Mild Cognitive Impairment Clinical Trial
Official title:
Change in Executive Functions and in Instrumental Activities of Daily Living as a Result of Intervention by Virtual Supermarket Environment Among People With Mild Cognitive Impairment.
The aim of the study is to investigate the feasibility of using a virtual supermarket as an intervention tool for overcoming deficits in executive function as well as enhancing IADL performance among persons with Mild Cognitive Impairment. The working hypotheses are that there will be improvement in executive functions, and the improvement in the executive functions will result in better performance in Instrumental Activities of Daily Living, both generally and especially in shopping task
Scientific and clinical research in the area of Alzheimer's disease (AD) during the last
years have shifted their focus to earlier diagnosis and especially to the transitional phase
between normal aging and dementia, named Mild Cognitive Impairment (MCI).Lately, the concept
of MCI has been expanded to address observed clinical heterogeneity, and subtypes were
recognized: amnestic (including memory impairment) and non-amnestic (including impairment in
other non-memory cognitive domains), with the later including deficits in executive
functioning Executive functions (EF) are defined as higher order functions that are needed
for completing complex or non-routine tasks. Deficits in EF refer to a collection of deficits
in attention, planning, problem-solving, multitasking, monitoring and behavioral control and
persons who suffer from impairments in EF typically have difficulty in initiating or
suspending activities, show impaired mental flexibility, as well as increased distractibility
and have difficulty in learning novel tasks despite apparently intact cognitive abilities.
Lately, an increasing amount of studies suggest that persons with MCI might have deficits in
EF, moreover, persons presenting a combination of executive deficits and memory deficits were
found to be a high risk group for conversion to AD.
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