%0 Journal Article
%@ 1438-8871
%I JMIR Publications Inc.
%V 16
%N 5
%P e122
%T Web-Based Cognitive Training: Patient Adherence and Intensity of Treatment in an Outpatient Memory Clinic
%A Tedim Cruz,Vítor
%A Pais,Joana
%A Alves,Ivânia
%A Ruano,Luís
%A Mateus,Cátia
%A Barreto,Rui
%A Bento,Virgílio
%A Colunas,Márcio
%A Rocha,Nelson
%A Coutinho,Paula
%+ Hospital São Sebastião, Neurology Department, Centro Hospitalar de Entre o Douro e Vouga, Rua Dr Candido de Pinho, Santa Maria da Feira, 4520-211, Portugal, 351 912582120, vitor.cruz@chedv.min-saude.pt
%K cognitive training
%K neurorehabilitation
%K Web-based training
%K eHealth systems
%K training intensity
%K adherence
%K memory clinic
%D 2014
%7 07.05.2014
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: Cognitive training has been playing an increasing role in the treatment of patients with cognitive deficits. This type of intervention, namely its intensity, can be optimized by incorporating information technology-based systems. Objective: The intent of the study was to determine the treatment intensity and patient adherence to home-based cognitive training strategies (Web-based cognitive training). Methods: A cohort of 45 patients with neurologic and psychiatric diseases attending an outpatient memory clinic (average age 50.7 years, SD 17.0; average education 7.8 years, SD 4.9) was followed over 18 months. Participants were challenged to use a Web-based cognitive training system, “COGWEB”, on a daily basis, and fulfilled at least four weeks of training supervised remotely. Additionally, 11 patients attended face-to-face sessions. Results: The average duration of continuous cognitive training was 18.8 weeks (SD 18.9). Each patient performed on average 363.5 minutes/week (SD 136.6). At 6-month follow-up, 82.8% complied with their treatment plan. The average proportion of complete weeks was 0.75 (SD 0.22). Patients with dementia trained more intensively (444.6 minutes/week), followed by patients with static brain lesion (414.5 minutes/week; P=.01). The group that held face-to-face sessions performed more training overall (481.4 vs 366.9 minutes/week), achieving a stronger expression and statistical significance in the last week of training (652.6 versus 354.9 minutes/week, P=.027). Conclusions: Overall, the weekly training intensity was high. Patients with dementia and static lesions performed more cognitive training. Face-to-face sessions were associated with higher intensities. The combination of classical methods with information technology systems seems to ensure greater training intensity. 
%M 24808451
%R 10.2196/jmir.3377
%U http://www.jmir.org/2014/5/e122/
%U https://doi.org/10.2196/jmir.3377
%U http://www.ncbi.nlm.nih.gov/pubmed/24808451