BackgroundCognitive impairment is considered one of the most feared chronic conditions among the older adult population since its incidence is approximately twice more frequent than that of dementia. In Mexico, no studies or reports of older adults using technology for cognitive interventions have been published, given that institutions usually frame cognitive stimulation tasks in paper and pencil (ie, in the traditional manner).ObjectiveThe objective of this study was to create and analyze the effect, viability, and impact of a mobile app for cognitive stimulation implemented among a group of elderly adults (over 60 years of age) from the state of Hidalgo in Mexico.MethodsThis study was a nonprobabilistic pilot trial using convenience sampling. An intervention was implemented among a group of 22 older adults between 60 and 80 years of age over 12 weeks. Half of the older adults were stimulated with the mobile app (experimental group) and the other half followed the traditional paper and pencil training (control group). Assessments with the Mini-Mental State Examination (MMSE) and the Neuropsi, a neuropsychological test validated in Mexico, were done before and after both cognitive stimulations.ResultsAccording to the analyzed data, 6/11 (55%) participants from the experimental group obtained better results in their cognitive skills, and 5 (45%) of the adults maintained their score, given that the participants were able to execute the exercises repetitively. Meanwhile, for the control group, only 3/11 (27%) participants obtained better results in the postevaluation. Significant values for results of the MMSE were obtained in the postevaluation for the experimental group compared to the control group, while results did not show significant differences in the Neuropsi. Regarding the validation of the app, all the participants evaluated its pertinence positively.ConclusionsThe intervention data show that the experimental group obtained better results in the postevaluation given that the participants were able to execute the exercises repetitively. The control group could not accomplish this since they had to respond on the manual and no further attempts were provided. However, both groups increased their score in the neuropsychological evaluations. This suggests that a longer and more frequent intervention is required.Registered Report IdentifierRR1-10.2196/9603
Background: Cognitive impairment is a chronic condition that is considered one of the most feared by the older adult population, since its incidence is approximately twice more frequent than dementia.Objective: The objective of this study was to analyze the impact of a mobile application for cognitive stimulation implemented among a group of elderly adults over the age of 60, from the state of Hidalgo, Mexico. Methods:A pilot study consisted in integrating memory, attention, comprehension, perception and visual-spatial exercises, which were specially designed for the older adult population. The study was carried out during a period of 12 weeks. In order to know the viability and impact of the application, the intervention was implemented among a group of 22 older adults between the ages of 60 and 80. This group was then divided into an experimental and a control group.Results: After the intervention, 6 out 11 older adults who used the application presented an improvement in their neuropsychological evaluation with the MMSE test. Furthermore, 13 of 22 older adults from the group showed an improved perception of their cognitive state, as reported by themselves, and 7 of 22 indicated that their cognitive state remained without change after the intervention. Regarding validation of the application, all the participants evaluated its pertinence positively. Conclusions:The results of the study suggest that, despite the improvement of some older adults, a more extended intervention is required. Additionally, we concluded that ICT use, especially for aspects related to cognitive stimulation and general health care, represents an important benefit and a source of interest for older adults.
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