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A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study

BACKGROUND: Cognitive impairment is considered one of the most feared chronic conditions among the older adult population since its incidence is approximately twice more frequent than that of dementia. In Mexico, no studies or reports of older adults using technology for cognitive interventions have...

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Autores principales: Martínez-Alcalá, Claudia I, Rosales-Lagarde, Alejandra, Hernández-Alonso, Esmeralda, Melchor-Agustin, Roberto, Rodriguez-Torres, Erika E, Itzá-Ortiz, Benjamín A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123536/
https://www.ncbi.nlm.nih.gov/pubmed/30131319
http://dx.doi.org/10.2196/resprot.9603
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author Martínez-Alcalá, Claudia I
Rosales-Lagarde, Alejandra
Hernández-Alonso, Esmeralda
Melchor-Agustin, Roberto
Rodriguez-Torres, Erika E
Itzá-Ortiz, Benjamín A
author_facet Martínez-Alcalá, Claudia I
Rosales-Lagarde, Alejandra
Hernández-Alonso, Esmeralda
Melchor-Agustin, Roberto
Rodriguez-Torres, Erika E
Itzá-Ortiz, Benjamín A
author_sort Martínez-Alcalá, Claudia I
collection PubMed
description BACKGROUND: Cognitive impairment is considered one of the most feared chronic conditions among the older adult population since its incidence is approximately twice more frequent than that of dementia. In Mexico, no studies or reports of older adults using technology for cognitive interventions have been published, given that institutions usually frame cognitive stimulation tasks in paper and pencil (ie, in the traditional manner). OBJECTIVE: The objective of this study was to create and analyze the effect, viability, and impact of a mobile app for cognitive stimulation implemented among a group of elderly adults (over 60 years of age) from the state of Hidalgo in Mexico. METHODS: This study was a nonprobabilistic pilot trial using convenience sampling. An intervention was implemented among a group of 22 older adults between 60 and 80 years of age over 12 weeks. Half of the older adults were stimulated with the mobile app (experimental group) and the other half followed the traditional paper and pencil training (control group). Assessments with the Mini-Mental State Examination (MMSE) and the Neuropsi, a neuropsychological test validated in Mexico, were done before and after both cognitive stimulations. RESULTS: According to the analyzed data, 6/11 (55%) participants from the experimental group obtained better results in their cognitive skills, and 5 (45%) of the adults maintained their score, given that the participants were able to execute the exercises repetitively. Meanwhile, for the control group, only 3/11 (27%) participants obtained better results in the postevaluation. Significant values for results of the MMSE were obtained in the postevaluation for the experimental group compared to the control group, while results did not show significant differences in the Neuropsi. Regarding the validation of the app, all the participants evaluated its pertinence positively. CONCLUSIONS: The intervention data show that the experimental group obtained better results in the postevaluation given that the participants were able to execute the exercises repetitively. The control group could not accomplish this since they had to respond on the manual and no further attempts were provided. However, both groups increased their score in the neuropsychological evaluations. This suggests that a longer and more frequent intervention is required. REGISTERED REPORT IDENTIFIER: RR1-10.2196/9603
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spelling pubmed-61235362018-09-06 A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study Martínez-Alcalá, Claudia I Rosales-Lagarde, Alejandra Hernández-Alonso, Esmeralda Melchor-Agustin, Roberto Rodriguez-Torres, Erika E Itzá-Ortiz, Benjamín A JMIR Res Protoc Original Paper BACKGROUND: Cognitive impairment is considered one of the most feared chronic conditions among the older adult population since its incidence is approximately twice more frequent than that of dementia. In Mexico, no studies or reports of older adults using technology for cognitive interventions have been published, given that institutions usually frame cognitive stimulation tasks in paper and pencil (ie, in the traditional manner). OBJECTIVE: The objective of this study was to create and analyze the effect, viability, and impact of a mobile app for cognitive stimulation implemented among a group of elderly adults (over 60 years of age) from the state of Hidalgo in Mexico. METHODS: This study was a nonprobabilistic pilot trial using convenience sampling. An intervention was implemented among a group of 22 older adults between 60 and 80 years of age over 12 weeks. Half of the older adults were stimulated with the mobile app (experimental group) and the other half followed the traditional paper and pencil training (control group). Assessments with the Mini-Mental State Examination (MMSE) and the Neuropsi, a neuropsychological test validated in Mexico, were done before and after both cognitive stimulations. RESULTS: According to the analyzed data, 6/11 (55%) participants from the experimental group obtained better results in their cognitive skills, and 5 (45%) of the adults maintained their score, given that the participants were able to execute the exercises repetitively. Meanwhile, for the control group, only 3/11 (27%) participants obtained better results in the postevaluation. Significant values for results of the MMSE were obtained in the postevaluation for the experimental group compared to the control group, while results did not show significant differences in the Neuropsi. Regarding the validation of the app, all the participants evaluated its pertinence positively. CONCLUSIONS: The intervention data show that the experimental group obtained better results in the postevaluation given that the participants were able to execute the exercises repetitively. The control group could not accomplish this since they had to respond on the manual and no further attempts were provided. However, both groups increased their score in the neuropsychological evaluations. This suggests that a longer and more frequent intervention is required. REGISTERED REPORT IDENTIFIER: RR1-10.2196/9603 JMIR Publications 2018-08-21 /pmc/articles/PMC6123536/ /pubmed/30131319 http://dx.doi.org/10.2196/resprot.9603 Text en ©Claudia I Martínez-Alcalá, Alejandra Rosales-Lagarde, Esmeralda Hernández-Alonso, Roberto Melchor-Agustin, Erika E Rodriguez-Torres, Benjamín A Itzá-Ortiz. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 21.08.2018. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Martínez-Alcalá, Claudia I
Rosales-Lagarde, Alejandra
Hernández-Alonso, Esmeralda
Melchor-Agustin, Roberto
Rodriguez-Torres, Erika E
Itzá-Ortiz, Benjamín A
A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study
title A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study
title_full A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study
title_fullStr A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study
title_full_unstemmed A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study
title_short A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study
title_sort mobile app (ibeni) with a neuropsychological basis for cognitive stimulation for elderly adults: pilot and validation study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123536/
https://www.ncbi.nlm.nih.gov/pubmed/30131319
http://dx.doi.org/10.2196/resprot.9603
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