Application of Cognitive Enhancement Protocol Based on ICT Program to Improve Cognitive Level of Older Adults Residents in Small‐sized City Community: A Pilot Study

Abstract

AbstractBackgroundA home‐based ICT program to elderly people aged 65 years or older to confirm the effect of the cognitive enhancement program and explore the possibility of remote rehabilitation.MethodThis study from August to October 2022, three subjects were selected and the intervention was conducted for about two months. This intervention was conducted using the Korean version of Mini‐Mental State Examination(MMSE‐K), the Korean version of Montreal Cognitive Assessment(MoCA‐K), the Computer Cognitive Senior Assessment System(CoSAS), and the two shorter form of the Center for Epidemiologic Studies Depression scale(CESD‐10‐D) to evaluated cognitive improvement before and after the program. The therapist remotely set the difficulty lever of cognitive training suitable fore the level of the subject through weekly feedback, and during the program. Interviews were conducted for additional opinions on the cognitive enhancement program.ResultAfter the intervention, all subjects showed improved scores in most items of the Korean version of the Montreal Cognitive Assessment conducted before and after the intervention. In addition, among the items of CoTras, upper cognition, language ability, attention, visual perception, and memory were improved. In addition, subjective satisfaction with the cognitive improvement program was high.ConclusionCognitive rehabilitation training using a home‐based ICT program not only prevented dementia but also made it habitual. Through this study, it was confirmed that remote rehabilitation for the elderly could be possible.