Internet Delivered Cognitive Rehabilitation for Mild Cognitive Impairments

Summary

Acquired brain injury and neurological disorders cause cognitive deficits, which in turn cause reduced participation in everyday life. Cognitive rehabilitation, where patients learn about cognition, cognitive deficits and ways to circumvent problems arising from deficits can increase participation and quality of life. ERehabCog is an internet delivered cognitive rehabilitation program intended for patients suffering mild to moderate impairments. The program consists of information and homework assignments, which take approximately 10 weeks to complete with the assistance of a therapist. Effects are evaluated through measures of everyday life participation, mood, and life satisfaction and compared with an attention training program. This study aims to contribute to the evidence base for internet delivered cognitive rehabilitation for mild to moderate cognitive impairments. Evidence based interventions are vital to use the potential of technology to the benefit of affected patients.

Interventions

• eRehabCog · BEHAVIORAL

  eRehabCog is a manualised internet delivered compensatory cognitive rehabilitation program (10 weeks, 1 hour per week, 10 hours in total). It is designed to improve patient self efficacy and participation in everyday life activities through compensatory strategy learning

• CogMed QM · BEHAVIORAL

  CogMed QM is an internet delivered training program (5 weeks, 2 hours per week, 10 hours in total) designed to improve patients working memory

Published eligibility criteria

Verbatim from the registry. Only the site can decide how these apply to a specific patient.

Inclusion Criteria:

* Enrolled in community neurorehabilitation in Stockholm, Sweden
* Mild to moderate cognitive impairment as a consequence of acquired brain injury or nervous system disease
* MoCA 21 ≥
* Sufficient command of Swedish language
* Access to internet connected device and internet connection

Exclusion Criteria:

* Severe and enduring psychiatric or behavioural disorders (i.e Schizophrenia, substance abuse)
* Suspected or diagnosed dementia
* Homelessness or other social instability rendering access to internet unpredictable

Sites (1)

• Danderyd Hospital, Stockholm, Stockholm County, Sweden