But will they use it? Predictors of adoption of an electronic memory aid in individuals with amnestic mild cognitive impairment.
But will they use it? Predictors of adoption of an electronic memory aid in individuals with amnestic mild cognitive impairment.
复制标题
但他们会使用它吗？
DOI：
10.1037/neu0000898
复制
发表时间：
2023
期刊：
影响因子：
2.4
通讯作者：
Schmitter-Edgecombe,Maureen
中科院分区：
文献类型：
--
作者：
Luna,Catherine;Cook,DianeJ;Schmitter-Edgecombe,Maureen
目的：电子记忆辅助器正在被广泛地研究和开发，以帮助认知能力下降的人的日常功能。尽管发展研究显示，最初使用电子记忆辅助工具是有希望的，但在培训结束后，影响采用这些辅助工具的因素却知之甚少。方法：我们分析了32名患有遗忘性轻度认知障碍的老年人的基线特征(如人口统计学、认知表现)和训练使用情况(如使用频率和使用方式)，他们参加了一项电子记忆和管理辅助(EMMA)平板应用的试点临床试验。在培训后3个月仍在使用Emma的16名参与者被定义为“领养者”，而在培训后3个月未使用Emma的16名参与者被定义为“非领养者”。结果：采用者在基线延迟记忆方面得分较高(Cohen‘s d=.87)和语言(Cohen‘s d=.82)指数得分高于未采用者。领养者与爱玛的互动也更频繁(科恩的d=1.34)，数量也更多(科恩的d>；)。87)，比没有采用的人在培训的第二周。逐步Logistic回归显示，较高的基线语言分数和培训期间使用频率的增加显著预测了培训后3个月采用者的分类。结论：通过向表现出中等水平语言能力并在培训期间平均每天使用该辅助工具8次的个人教授该辅助工具，促进了这种电子记忆辅助工具的采用。鼓励个人在培训期间尽早并经常使用电子记忆辅助工具可以增加对电子记忆辅助工具的采用。
Objective: Electronic memory aids are being researched and developed widely to assist the everyday functioning of individuals experiencing cognitive decline. Although development studies show promise in the initial use of electronic memory aids, little is known about the factors that influence adoption of these aids after training ends. Method: We analyzed the baseline characteristics (eg, demographics, cognitive performance) and training usage (eg, frequency and pattern of use) of 32 older adults experiencing amnestic mild cognitive impairment who participated in a pilot clinical trial with an electronic memory and management aid (EMMA) tablet application. Sixteen participants who were still using EMMA at 3-months posttraining were defined as “adopters,” whereas the 16 participants who were not using EMMA at 3-months posttraining were defined as “nonadopters.” Results: Adopters scored higher on baseline delayed memory (Cohen’s d=. 87) and language (Cohen’s d=. 82) index scores than nonadopters. Adopters also interacted with EMMA more frequently (Cohen’s d= 1.34) and in greater quantities (Cohen’s d>. 87) than nonadopters by Week 2 of training. Stepwise logistic regression revealed that higher baseline language score and increased frequency of use during training significantly predicted classification of adopters at 3-months posttraining. Conclusions: Adoption of this electronic memory aid was enhanced by teaching the aid to individuals who demonstrated average-level language abilities and who used the aid on average eight times per day during training. Encouraging individuals to use the aid early and often during training can increase adoption of electronic memory aids.