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A novel computer-based functional skills assessment and training program

一种新颖的基于计算机的功能技能评估和培训计划

基本信息

批准号：
9407540
负责人：
SARA J CZAJA
金额：
$ 22.5万
依托单位：
I-FUNCTION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-01 至 2019-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9407540
关键词：
Activities of Daily Living Address Adult Aged, 80 and over Aging Area Clinical Cognition Cognition Disorders Cognitive Cognitive remediation Communication Computers Data Dementia Diagnostic Educational Intervention Elderly Goals Health Healthcare Home environment Impaired cognition Impairment Independent Living Individual Intervention Lead Learning Maintenance Measures Medication Management Minority Neurobehavioral Manifestations Neuropsychological Tests Occupational activity of managing finances Outcome Outcome Measure Performance Persons Pharmacology Phase Pilot Projects Population Population Dynamics Population Heterogeneity Protocols documentation Randomized Reporting Risk Role playing therapy Sampling Schizophrenia Self Efficacy Services Specificity System Tablets Task Performances Technology Testing Time Training Training Programs Transferable Skills Work age related aged base cognitive ability cognitive change cognitive performance cognitive rehabilitation cognitive training cost design dosage ethnic diversity experience functional decline functional gain improved improved functioning indexing informant interest low socioeconomic status mild cognitive impairment new technology novel phase 1 study prevent programs skills skills training social standard measure tool trend usability

项目摘要

Abstract People with cognitive impairments such as those with dementia or Mild Cognitive Impairment (MCI), often experience difficulty performing everyday routine activities, particularly those involving technology as it generally involves new learning. Further, normative age-related changes in cognition often lead to performance deficits on previously learned skills and also impede new learning, such as learning to use new technology systems, which are ubiquitous in today's technology driven world. This is of great concern given the aging of the population, the increasing number of older adults with cognitive impairments, and the continual deployment of new technologies in everyday contexts. Currently, there is a vast interest in developing tools to detect the earliest manifestations of cognitive and functional decline and in developing efficacious pharmacological and non-pharmacological interventions for those who are experiencing or at risk for cognitive and functional problems. The proposed Phase 1 study will refine and evaluate a novel integrated computer-based functional skills assessment and training (FST) program that provides training on everyday tasks critical to independent living (e.g., financial and medication management). The tasks in the program are veridical representations of everyday activities and real world systems and the training is tailored to the unique needs of an individual via the assessment component. The sample will include 75 non-impaired older adults and 75 adults with MCI, who will be randomly assigned to the FST condition, a cognitive rehabilitation training (CRT) condition or a combined FST/CRT condition. This design will allow us to examine the specificity of effects and examine the benefits of direct functional skill training relative to CRT on functional skills (FS) and cognitive outcomes and to determine if CRT provides a priming effect that further enhances the benefits of FST. Outcome measures will include objective measures of cognitive and functional abilities, self and informant reports of everyday task performance, and measures of self-efficacy and the acceptability and usability of the program. We will also gather data on the maintenance of training gains over time. The overall objective of the proposed Phase 1 study is to develop an integrated commercially available technology-based functional skills assessment and training program that can be deployed on a variety of technology platforms such as tablets or PCs and used in a variety of settings (e.g., clinical settings, home environments) with diverse adult populations. Ultimately our long term goal is to develop a product that can help prevent and treat functional declines and maintain the cognitive health and functional independence of older adults.

摘要