TY  - JOUR
AU  - Tedim Cruz, Vítor
AU  - Pais, Joana
AU  - Alves, Ivânia
AU  - Ruano, Luís
AU  - Mateus, Cátia
AU  - Barreto, Rui
AU  - Bento, Virgílio
AU  - Colunas, Márcio
AU  - Rocha, Nelson
AU  - Coutinho, Paula
PY  - 2014
DA  - 2014/05/07
TI  - Web-Based Cognitive Training: Patient Adherence and Intensity of Treatment in an Outpatient Memory Clinic
JO  - J Med Internet Res
SP  - e122
VL  - 16
IS  - 5
KW  - cognitive training
KW  - neurorehabilitation
KW  - Web-based training
KW  - eHealth systems
KW  - training intensity
KW  - adherence
KW  - memory clinic
AB  - 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. 
SN  - 1438-8871
UR  - http://www.jmir.org/2014/5/e122/
UR  - https://doi.org/10.2196/jmir.3377
UR  - http://www.ncbi.nlm.nih.gov/pubmed/24808451
DO  - 10.2196/jmir.3377
ID  - info:doi/10.2196/jmir.3377
ER  -