The Development and Feasibility of TECH: Tablet Enhancement of Cognition and Health, a Novel Cognitive Intervention for People with Mild Cognitive Impairment

Schaham, Noa Givon; Vitek, Hila; Donda, Noam; Golan, Inbal Elbo; Buckman, Zvi; Rand, Debbie

doi:10.1089/g4h.2019.0157

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…TECH, which includes intensive cognitive stimulation while learning and practicing a new cognitive skill of tablet use [ 18 , 27 ], provides a leisure activity for older adults. Here, we combined groups from two previous studies to show the effect of TECH participation of older adults with MCI as well as older adults with pre-MCI.…”

Section: Discussionmentioning

confidence: 99%

“…Satisfaction from the intervention was rated by the participants after TECH completion using a questionnaire. This questionnaire [ 18 ] included 10 questions rated on a 1–5 Likert scale (e.g., How much did the self-training motivate you to make an effort? ), and 5 questions on a 1–3 Likert scale (e.g., Was the TECH intervention too long/just the right length/too short?).…”

Section: Methodsmentioning

confidence: 99%

“…The feasibility of TECH, as well as its effectiveness to preserve global cognition, has been established for older adults with MCI [ 18 ], but not for older adults with pre-MCI. Therefore, we aimed to determine whether TECH is feasible to use with older adults with pre-MCI as well as our cohort with MCI and within each group to assess changes in cognitive and executive functions between pre and post intervention with TECH.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Daily Practice of Puzzle-Game Apps on Cognition in Two Groups of Older Adults: A Pre-Post Experimental Study

Schaham

Buckman

Rand

2022

IJERPH

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There is an urgent need for non-pharmacological cognitive interventions to delay the onset and modify the progression of the cognitive deterioration of older adults with early stages of cognitive decline. ‘Tablet Enhancement of Cognition and Health’ (TECH) is such an intervention. We aimed to assess the suitability of TECH for older adults with and without mild cognitive impairment (MCI). Specifically, we wanted to explore the feasibility and to determine the initial effectiveness of TECH for older adults with Pre-Mild Cognitive Impairment (pre-MCI) as well as with MCI. This is pre-post experimental design, including two groups of older adults. Feasibility included group session attendance (adherence), self-training time (compliance), and satisfaction from the TECH intervention. The Montreal Cognitive Assessment (MoCA) assessed global cognition and the WebNeuro computerized battery assessed specific cognitive components. Twenty-eight participants with MCI (8 women, aged 65–87), and ten participants with pre-MCI (5 women, aged 65–86) participated in TECH. High adherence, compliance, and satisfaction were reported by both groups. Memory recall improved for the MCI group (z = −2.7 p = 0.006). In addition, for the MoCA an intermediate effect size (Cohen’s d = 0.52) and a small effect (Cohen’s d = 0.18) were found for the MCI and pre-MCI groups, respectively. Large to small effect size values for WebNeuro cognitive components were found for both groups. Both groups of older adults were motivated, performed daily self-training, which gave them enjoyment and a sense of control. TECH seems to have potential to preserve cognition over time. Additional research with a longer follow-up is needed to determine whether TECH can prevent cognitive decline in older adults with MCI but especially with pre-MCI.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effect of Daily Practice of Puzzle-Game Apps on Cognition in Two Groups of Older Adults: A Pre-Post Experimental Study

Schaham

Buckman

Rand

2022

IJERPH

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“…From the options selected, participants could choose what apps to use at home. The development and a detailed description of TECH has been published elsewhere [ 19 ].…”

Section: The Interventionmentioning

confidence: 99%

“…By playing stimulating casual game apps, TECH provides a leisure activity with high cognitive intellectual stimulation [ 17 ], which incorporates new learning that has the potential to improve cognitive function in older adults [ 18 ]. The development of TECH has been described elsewhere and the feasibility of using TECH for older adults with MCI was demonstrated [ 19 ]. The current study, which included the same older adult participants, aims to determine the effectiveness of the TECH intervention, compared to standard care, for improving global cognition, specific cognitive components, and health-related quality of life (HRQoL) in older adults with MCI.…”

Section: Introductionmentioning

confidence: 99%

TECH preserves global cognition of older adults with MCI compared with a control group: a randomized controlled trial

Givon Schaham,

Buckman,

Rand

2024

Aging Clin Exp Res

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Background Cognitive training using touchscreen tablet casual game applications (apps) has potential to be an effective treatment method for people with mild cognitive impairment (MCI). Aims This study aimed to establish the effectiveness of ‘Tablet Enhancement of Cognition and Health’ (TECH), a novel cognitive intervention for improving/preserving cognition in older adults with MCI. Methods A single-blind randomized controlled trial with assessments pre-, post-, and at 6-month follow-up was conducted. TECH entailed 5 weeks of daily self-training utilizing tablet apps, facilitated by weekly group sessions. Global cognition was assessed by the Montreal Cognitive Assessment (MoCA), and specific cognitive components were assessed using WebNeuro computerized battery. Short Form Health Survey (SF-12) assessed health-related quality of life (HRQoL). Intention-to-treat analysis was conducted and the %change was calculated between pre–post and between pre–follow-up. Cohen’s d effect size was also calculated. Results Sixty-one participants aged 65–89 years were randomly allocated to TECH (N = 31, 14 women) or to standard care (N = 30, 14 women). Pre–post and pre–follow-up MoCA %change scores were significantly higher in TECH than control (U = 329.5, p < .05; U = 294.5, p < .05) with intermediate effect size values (Cohen’s d = .52, Cohen’s d = .66). Forty percent of TECH participants versus 6.5% of control participants achieved a minimal clinical important difference in MoCA. Pre–post between-group differences for specific cognitive components were not found and HRQoL did not change. Discussion and conclusions TECH encouraged daily self-training and showed to preserve global cognition of older adults with MCI. The implementation of TECH is recommended for older adults with MCI, who are at risk for further cognitive decline.

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Experiences of Older Adults with Mild Cognitive Impairment from Cognitive Self-Training Using Touchscreen Tablets

Shamir,

Loubani,

Schaham

et al. 2024

Games for Health Journal

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The Development and Feasibility of TECH: Tablet Enhancement of Cognition and Health, a Novel Cognitive Intervention for People with Mild Cognitive Impairment

Cited by 5 publications

References 29 publications

The Effect of Daily Practice of Puzzle-Game Apps on Cognition in Two Groups of Older Adults: A Pre-Post Experimental Study

The Effect of Daily Practice of Puzzle-Game Apps on Cognition in Two Groups of Older Adults: A Pre-Post Experimental Study

TECH preserves global cognition of older adults with MCI compared with a control group: a randomized controlled trial

Experiences of Older Adults with Mild Cognitive Impairment from Cognitive Self-Training Using Touchscreen Tablets

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