Mobile Application กับการฝึกกระตุ้นการทำงานของสมอง ในภาวะความสามารถของสมองบกพร่องเล็กน้อยก่อนวัยสูงอายุ
คำสำคัญ:
ภาวะความสามารถของสมองบกพร่องเล็กน้อย, วัยก่อนสูงอายุ, โมบายแอพพลิเคชั่น, การฝึกกระตุ้น การทำงานของสมองบทคัดย่อ
ประเทศไทยมีจำนวนผู้สูงอายุเพิ่มขึ้นอย่างต่อเนื่อง ส่งผลให้เป็นสังคมผู้สูงอายุในปัจจุบัน และกำลังจะเป็น สังคมผู้สูงอายุอย่างสมบูรณ์แบบต่อไป ภาวะผิดปกติที่จะเกิดตามมากับประชากรผู้สูงอายุ คือ ภาวะสมองเสื่อม ซึ่งมีกระบวนการดำเนินโรคยาวนาน และเป็นสาเหตุการเสียชีวิตของผู้สูงอายุอันดับหนึ่ง ผลกระทบที่ตามหลังเกิด ภาวะสมองเสื่อม คือ ต้องพึ่งพาการดูแลและช่วยเหลือจากบุคคลรอบข้างในการปฏิบัติกิจวัตรประจำวันส่งผลให้คุณภาพ ชีวิตของผู้ป่วยและครอบครัวลดลง รวมถึงการสูญเสียค่าใช้จ่ายในการดูแลรักษา ปัจจุบันภาวะสมองเสื่อมไม่สามารถ รักษาให้หายขาด สิ่งที่มีประสิทธิภาพดีที่สุดคือ รีบค้นหา วินิจฉัยให้การรักษาอย่างรวดเร็ว ร่วมกับการฝึกการกระตุ้น การทำงานของสมองและหลีกเลี่ยงปัจจัยสี่ยง บทความนี้มีวัตถุประสงค์เพื่อนำเสนอภาวะความสามารถของ สมองบกพร่องเล็กน้อย การฝึกกระตุ้นการทำงานของสมอง การนำโมบายแอพพลิเคชั่นมาใช้ในการฝึกกระตุ้นและ ฟื้นฟูการทำงานของสมองในภาวะความสามารถของสมองบกพร่องเล็กน้อยก่อนวัยสูงอายุร่วมกับเปรียบเทียบข้อดี ของการฝึกกระตุ้นการทำงานของสมองระหว่างโมบายแอพพลิเคชั่นกับวิธีการดั้งเดิม ในด้านความรวดเร็วในการ ประมวลผล ความเที่ยงตรง ความหยืดหยุ่น ความสะดวกสบายความประหยัดและความสร้างสรรค์ที่สามารถใช้งาน ได้บนสมาร์ทโฟนทั้งระบบไอโอเอส และแอนดรอยด์ ในยุคไทยแลนด์ 4.0 สรุปว่าการใช้โมบายแอพพลิเคชั่นมีข้อดี กว่าวิธีการแบบดั้งเดิมในเกือบทุกด้าน หากมีการออกแบบที่เหมาะสมและปรับให้ตรงกับความต้องการของผู้ใช้งาน รวมถึงการเตรียมความพร้อมของผู้ใช้งานเพื่อลดความตื่นกลัวเทคโนโลยี
References
1. Fundation of Thai Gerontology Research and Development Institute. Situation of Thai elderly 2016 . [Internet]. 2016. [cited 2018 Jun 15];3-4. Available from URL http://thaitgri.org/?p=38427
2. National Institute on Aging, National Institutes of Health, U.S. Department of Health and Human ServicesWorld, World Health Organization.Global Health and Aging 2015. [Internet]. 2015. [cited 2018 Jun 15];3-4. Available from URL https://www.who.int/ageing/publications/globral health.pdf
3. Alzheimer's Disease International. World Alzheimer Report 2015 The global impact of Dementia. [Internet]. 2015. [cited 2018 Jun 18]. Available from URLhttp://www. worldalz report2015.org/
4. Alzheimer's Research UK.Dementia Statistic Hub.Global prevalence. [Internet]. 2018. [cited 2018 Jun 15].Available from URL:https://www.dementiastatistics .org/statistics/global-prevalence/
5. World Health Organization .THE EPIDEMIOLOGY AND IMPACT OF DEMENTIA CURRENT STATE AND FUTURE TRENDS. [Internet]. [cited 2018 Jun 17]. Available from URL: http://www.who.int/mental_health/neurology/dementia/en/
6. Alzheimer's Association. Alzheimer's Association. 2019 Alzheimer's Disease Facts and Figures. [Internet]. 2019. [cited 2019 Jun 18]. Available from URL https://www.alz.org/media/Documents/alzheimersfacts-and-figures-2019-r.pdf
7. Hebert LE, Weuve J, Scherr PA, Evans DA. Alzheimer disease in the United States (2010-2050) estimated using the 2010 Census. Neurology 2013;80(19):1778-83.
