Remote Learning for Adults with Mild Cognitive Impairment in the New Landscape of COVID-19 Restrictions
DOI:
https://doi.org/10.14738/assrj.96.12595Abstract
Introduction: Mild Cognitive Impairment (MCI) is a transitional stage between the expected cognitive decline of normal aging and the more serious decline of dementia. Research interest focuses on the protection of this transition, through a combination of therapeutic interventions. Μaterials and Methods: 45 individuals with MCI who were followed up by the interdisciplinary team of our Memory School attended an online remote educational program that consisted of a series of cognitive and occupational therapy interventions designed to maintain their cognitive, executive, motor and emotional skills during the COVID-19 period. At baseline and at twelve-month follow-up all patients underwent several neuropsychological tests that included the Montreal Cognitive Assessment (MoCA), the Mini Mental State Examination (MMSE), the Functional Cognitive Assessment Scale (FUCAS), the Geriatric Depression Scale (GDS) and the Functional Rating Scale of Symptoms of Dementia (FRRSD). Also, the Barthel Index scale and the Timed Up and Go (TUG) test were utilized to assess functionality and mobility, respectively. Results: Within twelve months participants’ performance did not change significantly (MoCA; p=0.908, MMSE; p=0.625, FUCAS; p=0.782; GDS; p=0.218, FRSSD; p=0.18, Barthel Index; p=0.317, TUG; p=0.68). Results confirmed the hypothesis that cognitive, executive, motor and behavioral skills can be maintained through an online educational protocol during the COVID-19 lockdown period. Conclusions: It is proposed that similar educational protocols should be included in the design of strategic directions in the field of healthcare in MCI and dementia, especially in health crisis situations.
References
Tsamakis K, Rizos E, Manolis AJ, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020; 19(6):3451-3453.
Dragioti E, Li H, Tsitsas G, Lee KH, et al. A large-scale meta-analytic atlas of mental health problems prevalence during the COVID-19 early pandemic. J Med Virol. 2022; 94(5):1935-1949.
Tsamakis K, Gavriatopoulou M, Schizas D, et al. Oncology during the COVID-19 pandemic: challenges, dilemmas and the psychosocial impact on cancer patients. Oncol Lett. 2020; 20(1):441-447.
Tsamakis K, Triantafyllis AS, Tsiptsios D, et al. COVID-19 related stress exacerbates common physical and mental pathologies and affects treatment (Review). Exp Ther Med. 2020;20(1):159-162.
Tsamakis K, Tsiptsios D, Ouranidis A, et al. COVID-19 and its consequences on mental health (Review). Exp Ther Med. 2021;21(3):244.
Greig F, Perera G, Tsamakis K, et al. Loneliness in older adult mental health services during the COVID-19 pandemic and before: Associations with disability, functioning and pharmacotherapy. Int J Geriatr Psychiatry 2021; 37(1):10.
Mok VCT, Pendlebury S, Wong A, et al. Tackling challenges in care of Alzheimer's disease and other dementias amid the COVID-19 pandemic, now and in the future. Alzheimers Dement. 2021; 17(5): 906-907.
Ismail, II, Kamel, WA, Al-Hashel, JY. Association of COVID-19 Pandemic and Rate of Cognitive Decline in Patients with Dementia and Mild Cognitive Impairment: A Cross-sectional Study. Gerontology and Geriatric Medicine, 2021; 7, 23337214211005224.
Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, et al. Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. J Nutr Health Aging; 2020:1–10.
De Pue S, Gillebert C, Dierckx E, et al. The impact of the COVID-19 pandemic on wellbeing and cognitive functioning of older adults. Sci Rep. 2021; 11(1):4636.
Albert MS, DeKosky ST, Dickson D, et al. The diagnosis of mild cognitive impairment due to Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement 2011; 7(3):270–279.
Ganguli M. Can the DSM-5 framework enhance the diagnosis of MCI? Neurology 2013; 81(23): 2045–2050.
Tsamakis K, Mueller C. Challenges in Predicting Cognitive Decline in Dementia with Lewy Bodies. Dement Geriatr Cogn Disord 2021; 50(1):1-8.
Espinosa A, Alegret M, Valero S, et al. A longitudinal follow-up of 550 mild cognitive impairment patients: evidence for large conversion to dementia rates and detection of major risk factors involved. J Alzheimers Dis 2013; 34(3): 769–780.
Petersen RC, Lopez O, Armstrong MJ, et al. Practice guideline update summary: Mild cognitive impairment: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 2018; 90 (3): 126–135.
Sachs-Ericsson N, Joiner T, Plant EA, Blazer DG. The influence of depression on cognitive decline in communitydwelling elderly persons. Am J Geriatr Psychiatry 2005; 13(5): 402–408.
Bewernick BH, Schlaepfer TE. Chronic depression as a model disease for cerebral aging. Dialogues Clin Neurosci 2013; 15(1): 77–85.
Kokkos A. Adult Education: Detecting the field. Athens, Greece: Metaihmio; 2005.
