quality of life (t=-3.358, p=.002). However, there was no significant difference in the scores for subjective cognitive function. The cognitive training program was found to be an effective intervention for improving the cognitive function of Climacteric women. It could be used as a cognitive intervention tool that is accessible at home without expert help.

본 연구는 갱년기 여성들에게 취약하다고 알려진 기억력과 주의집중력, 언어기능을 증진시키기 위해 개발된 모바일 앱 기반 인지훈련 프로그램의 효과를 규명하고자 하였다. 기억력 저하를 호소하는 만 40세에서 60세 사이의 갱년기 여성 40명을 대상으로 실시하였다. 모바일 앱 기반의 인지훈련은 8주간의 프로그램으로 회기당 20~30분, 3회/주 수행하여 총 24회기였다. 조사는 기초조사를 포함한 사전조사와 사후조사로 진행되었다. 연구변수는 객관적 인지기능(전반적 인지기능, 기억력, 주의집중력, 언어기능)과 주관적 인지기능, 삶의 질이었다. 연구결과 전반적 인지기능(t=-8.688, p<.001)과 기억력(t=-4.765, p<.001), 주의집중력 정반응수(t=-7.293, p<.001), 언어기능 중 고빈도 단어에 대한 정반응수(Z=-2.179, p=.036), 저빈도 단어에 대한 정반응수(Z=-2.737, p=.009), 삶의 질(t=-3.358, p=.002)은 모두 통계적으로 유의하였으나 주관적 인지기능은 통계적으로 유의한 차이가 없는 것으로 나타났다. 기능성 앱을 통해 제공되었된 인지훈련 프로그램은 인지기능을 향상시키는데 도움을 주었으며 전문가의 개입 없이도 가정에서 접근하기 쉬운 인지 중재도구로 활용될 수 있을 것이다.

Keywords

Acknowledgement

This research was supported by Basic Science Research Program through the National Research Foundation of Korea(NRF) funded by the Ministry of Education(2018R1D1A1B07045245).