8. U.S. Census Bureau. 2014 National Population Projections: Downloadable Files. Available at: https://www.census.gov/data/datasets/2014/demo/popproj/2014-popproj.html. Accessed December 18, 2018.
9. Alzheimer's Disease International. Dementiainthe AsiaPacificRegion. [Internet]. 2014. [cited 2018 Jun 15]. Available from URL https://www.alz.co.uk/adi/pdf/Dementia-Asia-Pacific-2014.
10. Brodaty H, Donkin M, Family caregivers of people with dementia. Dialogues in Clinical Neuroscience .[Internet]. 2009. [cited 2018 Jun 15] . Available from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181916/pdf/DialoguesClinNeurosci-11-217.pdf
11. Wimo A, Guerchet M, Ali GC, Wu YT, Prina AM, Winblad B, et al. The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimers Dement 2017;13(1):1-7.
12. Farias ST, Mungas D, Reed BR, Harvey D, DeCarli C. Progression of mild cognitive impairment to dementia in clinic- vs community-based cohorts. Arch Neurol 2009;66(9):1151-7.
13. Backman L, Small BJ, Fratiglioni L. Stability of the preclinical episodic memory deficit in Alzheimer's disease. Brain 2001;124(Pt 1):96-102.
14. Petersen RC, Roberts RO, Knopman DS, Boeve BF, Geda YE, Ivnik RJ, et al. Mild cognitive impairment:ten years later. Arch Neurol 2009;66(12):1447-55.
15. Petersen RC, Caracciolo B, Brayne C, Gauthier S, Jelic V, Fratiglioni L. Mild cognitive impairment: a concept in evolution. J Intern Med 2014;275(3):214-28.
16. Clark LR, Koscik RL, Nicholas CR, Okonkwo OC, Engelman CD, Bratzke LC, et al. Mild Cognitive Impairment in Late Middle Age in the Wisconsin Registry for Alzheimer's Prevention Study:Prevalence and Characteristics Using Robust and Standard Neuropsychological Normative Data. Arch Clin Neuropsychol 2016;8.pii:acw024.
17. Rattanawat W ,Nakawiro D, Visajan P. Prevalence of Mild Cognitive Impairment (MCI) in Pre-Retirement Period of Hospital Staff. Psychiatr Assoc Thai 2018;63(1):55-64.
18. Raina P, Santaguida P, Ismaila A, Patterson C, Cowan D, Levine M, et al. Effectiveness of cholinesterase inhibitors and memantine for treatingdementia: evidence review for a clinical practice guideline. Ann Intern Med 2008;148(5):379-97.
19. Rogers SL, Farlow MR, Doody RS, Mohs R, Friedhoff LT. A 24-week, double-blind, placebo-controlled trial of donepezil in patients with Alzheimer's disease. Donepezil Study Group. Neurology 1998;50(1):136-45.
20. Qiu C. Preventing Alzheimer's disease by targeting vascular risk factors:hope and gap. J Alzheimers Dis 2012;32(3):721-31.
21. Blazer DG, Yaffe K, Liverman CT, Editors. Cognitive Aging: Progress in Understanding and Opportunities for Action. The National Academies Collection: Reports funded by National Institutes of Health. Washington (DC);2015.
22. Singh-Manoux A, Kivimaki M, Glymour MM, Elbaz A, Berr C, Ebmeier KP, et al. Timing of onset of cognitive decline: results from Whitehall II prospective cohort study. BMJ 2012;344:d7622.
23. Valenzuela M, Sachdev P. Can cognitive exercise prevent the onset of dementia? Systematic review of randomized clinical trials with longitudinal follow-up. Am J Geriatr Psychiatry 2009;17(3):179-87.
24. Lampit A, Hallock H, Suo C, Naismith SL, Valenzuela M. Cognitive training-induced short-term functional and long-term structural plastic change is related to gains in global cognition in healthy older adults: a pilot study. Front Aging Neurosci 2015;7:14.
25. Strenziok M, Parasuraman R, Clarke E, Cisler DS, Thompson JC, Greenwood PM. Neurocognitive enhancement in older adults: comparison of three cognitive training tasks to test a hypothesis of training transfer in brain connectivity. Neuroimage 2014;85Pt 3:1027-39.
