Cognitive Rehabilitation in Older Adults With Neuron-up (CROAN)

Study Overview
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Brief Summary
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Introduction. The application of new technologies for cognitive rehabilitation has increased over the last years and has enabled occupational therapists to work more efficiently, minimizing costs and time for analysis, management, and design of activities. Objective. The purpose of the present study was to assess the effect of cognitive intervention using the web platform Neuronup in a group of elderly subjects; the study is based on the dependent variables (memory, attention, and language) analyzed with the abbreviated Barcelona Test. Subjects and Methods. Aquasi-experimental design was carried out with subjects assigned to two groups: a control group (20 subjects) and an experimental group (20 subjects). The abbreviated Barcelona Test was administered to assess patients before and after the intervention with this software to draw conclusions.

Detailed Description
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Introduction. The application of new technologies for cognitive rehabilitation has increased over the last years and has enabled occupational therapists to work more efficiently, minimizing costs and time for analysis, management, and design of activities. Objective. The purpose of the present study was to assess the effect of cognitive intervention using the web platform Neuronup in a group of elderly subjects; the study is based on the dependent variables (memory, attention, and language) analyzed with the abbreviated Barcelona Test. Subjects and Methods. Aquasi-experimental design was carried out with subjects assigned to two groups: a control group (20 subjects) and an experimental group (20 subjects). The abbreviated Barcelona Test was administered to assess patients before and after the intervention with this software to draw conclusions. Results. Analyses of variance (ANOVA), analyses of covariance (ANCOVA), and multivariate analyses of variance (MANOVA) were perfomed in the memory, orientation, reading, and language domains. Statistically signifcant differences were recorded in all domains except language where scores remained the same. Conclusion. It has been demonstrated that Neuronup is an effective program for improving cognitive processes such as memory, attention, and orientation in older adults, hence it would be beneficial to implement technology-based treatments conducted by specialized professionals.

Official Title
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Effectiveness of Two Predefined Groups With Cognitive Rehabilitation in Older Adults With the Program Neuron-up

Conditions
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Indication for Modification of Patient Cognitive Status

Intervention / Treatment
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* Other: Web platform: Neuronup


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: subjects between 75 and 85 years of age; obtain a score greater than 20 points for the MEC (Lobo's cognitive mini-exam); and attend occupational therapy sessions on a regular basis. Exclusion Criteria: presence of neurocognitive disorder (Alzheimer's-type dementia among others); not be an institutionalized resident at a nursing home; a family history of a psychiatric problem; presence of polipathology; and have lived at a nursing home for less than 2 months.

Ages Eligible for Study
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Minimum Age: 75 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This is a quasi-experimental design with non-equivalent groups (pretest-posttest) carried out in a more realistic setting, where the dependent variables of interest were manipulated by the researcher under controlled conditions.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>The sample consisted of 40 people: 20 in an experimental group. There were 5 men and 15 women. | Other: Web platform: Neuronup<br>* Neuronup is a web platform designed for neuropsychological rehabilitation that is focused on functional cognitive impairments resulting from normal aging and other causes. Neuronup emerged as a scientific, viable and accessible technological initiative.<br>|
| Active Comparator: Control group<br>The sample consisted of 40 people: 20 in a control group. There were 5 men and 15 women. | Other: Web platform: Neuronup<br>* Neuronup is a web platform designed for neuropsychological rehabilitation that is focused on functional cognitive impairments resulting from normal aging and other causes. Neuronup emerged as a scientific, viable and accessible technological initiative.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reading is assessed in two pre defined groups of individuals | The abbreviated Barcelona Test is used to assess cognitive reading function in which the results highlight the existence of statistically significant differences in the difference scores reading. The test consists of 41 subtests that generate 55 variables which assess the following cognitive functions: language, orientation, forward/backward digit span, automatized sequences and mental control, repetition, confrontation naming, semantic fluency (animals), verbal comprehension, reading, writing, praxis (ideomotor, melokinetic, and constructional), visual perceptual functions, verbal memory (story), visual memory, arithmetic problems, similarities, digit-symbol and block design. The cognitive profile and global scale score were obtained from all scores. | 3 months | 
| Memory is assessed in two pre defined groups of individuals | The abbreviated Barcelona Test is used to assess cognitive memory function in which the results highlight the existence of statistically significant differences in the difference scores memory. The test consists of 41 subtests that generate 55 variables which assess the following cognitive functions: language, orientation, forward/backward digit span, automatized sequences and mental control, repetition, confrontation naming, semantic fluency (animals), verbal comprehension, reading, writing, praxis (ideomotor, melokinetic, and constructional), visual perceptual functions, verbal memory (story), visual memory, arithmetic problems, similarities, digit-symbol and block design. The cognitive profile and global scale score were obtained from all scores. | 3 months | 
| Orientation is assessed in two pre defined groups of individuals | The abbreviated Barcelona Test is used to assess cognitive orientation function in which the results highlight the existence of statistically significant differences in the difference scores orientation. The test consists of 41 subtests that generate 55 variables which assess the following cognitive functions: language, orientation, forward/backward digit span, automatized sequences and mental control, repetition, confrontation naming, semantic fluency (animals), verbal comprehension, reading, writing, praxis (ideomotor, melokinetic, and constructional), visual perceptual functions, verbal memory (story), visual memory, arithmetic problems, similarities, digit-symbol and block design. The cognitive profile and global scale score were obtained from all scores. | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cognition, Cognitive Dissonance, Geriatrics, Technology