References

  1. Y. M. Kim. (2016). The Health Status of Korean Men and Women: Life Expectancy, Death Rate and Self-rated Health Status. Health W Pol For. 5, 15-24.
  2. M. T. Weber, P. M. Maki & M. P. McDermott. (2014). Cognition and Mood in Perimenopause: A Systematic Review and Meta-analysis. The Journal of Steroid Biochemistry and Molecular Biology, 142, 90-98. https://doi.org/10.1016/j.jsbmb.2013.06.001
  3. J. S. Goveas, M. A. Espeland, N. F. Woods, S. Wassertheil-Smoller & J. M. Kotchen. (2011). Depressive Symptoms and Incidence of Mild Cognitive Impairment and Probable Dementia in Elderly Women : The Women's Health Initiative Memory Study. J Am Geriatr Soc, 59(1), 57-66. DOI : 10.1111/j.1532-5415.2010.03233.x
  4. C. M. Bender et al. (2006). Cognitive Impairment Associated with Adjuvant Therapy in Breast Cancer, Psycho Oncology, 15(5), 422-430. DOI : 10.1002/pon.964
  5. C. J. Woolf & M. W. Salter. (2000). Neuronal Plasticity: Increasing the Gain in Pain. Science, 288(5472), 1765-1768. DOI : 10.1126/science.288.5472.1765
  6. Y. Stern. (2002). What is Cognitive Reserve? Theory and Research Application of the Reserve Concept. Journal of the International Neuropsychological Society, 8, 448-460. DOI : 10.1017/s1355617702813248
  7. M. Anthony & F. Lin. (2018). A Systematic Review for Functional Neuroimaging Studies of Cognitive Reserve across the Cognitive Aging Spectrum. Archives of Clinical Neuropsychology, 33(8), 937-948. https://doi.org/10.1093/arclin/acx125
  8. Y. Stern. (2012). Cognitive Reserve in Aging and Alzheimer's Disease. The Lancet Neurology, 11(11), 1006-1012. DOI : 10.1016/S1474-4422(12)70191-6
  9. N. Gates & M. Valenzuela. (2011). Cognitive Exercise and its Role in Cognitive Function in Older Adults. Current Psychiatry Reports, 12(1), 20-27. DOI : 10.1007/s11920-009-0085-y
  10. M. Martin, L. Clare, A. M. Altgassen, M. H. Cameron & F. Zehnder. (2011). Cognitionbased Interventions for Healthy Older People and People with Mild Cognitive Impairment. The Cochrane Library. DOI : 10.1002/14651858.CD006220.
  11. H. R. Lee, J. Y. Kim & D. S. Han. (2012). A Survey on the Cognitive Rehabilitation of Occupational Therapy in Korea. Korean Association of Occupational Therapists, 20(2), 73-84.
  12. W. G. Kang, S. K. Kim, M. H. Kang, J. R. Yang & E. J. Gu. (2009). The Comparison of EEG Activity by Computer Assisted Cognitive Rehabilitation Program in the Normal Elderly and the Elderly With Dementia. Korean Association of Occupational Therapists, 17(3), 1-13.
  13. World Health Organization. (2017). Global Action Plan on the Public Health Response to Dementia, 2017-2025.
  14. I. S. Jung. (1999). Network-based Instructional System Design. In Na IJ, Editor. Understanding of Distance Education, Seoul: Kyoyookbook
  15. J. H. Kim. (2020). Development of Mobile-Application Based Cognitive Training for Menopausal Women with Cognitive Complaints. J Korea Acad Industr Coop Soc. 21(5), 150-166. DOI : 10.5762/KAIS.2020.21.5.150
  16. S. H. Ryu. (2018). The Clinical Significance of Cognitive Interventions for the Patients with Mild Cognitive Impairment, Journal of Korean Neuropsychiatric Association, 57(1), 23-29. DOI : 10.4306/jknpa.2018.57.1.23
  17. J. Cohen. (1998). Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, New Jersy : Lawrece Erlbaum Associates
  18. Z. S. Nasreddine, N. A. Phillips, V. Bedirian, S. Charbonneau, V. Whitehead, I. Collin & H. Chertkow. (2005). The Montreal Cognitive Assessment, MoCA : a Brief Screening Tool for Mild Cognitive Impairment, Journal of the American Geriatrics Society, 53(4), 695-699. DOI : 10.1111/j.1532-5415.2005.53221.x
  19. J. Y. Lee et al. (2008). Brief Screening for Mild Cognitive Impairment in Elderly Outpatient Clinic : Validation of the Korean Version of the Montreal Cognitive Assessment, Journal of Geriatric Psychiatry and Neurology, 21(2), 104-110. DOI : 10.1177/0891988708316855
  20. K. Oh, T. Yum, Y. Park, C. Kim & Y. Lee. (1992). Korean Wechsler Adult Intelligence Scale (K-WAIS); Guidance: Seoul. Korea.
