Previously submitted to: JMIR Mental Health (no longer under consideration since Oct 16, 2024)
Date Submitted: Oct 16, 2024
Open Peer Review Period: Oct 16, 2024 - Oct 16, 2024
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A Digital Reminiscence Intervention Program Using a Time-Traveling Road Map for Community-Dwelling Elderly with Mild Cognitive Impairment: A Pilot Study
ABSTRACT
Background:
Mild Cognitive Impairment is a prevalent concern among the aging Korean population, with an urgent need for non-pharmacological interventions as a result of the lack of effective treatments.
Objective:
This pilot study aimed to evaluate the effects of a Roadmap Time-Traveling Intervention program, a digital reminiscence therapy intervention, on cognition, communication, and mood in older adults with Mild Cognitive Impairment.
Methods:
Fifty participants were randomly assigned to either the experimental or control group. Cognitive function, communication difficulties, quality of life, depression, and anxiety were assessed at baseline (T0), immediately after the intervention (T1), and four weeks post-intervention (T2). Generalized estimation equations were utilized to analyze the program’s effectiveness over time (T0-T1) between groups. Repeated measures analysis of variance or the Friedman/Wilcoxon signed-rank tests were employed to examine changes across the three time points (T0-T1-T2) within the experimental group. The study followed the Consolidated Standards of Reporting Trials guidelines.
Results:
The experimental group exhibited significant improvements in cognitive function (p < .001) and quality of life (p < .001) compared to the control group. Within the experimental group, cognitive function (Ⲭ² = 9.55, p = .008), communication difficulties (Ⲭ² = 8.57, p = .014), and quality of life (Ⲭ² = 3.35, p = .046) improved significantly across the three time points (T0-T1-T2).
Conclusions:
The Roadmap Time-Traveling Intervention program, as a non-pharmacological digital reminiscence therapy intervention, demonstrated efficacy in enhancing cognitive function, reducing communication difficulties, and enhancing the quality of life in older adults with MCI. This program holds promises for broader implementation in community settings for elderly individuals with MCI.
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