Hiemstraand R, Sisco B. Individualizing instruction. San Francisco: Jossey-BassPublishers; 1990.
Glendenning F. Education for older adults. Int J Lifelong Educ 2001; 20(1): 63-70.
Findsen B, Formosa M. Lifelong Learning in Later Life. Sense Publishers; 2011.
Lazaridou A. Education in third age. Athens, Greece: Scientific Association of Adult Education; 2010.
Kedraka A, Sidiropoulou K. Is everyone happy that grandma goes to school? Adult Educ 2018; 42: 12-22.
Truluck J, Kim YS, Valentine T. Participation Patterns and Learning Selections of Senior Members of a Learning in Retirement Organization. Adult Learn 2010; 21(1-2): 31-36.
Lamb R, Brady EM. Participation in lifelong learning institutes: What turns members on? Educ Gerontol 2005;.31: 207 – 224.
Aventisian-Pagoropoulou A. Psychology of the third age. Athens, Greece: Ellinika Grammata; 2008.
Winocur G, Craik FI, Levine B, et al. Cognitive rehabilitation in the elderly: overview and future directions. J Int Neuropsychol Soc 2007; 13(1): 166–171.
Barulli D, Stern Y. Efficiency, capacity, compensation, maintenance, plasticity: emerging concepts in cognitive reserve. Trends Cogn Sci 2013; 17(10): 502–509.
Carreiras M, Seghier ML, Baquero S, et al. An anatomical signature for literacy. Nature 2009; 461(7266): 983–986.
Barban F, Annicchiarico R, Pantelopoulos S, et al. Protecting cognition from aging and Alzheimer’s disease: a computerized cognitive training combined with reminiscence therapy. Int J Geriatr Psychiatry 2016; 31(4): 340–K. (2022). Remote Learning for Adults with Mild Cognitive Impairment in the New Landscape of COVID-19 Restrictions. Advances in Social Sciences
Fiatarone Singh MA, Gates N, Saigal N, et al. The Study of Mental and Resistance Training (SMART) Study-Resistance Training and/or Cognitive Training in Mild Cognitive Impairment: A Randomized, Double-Blind, Double-Sham Controlled Trial. J Am Med Dir Assoc 2014; 15(12): 873–880.
Ge S, Zhu Z, Wu B, McConnell ES. Technology-based cognitive training and rehabilitation interventions for individuals with mild cognitive impairment: A systematic review. BMC Geriatr 2018; 18(1): 213.
Liang J, Xu Y, Lin L, et al. Comparison of multiple interventions for older adults with Alzheimer disease or mild cognitive impairment. Medicine (Baltimore) 2018; 97(20): e10744.
Xu Z, Sun W, Zhang D, et al. Comparative Effectiveness of Interventions for Global Cognition in Patients with Mild Cognitive Impairment: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials. Front. Aging Neurosci 2021; 13: 653340.
Zhang H, Huntley J, Bhome R, et al. Effect of computerised cognitive training on cognitive outcomes in mild cognitive impairment: a systematic review and meta-analysis. BMJ Open 2019; 9(8): e027062.
Sachs-Ericsson N, Blazer DG. The new DSM-5 diagnosis of mild neurocognitive disorder and its relation to research in mild cognitive impairment. Aging Ment Health 2015; 19(1): 2-12.
Folstein MF, Folstein SE, McHugh PR. Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12(3): 189–198.
Julayanont P, Phillips N, Chertkowand H, Nasreddine ZS. The Montreal Cognitive Assessment (MoCA): Concept and Clinical Review in Larner AJ. (ed.) Cognitive Screening Instruments: A Practical Approach. Springer: London: Springer; 2013. pp. 111–152.
Kounti F, Tsolaki M, Kiosseoglou G. Functional cognitive assessment scale (FUCAS): a new scale to assess executive cognitive function in daily life activities in patients with dementia and mild cognitive impairment. Hum Psychopharmacol Clin Exp 2006; 21(5): 305–311.
Hutton JT, Dippel RL, Loewenson RB. Functional rating scale for the symptoms of dementia in Gallo JJ, Reichel W and Andersen L (eds.) Handbook of geriatric assessment. Rockville MD: Aspen Publishers;1998. pp. 77-80.
Fountoulakis KN, Tsolaki M, Iacovides A, et al. The validation of the short form of the Geriatric Depression Scale (GDS) in Greece, Aging (Milano) 1999; 11(6): 367–372.
Mahoney FI, Barthel DW. Functional evaluation: The Barthel Index. Md State Med J 1965; 14: 61-5.
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1992; 39(2): 142-8.
Robert P, Manera V, Derreumaux A, et al. Efficacy of a Web App for Cognitive Training (MeMo) Regarding Cognitive and Behavioral Performance in People with Neurocognitive Disorders: Randomized Controlled Trial. J Med Internet Res 2020; 22(3): e17167.
Joint Task Force for the Development of Telepsychology Guidelines for Psychologists. Guidelines for the practice of telepsychology. Am Psychol 2013; 68(9): 791–800.
