Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Application of Cognitive Enhancement Protocol Based on Information & Communication Technology Program to Improve Cognitive Level of Older Adults Residents in Small-Sized City Community: A Pilot Study

중소도시 지역사회 거주 노인의 치매예방을 위한 Information & Communication Technology 프로그램 기반 인지향상 프로토콜 적용: 파일럿(Pilot) 연구

  • Yun, Sohyeon (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Lee, Hamin (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Kim, Mi Kyeong (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Park, Hae Yean (Dept. of Occupational Therapy, College of Software Digital Healthcare Covergence, Yonsei University)
  • 윤소현 (연세대학교 일반대학원 작업치료학과) ;
  • 이하민 (연세대학교 일반대학원 작업치료학과) ;
  • 김미경 (연세대학교 일반대학원 작업치료학과) ;
  • 박혜연 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Received : 2023.01.17
  • Accepted : 2023.03.13
  • Published : 2023.05.31
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Abstract

Objective : This study, as a preliminary study, applied an Information & Communication Technology (ICT) home-based program to elderly people aged 65 years or older to confirm the effect of the cognitive enhancement program and to find the possibility of remote rehabilitation. Methods : This study from August to October 2022, three subjects were selected and the intervention was conducted for about 2 months. This intervention was conducted using Korean version of Mini-Mental State Examination, Korean version of Montreal Cognitive Assessment (MoCA-K), Computer Cognitive Senior Assessment System, and the Center for Epidemiologic Studies Depression scale to evaluate cognitive improvement before and after the program. The therapist remotely set the level of cognitive training according to the subject's level through weekly feedback. Results : After the intervention, all subjects showed improved scores in most items of the MoCA-K conducted before and after the intervention. In addition, among the items of Cotras-pro, upper cognition, language ability, attention, visual perception, and memory were improved. Conclusion : Cognitive rehabilitation training using an ICT home-based 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.

목적 : 본 연구는 예비연구로 65세 이상 노인을 대상으로 Information & Communication Technology(ICT) 홈 기반 프로그램을 적용하여 인지향상 프로그램의 효과를 확인하고, 원격재활 전달모델로서 가능성을 찾고자 한다. 연구방법 : 2022년 8월부터 10월까지 대상자 3인을 선정하여 약 2개월에 걸쳐 ICT 홈 기반 인지향상 프로그램 중재를 실시하였다. 본 중재는 프로그램 전·후 인지향상을 평가하기 위해 한국판 간이 정신상태 검사, 한국판 몬트리올 인지평가, 노인용 전산화 인지평가도구, Two shorter form of the Center for Epidemiologic Studies Depression scale을 사용하여 진행하였다. 치료사는 원격으로 대상자의 수준에 맞는 인지훈련의 난이도 조절을 매주 피드백을 통해 설정하고 프로그램 진행 시에는 매일 정해진 시간에 치료사의 도움 없이 진행하였다. 인지향상 프로그램에 대한 추가 의견을 위해 인터뷰를 진행하였다. 결과 : 중재 후, 사전 사후에 진행한 한국판 몬트리올 인지평가 대부분의 항목에서 모든 대상자가 향상된 점수를 보였다. 또한 Cotras-pro의 항목 중 상위인지, 언어능력, 주의집중, 시지각, 기억력이 향상되었다. 결론 : ICT 홈 기반 프로그램을 사용한 인지재활훈련은 치매를 예방할 뿐 아니라 원격재활에 대한 내적동기 또한 가질 수 있었다. 본 연구를 통해 노인을 대상으로 한 원격재활이 가능할 수 있음을 확인할 수 있었다.

Keywords

Acknowledgement

이 논문은 2020년도 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2020R1C1C1011374).

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