  21. C. J. Golden & S. M. Freshwater. (1978). Stroop Color and Word Test. Wood Dale : Steotling Company.
  22. J. H. Kim. (2011). Impairment in Execution Function and Stroop Interference Effects in Person with Mild Cognitive Impairment, Master's Thesis, Ewha Womans University
  23. E. J. Kim, H. S. Sim & M. S. Kwon. (2003). A Comparison on Language Processing Characteristics in Fluent Aphasics and Dementia of Alzheimer Type. CSD, 8(3), 188-208.
  24. S. T. Farias et al. (2008). The Measurement of Everyday Cognition (ECog): Scale Development and Psychometric Properties. Neuropsychology, 22(4), 531. DOI : 10.1037/0894-4105.22.4.531
  25. B. Y. Chung & E. J. Cho. (2012). Correlates Influencing Cognitive Impairment in Breast Cancer Patients Receiving Chemotherapy, Asian Oncology Nursing, 12(3), 221-229. DOI : 10.5388/aon.2012.12.3.221
  26. S. K. Min, K. I. Kim, S. Y. Suh & D. K. Kim. (2002). Development of the Korean Version of The World Health Organization Quality of Life Scale(WHOQOL), Journal of the Korean Neuropsychiatric Association, 39(1), 78-88.
  27. J. H. Kim & P. J. Oh. (2017). Menopause Symptoms and Perceived Cognitive Decline in Menopausal Women: The Mediating Effect of Health Promotion Behavior, Korean Journal of Adult Nursing, 29(2), 200-210. DOI : 10.7475/kjan.2017.29.2.200
  28. K. Oppermann, S. C. Fuchs, G. Donato, C. A. Bastos & P. M. Spritzer. (2012). Physical, Psychological and Menopause Related Symptoms and Minor Psychiatric Disorders in a Community-based Sample of Brazilian Premenopausal, Perimenopausal, and Postmenopausal Women. Menopause, 19(3), 355-360. DOI : 10.1097/gme.0b013e31822ba026
  29. L. Mosconi, A. Rahman, I. Diaz, X. Wu, O. Scheyer, W. H. Hollie & D. B. Roberta. (2018). Increased Alzheimer's Risk during the Menopause Transition: A 3-year Longitudinal Brain Imaging Study. PLoS Omne, 13(12), e0207885. DOI : 10.1371/journal.pone.0207885
  30. H. J. Kim, Y. S. Yang, K. H. Choi & T. Y. Kim. (2013). The Effect of Computer-based Cognitive Training Program on Cognition. Dementia and Neurocognitive Disorders 12, 87-93. DOI : 10.12779/dnd.2013.12.4.87
  31. H. Li, J. Li, N. Li, B. Li, P. Wang & T. Zhou. (2011). Cognitive Intervention for Persons with Mild Cognitive Impairment: A Meta-analysis. Aging Research Reviews, 10(2), 285-296. DOI : 10.1016/j.arr.2010.11.003
  32. P. Verhaeghen & J. Cerella. (2002). Aging, Executive Control, and Attention: A Review of Meta-analyses. Neuroscience & Bio Behavioral Reviews, 26(7), 849-857. DOI : 10.1016/S0149-7634(02)00071-4
  33. M. T. Banish & R. J. Compton. (2018). Cognitive Neuroscience. Cambridge University Press.
  34. J. H. Jung & J. M. Kim. (2015). The Cognitive and the Affective Characteristics of Korean Older Adults with Subjective Memory Complaints, The Korean Gerontological Society, 35(3), 835-851.
  35. M. J. Park. (2011). The Cognition, Balance, and Quality of Life in the Elderly, Journal of Korean Biological Nursing Science, 13(2), 185-192.
  36. R. I. Hwang, J. Y. Lim & Y. W. Lee. (2009). A Comparison of the Factors Influencing the Life Satisfaction of the Elderly According to their Cognitive Impairment Level, Journal of Korean Academy of Nursing, 39(5), 622-631. DOI: 10.4040/jkan.2009.39.5.622
  37. I. W. Chan, L. W. Chu, P. W. Lee, S. W. Li & K. K. Yu. (2011). Effects of Cognitive Function and Depressive Mood on the Quality of in Chinese Alzheimer's Disease Patients in Hong Kong, Geriatry & Gerontology International, 11, 69-76. DOI : 10.1111/j.1447-0594.2010.00643.x
  38. M. N. Lee. (2020). Effects of Menopause Symptoms on Stress and Quality of Life Satisfaction. The Journal of the Korea Contents Association, 20(12), 198-205. https://doi.org/10.5392/JKCA.2020.20.12.198
  39. B. J. Kim. (2016). The Mediating Effect of Health Promotion Behaviors on Climacteric Symptoms and Quality of Life in the Middle-aged Women. Master's Thesis. Gachon University, Gyeonggi-do.