The Effectiveness of a Cognitive Stimulation Program on the Elderly with Mild Cognitive Impairment

Authors

  • วีณา ลิ้มสกุล Faculty of Nursing Suratthani Rajabhat University
  • เกศรา ตั้นเซ่ง Faculty of Nursing Suratthani Rajabhat University
  • จวง เผือกคง Faculty of Nursing Suratthani Rajabhat University

Keywords:

cognitive stimulation program, cognitive status, elderly people with mild cognitive impairment

Abstract

Older adults with mild cognitive impairment are more likely to develop dementia. This study aimed to investigate the effectiveness of a cognitive stimulation program on 34 elderly people with mild cognitive impairment. It was conducted between May 2015 and July 2016. The research instruments consisted of (1) a cognitive stimulation program with systematic cognitive activities specific to different functions of the brain and (2) cognitive assessment tools such as the Montreal Cognitive Assessment (MoCA test) and the Alzheimer’s Disease Assessment Scale–Cognitive subscale (ADAS-cog, Thai modified version). The elderly’s mean scores of cognitive status were analyzed and compared using a t-test.

The results revealed that after participating in the cognitive stimulation program the elderly with mild cognitive impairment in the experimental group had higher MoCA scores (mean=23.59, SD=2.53) than before (mean=21.71, SD=2.66) had significantly (t=-4.08, p< .001) and had lower ADAS-cog scores (mean=10.75, SD=4.20) than before the program (mean=13.60, SD=6.91) had significantly (t=3.18, p<.01). The experimental group higher MoCA scores (mean=23.59, SD=2.53) than in the control group (mean=23.12, SD=4.17) had significantly (t= -.39, p< .01) and had lower ADAS-cog scores (mean=10.75, SD=4.28) than those in the control group (mean=13.93, SD = 6.41) had significantly (t = 1.70, p< .05).

Thus, the cognitive stimulation program should be implemented among the elderly to encourage them to do activities with goals and to enhance the cognitive status of the elderly with mild cognitive impairment, which will help to reduce the future incidence of dementia.

References

Cotelli, M., Manenti, R., Zanetti, O., & Miniussi, C., (2012). Non-pharmacological intervention for memory decline. Front Hum Neurosci, 6(46), 1-17. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3297818/pdf/fnhum-06-00046.pdf
Frieri. L., (2010). Effectiveness of Cognitive Stimulation Therapy groups for individuals with dementia. Clinical Review, from
https://www.uwo.ca/fhs/csd/ebp/reviews/2009-10/Frieri.pdf.
Hemrungrojn, S. (2011). Montreal cognitive assessment (MoCA). Retrieved from
https://www.mocatest.org/pdf_file/test/MoCA-test-thai-pdf.
Huntley, J.D., Gould, R.L., Liu, K., Smith, M., & Howard, R.J. (2015). Do cognitive interventions improve general cognition in dementia? A meta-analysis and meta-regression. BMJ Open Retrieved from http://bmjopen.bmj.com/content/bmjopen/5/4/e005247.full.pdf
Langa, K.M., & Levine, D.A. (2014).The diagnosis and management of mild cognitive impairment: a clinical review. JAMA, 312(23), 2551-61.
Lin, R.T., Wolf, P.A., Bachman, D.L., Knoefel, J.E., Cobb, J.L., Belanger, A.J., . . . & D, Agostino, R.B. (1995). The preclinical phase of probable Alzheimer’s disease: a 13-year prospective study of the Framingham Cohort. Archive Neurology, 52(5), 485-490.
Martin, M., Clare, L., Altgassen, A.M., Cameron, M.H.,& Zehnder, F. (2011). Cognition-based interventions for healthy older people and people with mild cognitive impairment. Cochrane Database Systematic Review. 19(1), Retrieved from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006220.pub2/epdf/abstract.
Wenisch, E., Cantegreil-Kallen, I., De Rotrou, J., Moulin, F., Batouche, F. ,Richard, . . . . &
Rigaud, A.S. (2007). Cognitive stimulation intervention for elders with mild cognitive impairment compared with normal ages subjects: preliminary results. Aging Clin Exp Res. 19(4): 316-22.
Willis, S.L, Tennstedt , S.L., Marsiske, M., Ball, K., Elias, J., Koepke, K.M., . . . & Wright, E.
(2006). Long-term Effects of Cognitive Training on Everyday Functional Outcomes in Older Adults. JAMA, 296(23): 2805-5014.
Wilson, R.S., Scherr, P.A., Scheider, J.A., Tang, Y.& Bennett, D.A. (2007). Relation of cognitive
activity to risk of developing Alzheimer disease. Neurology, 69(20): 1991-1920.
Yaffe, K., Fiocco, A.J., Lindguist, K., Vittinghoff, E., Simonsick, E.M., Newman, A.B., . . . &
Harris,T. B. (2009). Predictors of maintaining cognitive function in older adults. Neurology, 72(23): 2029-35.
Verghes, J., Lipton, R.B., Katz, M.J., Hall,C.B., Derby, C.A., Huslansky, G., . . . & Buschke, H.
(2003). Leisure Activities and the Risk of Dementia in the Elderly. N Engl J Med, 348(25): 2508-16.

Translated Thai References
Daochopu Nakawiro, Sirintorm Chansirikam, Patsri Srisuwan, Oraphan Aebthaisong, Patra
Sudsakorn, Charunee Vidhyachak & Pataraporn Visajan. (2017).Group-Based Training of Executive Function, Attention, Memory and Visuospatial Function (team-V) in Patients with Mild Neurocognitive Disorder. J Psychiar Assoc Thailand, 62(4), 337-348. (In Thai)
Thirathorn Wongchaisuwan, Pasiri Sithinamsuwan, Chesda UdommonKul, Wanna Wongmek.
(2005). Factors Influencing MMSE-T Score among Thai Subjects. J Med Assoc Thai, Vol.88 Suppl 3. (In Thai)
Benjamas Suksatit& Phadundtham Thiengburanatham.(2017). Mild Cognitive Impairment among
Patients with Ischemic Stroke : Prevalence, Characteristics, and its related Factors. Nursing Journal, 44(1), 149-160. (In Thai)
Weena limsakul. (2015) Health promotion program report Annual year 2015. Suratthani
Rajabhat University: Faculty of Nursing. (In Thai)
Prasat Neurological Institute. (2014). Clinical practice guidelines for dementia 2014. Bangkok:
Thana Place Co., Ltd. (In Thai)
Institute Of Geriatric Medicine. (2016). Report Operating Results of Cognitive Stimulation with
Mild Cognitive Disorder in Elderly People Research A.D. 2014 -2015. Nonthaburi: Ministry of Public Health. (In Thai)
Smit Prasunnakarn, Adchara Khammathit, Thitiwan, Yothathai & Panphet Sakukoo. (2017).
Early Screening of Senile Dementia in Community Based Care: a Systematic Review. Journal of Health Science, 26(1), 126-138. (In Thai)
Sirintorm Chansirikam. (2015). Health service model for the elderly in health care services.
"Dementia" In the Handbook of health services provision for the elderly in health care services. Nonthaburi: Ministry of Public Health. (In Thai)

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Published

2018-09-30

How to Cite

ลิ้มสกุล ว., ตั้นเซ่ง เ., & เผือกคง จ. (2018). The Effectiveness of a Cognitive Stimulation Program on the Elderly with Mild Cognitive Impairment. Nursing Journal CMU, 45(3), 58–68. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/149340

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Research Article