Playful Multimodal Training for Persons with Dementia with Executive Function based Decision Support

L. Paletta, M. Fellner, M. Pszeida, Alexander Lerch, Christian Kemp, Lara Pittino, Josef Steiner, Mariella Panagl, Manuela Künstner
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引用次数: 11

Abstract

Meaningful treatment of dementia today consists of multi-component interventions, such as, cognitive and also physical, sensomotor oriented stimulation. A serious game was developed for multimodal training performed by clients and caregiver using easily configurable services on a Tablet PC. A key problem in developing substantial knowledge about dementia and impacting factors is lack of data about mental processes evolving over time. For this purpose, eye tracking data were captured from non-obtrusive sensing during the game to enable continuous monitoring of dementia profiles. An antisaccade paradigm was used to detect attention inhibition problems that typically occur in executive function related neurodegenerative diseases, such as, in Alzheimer. In a 6 month study with 12 users a classifier was developed that enables to discriminate dementia stages from robustly extracted eye movement features received from training at home. The playful training and its diagnostics oriented toolbox offer affordances for entertaining users, measuring and analysis of mental process parameters, to enable people with dementia to stay longer at home and slowing down the progress of disease.
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基于决策支持的执行功能痴呆患者有趣的多模式训练
今天,有意义的痴呆症治疗包括多种干预措施,如认知刺激、身体刺激、感官刺激。我们开发了一款严肃的游戏,用于客户和护理人员在平板电脑上使用易于配置的服务进行多模式培训。发展有关痴呆症及其影响因素的实质性知识的一个关键问题是缺乏随时间演变的心理过程的数据。为此,在游戏过程中从非突发性传感中捕获眼动追踪数据,以实现对痴呆症档案的持续监测。反扫视范式被用来检测注意力抑制问题,这些问题通常发生在与执行功能相关的神经退行性疾病中,如阿尔茨海默病。在与12名用户进行的为期6个月的研究中,开发了一种分类器,能够从从家庭训练中获得的鲁棒提取的眼动特征中区分痴呆症的阶段。有趣的训练及其诊断导向的工具箱为娱乐用户,测量和分析心理过程参数提供了便利,使痴呆症患者能够在家里呆更长时间,减缓疾病的进展。
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