How to engage patients in computerized cognitive training: a cognitive rehabilitation expert's perspective.

IF 1.9 4区 医学 Q2 REHABILITATION Disability and Rehabilitation-Assistive Technology Pub Date : 2024-08-01 Epub Date: 2023-11-23 DOI:10.1080/17483107.2023.2284879
Christelle Nahas, Marc Gandit, Lisa Quillion-Dupré, Emmanuel Monfort
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Abstract

Purpose: The relationship between a patient and their therapist plays a crucial role in patient engagement. While Computerized Cognitive Training (CCT) may assist in preserving cognitive skills in cases of aging, dementia or acquired brain injuries, its effectiveness has not been definitively proven. Improving user engagement, acceptance, and software usability could aid in addressing this issue. The present study aims to identify potential obstacles and facilitators by examining the perspectives of rehabilitation professionals on the current usage of CCT software.

Methods: Semi-structured interviews were conducted with 16 rehabilitation professionals, familiar with a CCT software. The data were transcribed and followed by an independent iterative thematic analysis.

Results: Two major themes were identified: (1) facilitating factors and (2) difficulties related to use. The main obstacles were difficulties related to the computerized nature of the exercises, technology use, understanding the software and general learning difficulties. The main facilitators were the ecological and novel nature of the exercises, and the adaptability of the difficulty levels.

Conclusion: The complexity of the CCT presents challenges for its usage by rehabilitation professionals, which in turn can impede patient utilization as well. To address this issue and promote sustainable use of the software, providing instruction delivery to facilitate learning and understanding of the CCT is essential. Additionally, creating a standardized foundation that therapists can refer to for guidance may also aid in optimizing the software's usage. It is recommended to utilize a model for CCT acceptability and acceptance in developing these solutions to enhance patient engagement.

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如何让病人参与电脑化的认知训练:一个认知康复专家的观点。
目的:患者和治疗师之间的关系在患者参与中起着至关重要的作用。虽然计算机化认知训练(CCT)可能有助于在衰老、痴呆或获得性脑损伤的情况下保持认知技能,但其有效性尚未得到明确证实。提高用户参与度、接受度和软件可用性可以帮助解决这个问题。本研究旨在透过检视康复专业人员对当前CCT软件使用的看法,找出潜在的障碍和促进因素。方法:对16名熟悉CCT软件的康复专业人员进行半结构化访谈。对数据进行转录,然后进行独立的迭代主题分析。结果:确定了两个主要主题:(1)促进因素和(2)与使用相关的困难。主要障碍是与练习的计算机化性质、技术使用、对软件的理解和一般学习困难有关的困难。主要的促进因素是练习的生态和新颖性,以及难度水平的适应性。结论:CCT的复杂性给康复专业人员的使用带来了挑战,这反过来也阻碍了患者对CCT的使用。为了解决这一问题并促进软件的可持续使用,提供教学以促进对有条件现金培训的学习和理解至关重要。此外,创建一个标准化的基础,治疗师可以参考指导,也有助于优化软件的使用。建议在制定这些解决方案时利用CCT可接受性和可接受性模型来提高患者参与度。
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来源期刊
CiteScore
5.70
自引率
13.60%
发文量
128
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