Web-Based Cognitive Training: Patient Adherence and Intensity of Treatment in an Outpatient Memory Clinic

Cruz, Vítor Tedim; Pais, Joana; Alves, Ivânia; Ruano, Luís; Mateus, Cátia; Barreto, Rui; Bento, Virgílio; Colunas, Márcio; Rocha, Nelson Pacheco da; Coutinho, Paula

doi:10.2196/jmir.3377

Cited by 30 publications

(22 citation statements)

References 45 publications

(47 reference statements)

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“…This network was dedicated to cognitive intervention and, for its establishment, took advantage of an innovative Web-based cognitive training system, COGWEB [ 23 , 24 , 30 ]. This tool was developed for clinical and research purposes at the promoter center, and had proved to be proficient in increasing patient access to care and intensity of cognitive training [ 23 - 25 ]. The process of training and sharing a new working tool, and methods, in the field of cognitive training was the cornerstone for the construction of the COGWEB network, and fostered synergies and cooperation between so diverse centers and settings.…”

Section: Discussionmentioning

confidence: 99%

“…This option led to a threefold increase in patient access to supervised cognitive training and, on average, a sevenfold increase in rehabilitation training time, while maintaining human resources expenditures [ 23 ]. More recently, a cohort study provided data on patient adherence and intensity of training obtained using this instrument over long periods of time in a common outpatient memory clinic setting [ 25 ]. The version used for this study was composed of 30 independent exercises in a computerized game format.…”

Section: Methodsmentioning

confidence: 99%

“…They were developed to train various degrees of impairments in specific cognitive domains, such as attention, executive functions, memory, language, praxis, gnosis, and calculus [ 23 , 24 ]. The training sessions were individually prescribed on the Internet by a therapist, just after thorough cognitive assessment and according to personalized plans discussed face-to-face with each patient, as previously described [ 25 ]. Internet activities performed by the patients were summarized in several progress graphs (eg, right answers vs wrong answers, levels completed, global training time, or accesses) that were revised weekly by the professional in charge.…”

Section: Methodsmentioning

confidence: 99%

“…With this global scenery in mind, starting in 2005 in a memory clinic setting, we developed an innovative Web-based cognitive training system, named COGWEB and described elsewhere [ 22 - 24 ]. Over time, the system evolved to address the needs of patients, professionals, and organizations in the field of cognitive rehabilitation [ 22 , 25 ]. It was designed to: (1) improve the efficiency of home-based cognitive training procedures; (2) increase patient access to care; (3) shift the therapeutic footprint from hospital to patient comfort zones; and most importantly, (4) to foster collaborative work between professionals from geographically distributed centers [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…Over time, the system evolved to address the needs of patients, professionals, and organizations in the field of cognitive rehabilitation [ 22 , 25 ]. It was designed to: (1) improve the efficiency of home-based cognitive training procedures; (2) increase patient access to care; (3) shift the therapeutic footprint from hospital to patient comfort zones; and most importantly, (4) to foster collaborative work between professionals from geographically distributed centers [ 24 , 25 ]. This set of characteristics made the COGWEB system especially suited to be the promoter of a new collaborative network, sharing specialized knowledge, improved procedures, innovative tools, and connecting professionals and institutions dedicated to cognitive rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

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Implementation and Outcomes of a Collaborative Multi-Center Network Aimed at Web-Based Cognitive Training – COGWEB Network

et al. 2014

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BackgroundCognitive care for the most prevalent neurologic and psychiatric conditions will only improve through the implementation of new sustainable approaches. Innovative cognitive training methodologies and collaborative professional networks are necessary evolutions in the mental health sector.ObjectiveThe objective of the study was to describe the implementation process and early outcomes of a nationwide multi-organizational network supported on a Web-based cognitive training system (COGWEB).MethodsThe setting for network implementation was the Portuguese mental health system and the hospital-, academic-, community-based institutions and professionals providing cognitive training. The network started in August 2012, with 16 centers, and was monitored until September 2013 (inclusions were open). After onsite training, all were allowed to use COGWEB in their clinical or research activities. For supervision and maintenance were implemented newsletters, questionnaires, visits and webinars. The following outcomes were prospectively measured: (1) number, (2) type, (3) time to start, and (4) activity state of centers; age, gender, level of education, and medical diagnosis of patients enrolled.ResultsThe network included 68 professionals from 41 centers, (33/41) 80% clinical, (8/41) 19% nonclinical. A total of 298 patients received cognitive training; 45.3% (n=135) female, mean age 54.4 years (SD 18.7), mean educational level 9.8 years (SD 4.8). The number enrolled each month increased significantly (r=0.6; P=.031). At 12 months, 205 remained on treatment. The major causes of cognitive impairment were: (1) neurodegenerative (115/298, 38.6%), (2) structural brain lesions (63/298, 21.1%), (3) autoimmune (40/298, 13.4%), (4) schizophrenia (30/298, 10.1%), and (5) others (50/298, 16.8%). The comparison of the patient profiles, promoter versus all other clinical centers, showed significant increases in the diversity of causes and spectrums of ages and education.ConclusionsOver its first year, there was a major increase in the number of new centers and professionals, as well as of the clinical diversity of patients treated. The consolidation of such a national collaborative network represents an innovative step in mental health care evolution. Furthermore, it may contribute to translational processes in the field of cognitive training and reduce disease burden.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementation and Outcomes of a Collaborative Multi-Center Network Aimed at Web-Based Cognitive Training – COGWEB Network

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A Method for Retrieval of Tweets About Hospital Patient Experience

Walters

Chowdhury

2018

Lecture Notes in Computer Science

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Analysis of Twitter communications can capture data on hospital patient experience, and this will be more appropriate for hospital management and patient care because the data represent patients' and carers' experience about something as they happen. This paper reports on the development and testing of a semi-automatic method for retrieval of subsets of Twitter communications representing hospital patient experience on different topics and subtopics. Twelve main topics of discussions on patient experience have been identified. Furthermore, it has been demonstrated that it is possible to retrieve tweets on most of the topics by using pre-defined search strings comprising various terms that represent a given topic.

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