Cognitive cooperation groups mediated by computers and internet present significant improvement of cognitive status in older adults with memory complaints: a controlled prospective study

Rodrigo de Rosso Krug; Anna Quialheiro Abreu da Silva; Ione Jayce Ceola Schneider; Luiz Roberto Ramos; Eleonora d’Orsi; André Junqueira Xavier

doi:10.1590/0004-282X20170021

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(04): 228-233
DOI: 10.1590/0004-282X20170021

ARTICLE

Cognitive cooperation groups mediated by computers and internet present significant improvement of cognitive status in older adults with memory complaints: a controlled prospective study

Grupos de Cooperação Cognitiva mediados pelo uso de computadores e internet mostram uma melhora significativa no estado cognitivo em idosos com queixas de memória: estudo controlado prospectivo

Rodrigo de Rosso Krug

¹Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Ciência Médicas, Florianópolis SC, Brasil;

,

Anna Quialheiro Abreu da Silva

²Universidade do Sul de Santa Catarina, Palhoça SC, Brasil;

³Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Florianópolis SC, Brasil;

,

Ione Jayce Ceola Schneider

⁴Universidade Federal de Santa Catarina, Curso de Fisioterapia, Programa de Pós-Graduação em Ciências da Reabilitação, Araranguá SC, Brasil;

,

Luiz Roberto Ramos

⁵Universidade de Federal de São Paulo, Programa de Pós-Graduação em Saúde Coletiva, São Paulo SP, Brasil.

,

Eleonora d’Orsi

¹Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Ciência Médicas, Florianópolis SC, Brasil;

³Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Florianópolis SC, Brasil;

,

André Junqueira Xavier

²Universidade do Sul de Santa Catarina, Palhoça SC, Brasil;

³Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Florianópolis SC, Brasil;

› Author Affiliations

Abstract

ABSTRACT

Objective

To estimate the effect of participating in cognitive cooperation groups, mediated by computers and the internet, on the Mini-Mental State Examination (MMSE) percent variation of outpatients with memory complaints attending two memory clinics.

Methods

A prospective controlled intervention study carried out from 2006 to 2013 with 293 elders. The intervention group (n = 160) attended a cognitive cooperation group (20 sessions of 1.5 hours each). The control group (n = 133) received routine medical care. Outcome was the percent variation in the MMSE. Control variables included gender, age, marital status, schooling, hypertension, diabetes, dyslipidaemia, hypothyroidism, depression, vascular diseases, polymedication, use of benzodiazepines, exposure to tobacco, sedentary lifestyle, obesity and functional capacity. The final model was obtained by multivariate linear regression.

Results

The intervention group obtained an independent positive variation of 24.39% (CI 95% = 14.86/33.91) in the MMSE compared to the control group.

Conclusion

The results suggested that cognitive cooperation groups, mediated by computers and the internet, are associated with cognitive status improvement of older adults in memory clinics.

RESUMO

Objetivo

Avaliar o efeito da participação em Grupos de Cooperação Cognitiva mediados por computadores e internet na variação do Mini-Exame de Estado Mental (MEEM) de pacientes ambulatoriais com queixas de memória, participantes de duas clínicas de memória.

Métodos

Estudo prospectivo de intervenção controlada, realizado em 2006-2013 com 293 idosos. O grupo de intervenção (n = 160) participou de um Grupo de Cooperação Cognitiva (20 sessões de 1,5 horas cada). O grupo controle (n = 133) recebeu acompanhamento médico. O desfecho foi a variação percentual no MEEM. As variáveis de controle incluíram genêro, idade, estado civil, escolaridade, hipertensão, diabetes, dislipidemia, hipotiroidismo, depressão, doenças cardiovasculares, polimedicação, uso de benzodiazepínicos, exposição ao tabaco, sedentarismo, obesidade e capacidade funcional. Todas as variáveis foram coletadas antes e após a intervenção. O modelo multivariado final foi obtido por regressão linear múltipla.

Resultados

O grupo de intervenção obteve variação positiva independente de 24,39% (IC95% = 14.86/33.91) no MEEM em relação ao grupo controle.

Conclusão

Os resultados deste estudo sugerem que o grupo de intervenção, mediados por computadores e internet estão associados com melhora do status cognitivo em idosos de clínicas de memória.

rehabilitation - cognition - computers - aged

Reabilitação - cognição - computadores - idoso

Full Text

References

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