How to engage patients in computerized cognitive training: a cognitive rehabilitation expert's perspective.

The relationship between a patient and their therapist plays a crucial role in patient engagement. While Computerized Cognitive Training (CCT) may assist in preserving cognitive skills in cases of aging, dementia or acquired brain injuries, its effectiveness has not been definitively proven. Improvi...

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Published in:Disability & Rehabilitation: Assistive Technology Vol. 19; no. 6; pp. 2306 - 2319
Main Authors: Nahas, Christelle, Gandit, Marc, Quillion-Dupré, Lisa, Monfort, Emmanuel
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Aug2024
Online Access:View this record in EBSCOhost
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      dt: Aug2024
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      pub: Taylor & Francis Ltd
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        10.1080/17483107.2023.2284879
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        atl: How to engage patients in computerized cognitive training: a cognitive rehabilitation expert's perspective.
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          Nahas, Christelle
          Gandit, Marc
          Quillion-Dupré, Lisa
          Monfort, Emmanuel
        affil: TIMC Laboratory, Universite Grenoble Alpes, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, Grenoble, France
      sug:
        subj:
          Cognitive Therapy Education
          Therapy, Computer Assisted Utilization
          Software Utilization
          Patient Participation
          Rehabilitation, Cognitive
          Rehabilitation Personnel
          Human
          Adult
          Middle Age
          Male
          Female
          Semi-Structured Interview
          Thematic Analysis
          Technology
          Adaptation, Psychological
          Usability Study
          Outcomes of Education
          Qualitative Studies
          Descriptive Research
          Adaptation, Occupational
          Therapeutic Exercise
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: The relationship between a patient and their therapist plays a crucial role in patient engagement. While Computerized Cognitive Training (CCT) may assist in preserving cognitive skills in cases of aging, dementia or acquired brain injuries, its effectiveness has not been definitively proven. Improving user engagement, acceptance, and software usability could aid in addressing this issue. The present study aims to identify potential obstacles and facilitators by examining the perspectives of rehabilitation professionals on the current usage of CCT software. Semi-structured interviews were conducted with 16 rehabilitation professionals, familiar with a CCT software. The data were transcribed and followed by an independent iterative thematic analysis. Two major themes were identified: (1) facilitating factors and (2) difficulties related to use. The main obstacles were difficulties related to the computerized nature of the exercises, technology use, understanding the software and general learning difficulties. The main facilitators were the ecological and novel nature of the exercises, and the adaptability of the difficulty levels. The complexity of the CCT presents challenges for its usage by rehabilitation professionals, which in turn can impede patient utilization as well. To address this issue and promote sustainable use of the software, providing instruction delivery to facilitate learning and understanding of the CCT is essential. Additionally, creating a standardized foundation that therapists can refer to for guidance may also aid in optimizing the software's usage. It is recommended to utilize a model for CCT acceptability and acceptance in developing these solutions to enhance patient engagement. Computerized Cognitive Training (CCT) may help sustain cognitive skills or delay its decline due to causes such as aging, dementia or acquired brain injuries. User engagement, user acceptance and software usability could help address these issues. The relationship between a patient and their therapist plays a crucial role in patient engagement. Difficulties related to using and understanding a CCT software could affect behavioral intention/use. Rehabilitation professionals may face difficulties using CCT software, which could in turn, hinder patient utilization. Facilitating learning and understanding of the software through instruction delivery to increase acceptance could respond to the existing obstacles. A model for CCT acceptability/acceptance may be useful for improving the development of these solutions, to optimize patient engagement. Creating a standardized foundation for therapists to refer to could help optimize usage of CCT software.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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