Effectiveness of a cognitive functions improvement program in elderly MCI patients of Primary Care Unit Network of Udonthani Hospital

Abstract

This research aims to study the effectiveness of a cognitive functions improvement program in elderly Mild Cognitive Impairment (MCI) of primary care unit network of Udonthani hospital. This experimental research were the sample of 90 elderly of primary care unit in Mueang Udonthani District, purposive selection of elderly with MCI and receiving to TEAM-V program (Training of Executive function, Attention, Memory and Visuospatial). Two groups were experiment and control which 45 per group. Tools used were 1) progress observation form of TEAM-V program 2) the Montreal Cognitive Assessment-Test (MoCA). Study between March 2017 - March 2018. Divided into 4 phases: 1) screening from the elderly 60-70 years with MoCA <25 points with 92 people. 2) Two people were cut out because they were unable to participate in activity. 3) Divided into experimental groups and control groups. 4) MoCA cognitive Assessment-Test. Quantitative data analysis using percentages), mean, standard deviation and compare a cognitive functions between the experimental group and the control group before - after using the TEAM-V program using Paired T-test.

The results show that effectiveness of activities of TEAM-V program 6 sessions will connect many cognitive functions. When compare cognitive functions in experimental group between pre-and post-test after participation had an average MoCA score higher than before participation with significant statistical difference (p<0.001; 95%CI: 2.88-4.04). In control group after operation had MoCA score higher than before with significant statistical difference (p<0.001; 95%CI: 1.17-2.60) and in experimental group found that after operation had MoCA score higher than control group no difference. In each aspect, was found that the MoCA scores were higher than the control groups with statistical significance (p<0.05) were Attention, Language, Delayed recall, but no difference were Visuospatial, Naming, Abstraction and Orientation. Firs time follow up at (3 month), in experimental group found that after using program had MoCA score higher than control group no difference, but When considering each aspect, was found that the MoCA scores were higher than the control groups with statistical significance (p<0.05) were Attention, Language, Abstraction,

Orientation and no difference aspect were Visuospatial, Naming, Delayed recall. Second time follow up (6 month) experimental group found that after using program had MoCA score higher than control group with significant statistical difference (p<0.05), In each aspect was found that the MoCA scores were higher than the control groups with difference of statistical significance were Visuospatial, Naming, Attention, Abstraction, Delayed recall, Orientation, no significant difference in the Language.

Conclusion: the experimental group after TEAM-V program was effect to increasing the

Cognitive functions improvement higher than control group with statistical significance.