Tsatali M, Moraitou D, Poptsi E, et al. Are There Any Cognitive and Behavioral Changes Potentially Related to Quarantine Due to the COVID-19 Pandemic in People with Mild Cognitive Impairment and AD Dementia? A Longitudinal Study. Brain Sciences 2021; 11(9): 1165.
van Maurik LS, Ingrid S, Bakker ED, et al. Psychosocial Effects of Corona Measures on Patients with Dementia, Mild Cognitive Impairment and Subjective Cognitive Decline. Front Psychiatry 2020; 11: 585686.
Canevelli M, Valletta M, Toccaceli Blasi M, et al. Facing Dementia during the COVID-19 Outbreak. J Am Geriatr Soc 2020; 68(8): 1673-1676.
Padala KP, Parkes CM, Padala PR. Neuropsychological and Functional Impact of COVID-19 on Mild Cognitive Impairment. Am J Alzheimers Dis Other Demen 2020; 35: 153331752096087.
Sm-Rahman A, Lo CH, Ramic A, Jahan Y. Home-Based Care for People with Alzheimer's Disease and Related Dementias (ADRD) during COVID-19 Pandemic: From Challenges to Solutions. Int J Environ Res Public Health 2020; 17(24): 9303.
Devita M, Bordignon A, Sergi G, et al. The psychological and cognitive impact of Covid-19 on individuals with neurocognitive impairments: research topics and remote intervention proposals. Aging Clin Exp Res 2021; 33: 733–736.
Locke DEC, Khayoun R, Shandera-Ochsner AL, et al. Innovation Inspired by COVID: A Virtual Treatment Program for Patients with Mild Cognitive Impairment at Mayo Clinic. Mayo Clin Proc Innov Qual Outcomes 2021; 5(5): 820-826.
Yahara M, Niki K, Ueno K, et al. Remote Reminiscence Using Immersive Virtual Reality May Be Efficacious for Reducing Anxiety in Patients with Mild Cognitive Impairment Even in COVID-19 Pandemic: A Case Report. Biol Pharm Bull 2021; 44(7): 1019-1023.
Rodríguez J, Zapico BH. Producing and Adapting Educational Materials with and for the Elderly in Rural and Urban Contexts. In: www.iufm.fr; 2007.
Jeong JH, Na HR, Choi SH, et al. Group- and Home-Based Cognitive Intervention for Patients with Mild Cognitive Impairment: A Randomized Controlled Trial. Psychother Psychosom 2016; 85(4): 198–207.
Klados MA, Styliadis C, Frantzidis CA, et al. Beta-Band Functional Connectivity is Reorganized in Mild Cognitive Impairment after Combined Computerized Physical and Cognitive Training. Front Neurosci 2016; 10: 55.
Olazarán J, Muñiz R, Reisberg B, et al. Benefits of cognitive-motor intervention in MCI and mild to moderate Alzheimer disease. Neurology 2004; 63(12): 2348–235.
Styliadis C, Kartsidis P, Paraskevopoulos E, et al. Neuroplastic Effects of Combined Computerized Physical and Cognitive Training in Elderly Individuals at Risk for Dementia: An eLORETA Controlled Study on Resting States. Neural Plast 2015;2015: 172192.
Goodman-Casanove JM, Dura-Perez E, Guzman-Parra J, et al. Telehealth home support during COVID-19 Confinement for community-dwelling older adults with mildcognitive impairment or Mild dementia: survey study. J Med Internet Res 2020; 22(5).
Panerai S, Raggi A, Tasca D, et al. Telephone-Based Reality Orientation Therapy for patients with dementia: A pilot studyduring the COVID-19 Outbreak. Am J Occup Ther 2021; 75(2).
ManeraV, Petit PD, Derreumaux A, et al. Kitchen and cooking, a serious game for mild cognitive impairment and Alzheimer’s disease: A pilot study. Front Aging Neurosci 2015; 7(24).
González-Palau F, Franco M, Bamidis P, et al. The effects of a computer-based cognitive and physical training program in a healthy and mildly cognitive impaired aging sample. Aging Ment Health 2014; 18(7): 838–846.
Hagovská M, Dzvoník O, Olekszyová Z. Comparison of Two Cognitive Training Programs with Effects on Functional Activities and Quality of Life. Res Gerontol Nurs 2017; 10(4): 172–180.
Mansbach WE, Mace RA, Clark KM. The Efficacy of a Computer-Assisted Cognitive Rehabilitation Program for Patients with Mild Cognitive Deficits: A Pilot Study. Exp Aging Res 2017; 43(1): 94–104.
Cranton P. Transformative learning in action: Insights from Practice. New Directions for Adult and Continuing Education. No. 74. San Francisco: Jossey-Bass; 1997.
Mezirow JD and Associates. Learning as transformation. San Francisco: Jossey-Bass; 2000.
Rogers A. Adult Education, Athens: Metechmio; 1999.
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