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A comparison of two personalization and adaptive cognitive rehabilitation approaches: a randomized controlled trial with chronic stroke patients

2020Journal article Open access
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dc.contributor.authorFaria, Ana Lúcia
dc.contributor.authorPinho, Maria Salomé
dc.contributor.authorBermúdez i Badia, Sergi
dc.date.accessioned2021-05-26T10:10:11Z
dc.date.available2021-05-26T10:10:11Z
dc.date.issued2020
dc.description.abstractBackground: Paper-and-pencil tasks are still widely used for cognitive rehabilitation despite the proliferation of new computer-based methods, like VR-based simulations of ADL’s. Studies have established construct validity of VR assessment tools with their paper-and-pencil version by demonstrating significant associations with their traditional construct-driven measures. However, VR rehabilitation intervention tools are mostly developed to include mechanisms such as personalization and adaptation, elements that are disregarded in their paper-and-pencil counterparts, which is a strong limitation of comparison studies. Here we compare the clinical impact of a personalized and adapted paper-and-pencil training and a content equivalent and more ecologically valid VR-based ADL’s simulation. Methods: We have performed a trial with 36 stroke patients comparing Reh@City v2.0 (adaptive cognitive training through everyday tasks VR simulations) with Task Generator (TG: content equivalent and adaptive paper-and-pencil training). The intervention comprised 12 sessions, with a neuropsychological assessment pre, post-intervention and follow-up, having as primary outcomes: general cognitive functioning (assessed by the Montreal Cognitive Assessment - MoCA), attention, memory, executive functions and language specific domains. Results: A within-group analysis revealed that the Reh@City v2.0 improved general cognitive functioning, attention, visuospatial ability and executive functions. These improvements generalized to verbal memory, processing speed and self-perceived cognitive deficits specific assessments. TG only improved in orientation domain on the MoCA, and specific processing speed and verbal memory outcomes. However, at follow-up, processing speed and verbal memory improvements were maintained, and a new one was revealed in language. A between-groups analysis revealed Reh@City v2.0 superiority in general cognitive functioning, visuospatial ability, and executive functions on the MoCA. Conclusions: The Reh@City v2.0 intervention with higher ecological validity revealed higher effectiveness with improvements in different cognitive domains and self-perceived cognitive deficits in everyday life, and the TG intervention retained fewer cognitive gains for longer.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFaria, A. L., Pinho, M. S., & i Badia, S. B. (2020). A comparison of two personalization and adaptive cognitive rehabilitation approaches: a randomized controlled trial with chronic stroke patients. Journal of neuroengineering and rehabilitation, 17(1), 1-15.pt_PT
dc.identifier.doi10.1186/s12984-020-00691-5pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/3435
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relationREHABNET: NEUROSCIENCE BASED INTERACTIVE SYSTEMS FOR MOTOR REHABILITATION
dc.relationLaboratory for Robotics and Engineering Systems
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCognitive rehabilitationpt_PT
dc.subjectVirtual realitypt_PT
dc.subjectStrokept_PT
dc.subjectEcological validitypt_PT
dc.subject.pt_PT
dc.subjectEscola Superior de Saúdept_PT
dc.titleA comparison of two personalization and adaptive cognitive rehabilitation approaches: a randomized controlled trial with chronic stroke patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleREHABNET: NEUROSCIENCE BASED INTERACTIVE SYSTEMS FOR MOTOR REHABILITATION
oaire.awardTitleLaboratory for Robotics and Engineering Systems
oaire.awardURIinfo:eu-repo/grantAgreement/EC/FP7/303891/EU
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FEEA%2F50009%2F2019/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/3599-PPCDT/PTDC%2FECI-EST%2F31046%2F2017/PT
oaire.citation.issue1pt_PT
oaire.citation.startPage78pt_PT
oaire.citation.titleJournal of NeuroEngineering and Rehabilitationpt_PT
oaire.citation.volume17pt_PT
oaire.fundingStreamFP7
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream3599-PPCDT
person.familyNamedos Santos Faria
person.familyNamePinho
person.familyNameBermúdez i Badia
person.givenNameAna Lúcia
person.givenNameMaria Salomé
person.givenNameSergi
person.identifier239789
person.identifier.ciencia-idF617-BFEE-77E0
person.identifier.ciencia-idF914-D116-0923
person.identifier.ciencia-idCA17-5E88-2B37
person.identifier.orcid0000-0001-5904-0304
person.identifier.orcid0000-0001-9786-2819
person.identifier.orcid0000-0003-4452-0414
person.identifier.ridC-8681-2018
person.identifier.scopus-author-id6506360007
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameEuropean Commission
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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