Patient Satisfaction Clinical Trial
Official title:
COgilus Remediation in Alzheimer Patients
This study evaluates the usability of a new tablet PC application to stimulate cognitive functions. Patients hospitalized in a geriatric ward (day or complete hospitalisation) but also their informal and professional caregivers will assess the usability of the application using a structured survey.
Attention span is one of the most frequently and early impaired cognitive functions during
aging, especially in neurocognitive disorders such as Alzheimer's disease. Decline of
attention span can lead to a cognitive complaint by the patient or his or her relatives, even
in the prodromal phase of the disease (DSM V: minor neurocognitive disorder). The current
challenge is to develop strategies to prevent the cognitive decline in patients with minor
neurocognitive disorder or major cognitive disorder with slight impairment, and thus to limit
cognitive decline. However, to date, no strategy has shown clear effectiveness in preventing
cognitive decline in patients with neurocognitive disorder.
Interestingly, the integration of perceptual skills are modified in patients with
neurocognitive disorders, and in particular visuomotor skills (from early stages).
Measurements of evoked potientials during visual stimulation in patients with minor
neurocognitive disorder have shown a preservation of sensory responses but a decrease in
cognitive responses. Based on this observation, a US team had recently tested the
effectiveness of computer-based visual cognitive exercises performed regularly for 8 weeks in
patients free of major neurocognitive disorder. They had reported an improvement in
information processing speed and walking performance. These results suggest that regular
cognitive stimulation exercises using tablet PC visual exercices could improve attention span
and in particular the information processing speed in patient with minor or early major
neurocognitive disorder.
In particular, Cogilus, a cross-platform tablet PC application (Android, iOS, Microsoft) has
recently been developed for this purpose. The Cogilus project, is designed for health
professionals who support patients with neurological syndromes including cognitive or
attentional dysfunctions. The application is also open to carers and family members, who will
be able to support the patient in using the application (based on the exercices proposed by
professionals).
The finale objective of the Cogilus project is to assess the impact of the regular use of
Cogilus on patient with minor or early major neurocognitive disorder. Considering the
specific needs in usability for this population, the first step to devoloppe such technology
is to assess the usability of the application in patients but also in unformal and
professional cargivers.
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