Digital Support for People With Cognitive Impairment

Linkoeping University16 enrolled

Overview

Cognitive impairment may cause problems in planning and initiating daily activities, as well as remembering to do what is scheduled. This study investigates the effectiveness of an interactive web-based mobile reminder calendar, (RemindMe). The calendar sends text messages to the user's mobile phone as support in everyday life, for persons with cognitive impairment due to neurological injury/diagnoses. The study has a randomized controlled trial design with data collection at baseline and at follow-up sessions after two and four months. Data collection started in October 2016 and continued until February 2018. RemindMe may give the needed support to remind the person and thus increase the ability to perform activities and to become independent in everyday life.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Cognitive Impairments Stroke Brain Injuries

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Participants with cognitive impairment after stroke or other neurological diseases/injury * Participants experiencing the need for support in planning, organizing and remembering to do activities in everyday life * Participants having access to a computer and mobile phone/smartphone * Participants having linguistic ability to participate in assessments Exclusion Criteria: * Participants with palliative care needs * Participants with reduced vision and/or hearing loss that affects the ability to use a mobile phone/smartphone * Participants with depression or psychiatric illness

Outcomes

Primary Outcomes

Canadian Occupational Performance Measure (COPM)

The assessment is used to identify and measure performance and satisfaction with the performance of activities of daily living that are important to the person. Assessment is made on a scale from 1 to 10. 1 is the worst outcome and 10 is the best outcome.

Time frame: Occupational performance is assessed at baseline. Change from baseline in occupational performance is assessed after two months. And change from baseline after four months.

Functional independence measure (FIM)

The assessment is used to identify and measure independence in everyday Life activities. Assessment is made on a scale from 1 to 7. 1 is the worst outcome and 7 is the best outcome.

Time frame: Independence is assessed at baseline. Change from baseline in independence is assessed after two months. And change from baseline after four months.

Secondary Outcomes

EQ-5D-5L

The assessment is used to assess Health-related Quality of Life (HQoL). Assessment is made on a Visual Analog Scale from 1 to 100. 1 is the worst outcome and 100 is the best outcome.

Time frame: HQoL is assessed at baseline. Change from baseline in HQoL is assessed after two months. And change from baseline after four months

Psychosocial Impact of Assistive Device Scale (PIADS)

The assessment is used to assess an Assistive Device Psychosocial impact on a person. Assessment is made on a scale from -3 to 3. -3 is the worst outcome, 0 is neutral impact and 3 is the best outcome.

Time frame: The psychosocial impact is assessed at baseline. Change from baseline in psychosocial impact is assessed after two months. And change from baseline after four months.