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http://dx.doi.org/10.22156/CS4SMB.2021.11.05.038

Effectiveness Evaluation of Web-Based Cognitive Training Program for the Elderly Registered in the Rural Dementia Center  

Ahn, Eun Jung (Chungnam National University Hospital & College of Nursing, Chungnam National University)
Kim, Hyunli (College of Nursing, Community Health Nursing, Chungnam National University)
Publication Information
Journal of Convergence for Information Technology / v.11, no.5, 2021 , pp. 38-49 More about this Journal
Abstract
This study is single-group pretest-posttest design study to examine the effects of web-based cognitive training program using tablet on cognition and depression in the elderly with high risk of dementia or mild dementia living in a rural area, enrolled in dementia center. Intervention was provided to the 18 participants once a week for 10 weeks within 1 hour. Data was analyzed with SPSS 24.0 and interview data was categorized. The study result proves that after intervention, the participants' cognitive score increased significantly(Z=-3.35, p=.001) and the depression scores were significantly decreased(Z=-3.13, p=.002). Also, interview shows positive effect of the intervention on cognition and depression. It is necessary to improve access environment for smart devices so as not to be restricted by time and place, and to develop and apply various types of web-based programs for each cognitive level. Then, the intervention could be used as a cognitive training program incorporating information and communication technology for the prevention and management of dementia in rural areas.
Keywords
Rural; Dementia; Web-Based Cognitive Training Program; Depression; Interview;
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1 B. H. Oh. (2005). Early detection and management of senile dementia. Korean Journal of Clinical Elderly Medicine, 6(3), 301-310.
2 H. N. Jang & M. S. Lee. (2016). An analysis on strategic priority of the dementia policy. Korean Public Administration Quarterly, 28(3), 491-515.
3 C. M. Hong. (2012). Review of dementia and mild cognitive impairment. The Korea Contents Association Review, 10(2), 25-30.   DOI
4 J. Y. Choi, S. W. Moon & B. W. Nam. (2009). Review of association between neuropsychiatric symptoms and progression from mild cognitive impairment to Alzheimer's disease. The Korean Journal of Psychopathology, 18(1), 15-20.
5 K. H. Park, H. S. Kim & Y. J. Yi. (2013) Comparison of risk factors in cognitive impairment between non-depressive elderly and depressive elderly. Journal of The Korea Contents Association, 13(7), 301-310. DOI : 10.5392/JKCA.2013.13.07.301   DOI
6 S. M. Lee. (2010). Factors associated with cognitive function level of the elderly - Depression, perceived social support, activities of daily living. Master thesis. Ajou University, Suwon.
7 S. Y. Lim. (2019). Factors affecting the cognitive function of the elderly: Using of the old people fact-finding survey in 2017. Master thesis. Kongju University, GongJu.
8 J. N. Bae & M. J. Cho. (2004). Development of the Korean version of the geriatric depression scale and its short form among elderly psychiatric patients. Journal of Psychosomatic Research, 57(3), 297-305. DOI : 10.1016/j.jpsychores.2004.01.004   DOI
9 S. Y. Kim & Y. I. Choi. (2019). Effects of a computerized cognitive training on cognitive, depression, life satisfaction and activity of daily living in older adults with mild dementia. Journal of the Korea Academia-Industrial, 20(4), 311-319. DOI : 10.5762/KAIS.2019.20.4.311   DOI
10 M. H. Kwon. (2019). Development and effects of an application-based cognitive training program for the elderly with dementia. Doctoral dissertation. Konyang University, Nonsan.
11 K. S. Park & K. O. Ban. (2016). Effects of a web -based education program on cognitive function, depression, and dementia preventive behavior among elders in communities. Journal of Korean Academy of Rural Health Nursing, 11(2), 3-15.   DOI
12 J. Miller. (1982). Discrete versus continuous stage models of human information processing: in search of partial output. Journal of Experimental Psychology, Human Perception and Performance, 8(2), 273-296. DOI : 10.1037/0096-1523.8.2.273   DOI
13 W. M. Jeong, Y. J. Hwang & J. C. Youn. (2010). Effects of a computer-based cognitive rehabilitation therapy on mild dementia patients in a community. Journal of the Korean Gerontological Society, 30(1), 127-140.
14 H. R. Kim & M. G. Yang. (2013). Cognitive impairment and risk factors among elderly persons aged 60 or more in Korea. Journal of Korean Public Health Nursing, 27(3), 450-465. DOI : 10.5932/JKPHN.2013.27.3.450   DOI
15 M. S. Kim & K. C. Lim. (2016). Effects of a computerized cognitive training on cognitive function, depression, self-esteem, and activities of daily living among older adults with mild cognitive impairment. Korean Journal of Adult Nursing, 28(6), 691-700. DOI : 10.7475/kjan.2016.28.6.691   DOI
16 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(4), 87-93. DOI : 10.12779/dnd.2013.12.4.87   DOI
17 M. R. Park. (2019). Knowledge and attitudes toward dementia, self-efficacy, preventive behavior of dementia among older adults living in urban and rural areas. Master thesis. Hanyang University, Seoul.
18 H. J. Kim, S. J. Lee & K. Y. Kam. (2008). A review of computer-assisted cognitive rehabilitation (CACR). Journal of Occupational Therapy for the Aged and Dementia, 2(2), 35-46.
