Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI
Background: Patients with Mild Cognitive Impairment (MCI) and Vascular Cognitive Impairment (VCI) are at a high risk of progressing to dementia. Recent guidelines indicate the importance of promoting multidimensional and multi-domain interventions to prevent further decline. Due to its growing effec...
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Frontiers Media S.A.
2020-11-01
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Series: | Frontiers in Neurology |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2020.583368/full |
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record_format |
Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Irene Eleonora Mosca Emilia Salvadori Filippo Gerli Laura Fabbri Silvia Pancani Giulia Lucidi Gemma Lombardi Leonardo Bocchi Stefania Pazzi Francesca Baglio Federica Vannetti Sandro Sorbi Sandro Sorbi Claudio Macchi Claudio Macchi |
spellingShingle |
Irene Eleonora Mosca Emilia Salvadori Filippo Gerli Laura Fabbri Silvia Pancani Giulia Lucidi Gemma Lombardi Leonardo Bocchi Stefania Pazzi Francesca Baglio Federica Vannetti Sandro Sorbi Sandro Sorbi Claudio Macchi Claudio Macchi Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI Frontiers in Neurology mild cognitive impairment vascular cognitive impairment tele-rehabilitation efficiency web application |
author_facet |
Irene Eleonora Mosca Emilia Salvadori Filippo Gerli Laura Fabbri Silvia Pancani Giulia Lucidi Gemma Lombardi Leonardo Bocchi Stefania Pazzi Francesca Baglio Federica Vannetti Sandro Sorbi Sandro Sorbi Claudio Macchi Claudio Macchi |
author_sort |
Irene Eleonora Mosca |
title |
Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI |
title_short |
Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI |
title_full |
Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI |
title_fullStr |
Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI |
title_full_unstemmed |
Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI |
title_sort |
analysis of feasibility, adherence, and appreciation of a newly developed tele-rehabilitation program for people with mci and vci |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Neurology |
issn |
1664-2295 |
publishDate |
2020-11-01 |
description |
Background: Patients with Mild Cognitive Impairment (MCI) and Vascular Cognitive Impairment (VCI) are at a high risk of progressing to dementia. Recent guidelines indicate the importance of promoting multidimensional and multi-domain interventions to prevent further decline. Due to its growing effectiveness, comparable to conventional face-to-face interventions, the use of technology is gaining relevance. Tele-rehabilitation systems have the potential to engage patients in multi-dimensional activity programs and to guarantee a low-cost continuum of care through remote control. A possible limitation of such programs is represented by the lack of familiarization with technology and computers in elderly people. The purpose of this study is to describe the feasibility, adherence, and appreciation of the GOAL Tele-R system, administered by a web-application through remote control in patients with MCI/VCI.Methods: Feasibility of the Tele-R system was evaluated by means of distribution of patients' attrition along the study phases, controlling for potential systematic bias in drop-out rates due to the technological device. Adherence was evaluated analyzing drop-out rates and indexes of carried out activities. Patients' appreciation was analyzed through ad hoc satisfaction questionnaire items.Results: Out of 86 approached patients, 25 (29%) were not enrolled, 30 (35%) dropped-out after randomization, and 31 (36%) completed the study (standard care group n = 12, the tele-R group n = 19). Compared to the tele-R group, rates of drop-outs resulted significantly higher for the standard care group (34 vs. 62%, respectively, p = 0.029). Taking into account baseline characteristics, females resulted in a statistically significant higher rate of drop-outs compared to males (66 vs. 27%, respectively, p = 0.003). Overall adherence to the proposed activities was 84% (85% for cognitive module and 83% for physical activity module). Concerning satisfaction, participants provided a good mean level of appreciation (3.7 ± 0.8, range 1–5), a positive feedback for usability, and a subjective perception of cognitive, emotional, and physical benefits due to the training.Conclusion: The GOAL Tele-R system seems a feasible technological rehabilitation program, reaching an acceptable level of adherence and appreciation in patients with an MCI/VCI condition.Clinical Trial Registration:www.ClinicalTrials.gov, ID: NCT03383549 (registration date: 26/dec/2017). |
topic |
mild cognitive impairment vascular cognitive impairment tele-rehabilitation efficiency web application |
url |
https://www.frontiersin.org/articles/10.3389/fneur.2020.583368/full |
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doaj-de51e09173e04355a2cfd4c87bc6c0962020-12-08T08:40:14ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-11-011110.3389/fneur.2020.583368583368Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCIIrene Eleonora Mosca0Emilia Salvadori1Filippo Gerli2Laura Fabbri3Silvia Pancani4Giulia Lucidi5Gemma Lombardi6Leonardo Bocchi7Stefania Pazzi8Francesca Baglio9Federica Vannetti10Sandro Sorbi11Sandro Sorbi12Claudio Macchi13Claudio Macchi14Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyDipartimento di Ingegneria dell'Informazione, Università degli Studi di Firenze, Firenze, ItalyConsorzio di Bioingegneria e Informatica medica–CBIM, Pavia, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyDipartimento di Neuroscienze, Psicologia, Area del Farmaco e Salute del Bambino, Università degli Studi di Firenze, Firenze, ItalyIstituto di Ricovero e Cura a Carattere Scientifico Fondazione Don Carlo Gnocchi, Milano, ItalyDipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze, Firenze, ItalyBackground: Patients with Mild Cognitive Impairment (MCI) and Vascular Cognitive Impairment (VCI) are at a high risk of progressing to dementia. Recent guidelines indicate the importance of promoting multidimensional and multi-domain interventions to prevent further decline. Due to its growing effectiveness, comparable to conventional face-to-face interventions, the use of technology is gaining relevance. Tele-rehabilitation systems have the potential to engage patients in multi-dimensional activity programs and to guarantee a low-cost continuum of care through remote control. A possible limitation of such programs is represented by the lack of familiarization with technology and computers in elderly people. The purpose of this study is to describe the feasibility, adherence, and appreciation of the GOAL Tele-R system, administered by a web-application through remote control in patients with MCI/VCI.Methods: Feasibility of the Tele-R system was evaluated by means of distribution of patients' attrition along the study phases, controlling for potential systematic bias in drop-out rates due to the technological device. Adherence was evaluated analyzing drop-out rates and indexes of carried out activities. Patients' appreciation was analyzed through ad hoc satisfaction questionnaire items.Results: Out of 86 approached patients, 25 (29%) were not enrolled, 30 (35%) dropped-out after randomization, and 31 (36%) completed the study (standard care group n = 12, the tele-R group n = 19). Compared to the tele-R group, rates of drop-outs resulted significantly higher for the standard care group (34 vs. 62%, respectively, p = 0.029). Taking into account baseline characteristics, females resulted in a statistically significant higher rate of drop-outs compared to males (66 vs. 27%, respectively, p = 0.003). Overall adherence to the proposed activities was 84% (85% for cognitive module and 83% for physical activity module). Concerning satisfaction, participants provided a good mean level of appreciation (3.7 ± 0.8, range 1–5), a positive feedback for usability, and a subjective perception of cognitive, emotional, and physical benefits due to the training.Conclusion: The GOAL Tele-R system seems a feasible technological rehabilitation program, reaching an acceptable level of adherence and appreciation in patients with an MCI/VCI condition.Clinical Trial Registration:www.ClinicalTrials.gov, ID: NCT03383549 (registration date: 26/dec/2017).https://www.frontiersin.org/articles/10.3389/fneur.2020.583368/fullmild cognitive impairmentvascular cognitive impairmenttele-rehabilitationefficiencyweb application |