Partnering a Compensatory Application with Activity-Aware Prompting to Improve Use in Individuals with Amnestic Mild Cognitive Impairment: A Randomized Controlled Pilot Clinical Trial.
Partnering a Compensatory Application with Activity-Aware Prompting to Improve Use in Individuals with Amnestic Mild Cognitive Impairment: A Randomized Controlled Pilot Clinical Trial.
复制标题
与Action-Aware的补偿性应用合作，促使有弱化的轻度认知障碍患者的使用：一项随机对照试验临床试验。
DOI：
10.3233/jad-215022
复制
发表时间：
2022
影响因子：
4
通讯作者：
Cook, Diane
中科院分区：
文献类型：
--
作者：
Schmitter-Edgecombe, Maureen;Brown, Katelyn;Luna, Catherine;Chilton, Reanne;Sumida, Catherine A.;Holder, Lawrence;Cook, Diane
关键词：
补偿性辅助措施可以帮助减轻进行性认知障碍对日常生活的影响。我们评估是否可以通过与智能家居提供的实时、活动感知、基于转换的提示合作来增强电子记忆和管理辅助 (EMMA) 应用程序的学习和持续使用。 32 名符合遗忘性轻度认知障碍 (aMCI) 标准的成年人被随机分配学习单独使用 EMMA 应用程序 (N = 17) 或与智能家居提示配合使用 (N = 15)。为期 4 周、为期 5 节的手动 EMMA 培训由经过培训的临床医生在参与者家中单独进行。每月的调查问卷由接受过培训的人员通过电话完成，而这些人员对研究假设一无所知。 EMMA 数据指标连续收集四个月。对于合作条件，活动感知提示在培训期间以及培训后第 1 个月和第 3 个月期间开启，并在培训后第 2 个月期间关闭。分析的 aMCI 样本包括 15 个仅 EMMA 样本和 14 个合作样本。与仅使用 EMMA 的情况相比，到训练的第四周，合作条件下的参与者每天接触 EMMA 的次数更多，并使用更多基本和高级功能。这些优势在整个培训后阶段得以保持，随着时间的推移，EMMA 应用程序的使用损失也随之减少。干预对自我报告的主要（日常功能、生活质量）和次要（应对、生活满意度）结果几乎没有差异影响。活动感知提示技术增强了 aMCI 患者对数字设备的获取、习惯形成和长期使用。 （ClinicalTrials.gov NCT03453554）。
Compensatory aids can help mitigate the impact of progressive cognitive impairment on daily living. We evaluate whether the learning and sustained use of an Electronic Memory and Management Aid (EMMA) application can be augmented through a partnership with real-time, activity-aware transition-based prompting delivered by a smart home. Thirty-two adults who met criteria for amnestic mild cognitive impairment (aMCI) were randomized to learn to use the EMMA app on its own (N = 17) or when partnered with smart home prompting (N = 15). The four-week, five-session manualized EMMA training was conducted individually in participant homes by trained clinicians. Monthly questionnaires were completed by phone with trained personnel blind to study hypotheses. EMMA data metrics were collected continuously for four months. For the partnered condition, activity-aware prompting was on during training and post-training months 1 and 3, and off during post-training month 2. The analyzed aMCI sample included 15 EMMA-only and 14 partnered. Compared to the EMMA-only condition, by week four of training, participants in the partnered condition were engaging with EMMA more times daily and using more basic and advanced features. These advantages were maintained throughout the post-training phase with less loss of EMMA app use over time. There was little differential impact of the intervention on self-report primary (everyday functioning, quality of life) and secondary (coping, satisfaction with life) outcomes. Activity-aware prompting technology enhanced acquisition, habit formation and long-term use of a digital device by individuals with aMCI. (ClinicalTrials.gov NCT03453554).