19 N. T. M. Hill, L. Mowszowski, S. L. Naismith, V. L. Chadwick, M. Valenzuela & A. Lampit. (2017). Computerized cognitive training in older adults with mild cognitive impairment or dementia: A systematic review and meta-analysis. American Journal of Psychiatry, 174(4), 329-340. DOI : 10.1176/appi.ajp.2016.16030360   DOI
20 A. R. Joo & S. H. Park. (2014). The relationship between cognitive function and depression in elderly people in rural areas. Journal of Korean Gerontological Nursing, 6(1), 27-37.
21 H. M. Park, J. K. Lee, Y. J. Kwon, J. E. Kim & S. K. Kim. (2019). Development of web-based cognitive training program : preliminary study. Journal of Korean Geriatric Psychiatry, 23(2), 39-44.   DOI
22 Y. J. Lee & K. M. Lee. (2018). The effects of collage group art therapy on cognitive function and depression among elderly with dementia. Journal of Rehabilitation Psychology, 25(2), 243-258.
23 H. S. Lee, J. I. Hyeon, J. W. Kim & Y. G. Choi. (2017). A study of the reactivity of the elderly when playing cognitive rehabilitation games on tablet devices. Journal of Speech-Language & Hearing Disorders, 26(2), 57-65. DOI : 10.15724/jslhd.2017.26.2.005   DOI
24 S. H. Park & J. I. Shin. (2016). The effect of virtual reality using a therapeutic program on depression and the quality of life in dementia. Journal of Coaching Development, 18(1), 13-19.
25 National Dementia Center. (2018). Status of dementia in Korea 2018. Seoul : National Dementia Center. (Online). https://www.nid.or.kr/info/dataroom_view.aspx?BID=194
26 National Dementia Center. (2016). Status of dementia in Korea 2016. Seoul : National Dementia Center. (Online). https://www.nid.or.kr/info/dataroom_view.aspx?BID=160
27 J. A. Yesavage, T. L. Brink & O. Lum. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research. 12(1), 63-70. DOI : 10.1016/0022-3956(82)90033-4   DOI
28 National Dementia Center. (2017). 2017 Central dementia center annual report. Seoul : National Dementia Center. (Online). https://www.nid.or.kr/notification/notice_view.aspx?BOARD_SEQ=1337
29 M. J. Kim, J. S. Han, M. J. Kwon & Y. H. Kim. (2013). The correlation between cognition and depression of urban and rural elderly people. Journal of Digital Convergence, 11(2), 341-346. DOI : 10.14400/JDPM.2013.11.2.341   DOI
30 J. W. Han et al. (2017). Efficacy of the ubiquitous spaced retrieval-based memory advancement and rehabilitation training (USMART) program among patients with mild cognitive impairment: a randomized controlled crossover trial. Alzheimer's Research & Therapy, 9(1), 1-8. DOI : 10.1186/s13195-017-0264-8   DOI
31 F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. DOI : 10.3758/brm.41.4.1149   DOI
32 H. G. Kim. (2017). The effect of a program using visual media on depression and marriage satisfaction for multi-cultural couples. Korean Journal of Local Government & Administration Studies, 31(4), 227-248.   DOI
33 S. C. Lee et al. (2013). The use of the Korean version of short form geriatric depression scale (SGDS-K) in the community dwelling elderly in Korea. Journal of Korean Geriatirc Psychiatry, 17(1), 36-42.
34 J. J. Im. (2010). Effect of nursing intervention program to prevent dementia on cognitive function and depression among community elderly. Master thesis. Chonnam University, Gwangju.
35 K. P. Kwak. (2018). Korean dementia observatory and national responsibility for dementia. Evidence and Values in Healthcare, 4(1), 1-9.
36 G. Cipriani, A. Bianchetti & M. Trabucchi. (2006). Outcomes of a computer-based cognitive rehebilitation program on Alzheimer's disease patients compared with those on patients affected by mild cognitibe impairment. Archives of Gerontology and Geriatrics, 43(3), 327-335. DOI : 10.1016/j.archger.2005.12.003   DOI
37 S. J. Oh. (2014). The effects of cognitive function on dementia patients using brain computer interface game. Master's thesis. Catholic University, Seoul.
38 J. H. Kang. (2016). Effect of computerized cognitive training on cognitive function, instrumental activities of daily living and quality of life in patients with mild dementia. The Journal of Korea Aging Friendly Industry Association, 8(2), 71-83.
39 S. Y. Kim. (2004). Depression in dementia. Dementia and Neurocognitive Disorders, 3(1), 18-23.
40 B. H. Oh, Y. K. Kim, J. H. Kim & Y. S. Shin. (2003). The effects of cognitive rehabilitation training on cognitive function of elderly dementia patients. Journal of Korean Neuropsychiatric Association, 42(4), 514-519.
41 B. S. Kee. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association, 35(2), 298-307.
42 S. K. Kang. (2010). The effects of social activities and fear of death on depression in the elderly. Health and Social Welfare Review, 30(2), 85-109. DOI : 10.15709/hswr.2010.30.2.85   DOI
43 K. M. Kim. (2015). Effects of cognitive enhancement training on cognitive function and depression in the elderly with mild cognitive impairment. Doctoral dissertation. Daegu University, Gyeongsan.
44 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   DOI
45 Chungbuk Regional Dementia Center. (2018). Web cognition training program. Web_CoT. (Online). http://www.webcot.co.kr/part2/
46 Z. S. Nasreddine et al. (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   DOI