26. Freret T, Gaudreau P, Schumann-Bard P, Billard JM, Popa-Wagner A. Mechanisms underlying the neuroprotective effect of brain reserve against late life depression. J Neural Transm (Vienna) 2015;122Suppl1:S55-61.
27. Anguera JA, Boccanfuso J, Rintoul JL, Al-Hashimi O, Faraji F, Janowich J, et al. Video game training enhances cognitive control in older adults. Nature 2013;501(7465):97-101.
28. Sherman DS, Mauser J, Nuno M, Sherzai D. The Efficacy of Cognitive Intervention in Mild Cognitive Impairment (MCI): a Meta-Analysis of Outcomes on Neuropsychological Measures. Neuro psychol Rev 2017;27(4):440-84.
29. Lanzi A, Wallace SE, Bourgeois MS. External Memory Aid Preferences of Individuals with Mild Memory Impairments. Semin Speech Lang 2018;39(3):211-22.
30. Cheng ST. Cognitive Reserve and the Prevention of Dementia:the Role of Physical and Cognitive Activities. Curr Psychiatry Rep 2016;18(9):85.
31. Simons DJ, Boot WR, Charness N, Gathercole SE, Chabris CF, Hambrick DZ, et al. Do "Brain-Training" Programs Work?. Psychol Sci Public Interest 2016;17(3):103-86.
32. Klimova B, Maresova P. Computer-Based Training Programs for Older People with Mild Cognitive Impairment and/or Dementia. Front Hum Neuro Sci 2017;11:262.
33. Savulich G, Piercy T, Fox C, Suckling J, Rowe JB, O'Brien JT, et al. Cognitive Training Using a Novel Memory Game on an iPad in Patients with Amnestic Mild Cognitive Impairment (aMCI). Int J Neuropsychopharmacol 2017;20(8):624-33.
34. Hill NT, Mowszowski L, Naismith SL, Chadwick VL, Valenzuela M, Lampit A. Computerized Cognitive Training in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis. Am J Psychiatry 2017;174(4):329-40.
35. Oh SJ, Seo S, Lee JH, Song MJ, Shin MS. Effects of smartphone-based memory training for older adults with subjective memory complaints: a randomized controlled trial. Aging Ment Health 2018; 22(4):526-34.
36. Tsuno N, Mori T, Nakamura Y. Efficacy of rivastigmine on loss of appetite in patients with Alzheimer's disease. Eur Psychiatry 2017;41:S176-7.
37. Kirchhoff BA, Anderson BA, Smith SE, Barch DM, Jacoby LL. Cognitive trainingrelated changes in hippocampal activity associated with recollection in older adults. Neuroimage 2012;62(3):1956-64.
38. Freret T, Gaudreau P, Schumann-Bard P, Billard JM, Popa-Wagner A. Mechanisms underlying the neuroprotective effect of brain reserve against late life depression. J Neural Transm (Vienna) 2015;122Suppl1:S55-61.
39. World Health Organization. Health workforce requirements for universal health coverage and the Sustainable Development Goals. Background paper No. 1 to the Global Strategy on Human Resources for Health. [Internet]. 2016. [cited 2019 Jan 17]. Available from URL:https://apps.who.int/iris/bitstream/handle/
40. Thordardottir B, Malmgren FA, Lethin C, Rodriguez Gatta D, Chiatti C. Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review. Biomed Res Int 2019;2019:9196729.
41. Al-Thaqib A, Al-Sultan F, Al-Zahrani A, Al-Kahtani F, Al-Regaiey K, Iqbal M, et al. Brain Training Games Enhance Cognitive Function in Healthy Subjects. Med Sci Monit Basic Res 2018;24:63-9.
42. Holthe T, Halvorsrud L, Karterud D, Hoel KA, Lund A. Usability andacceptability of technology for community-dwelling older adults with mildcognitive impairment and dementia: a systematic literature review. Clin Interv Aging 2018;13:863-86.
43. Torous J, Staples P, Fenstermacher E, Dean J, Keshavan M. Barriers, Benefits, and Beliefs of Brain Training Smartphone Apps: An Internet Survey of Younger US Consumers. Front Hum Neurosci 2016;10:180.
2. National Institute on Aging, National Institutes of Health, U.S. Department of Health and Human ServicesWorld, World Health Organization.Global Health and Aging 2015. [Internet]. 2015. [cited 2018 Jun 15];3-4. Available from URL https://www.who.int/ageing/publications/globral health.pdf
3. Alzheimer's Disease International. World Alzheimer Report 2015 The global impact of Dementia. [Internet]. 2015. [cited 2018 Jun 18]. Available from URLhttp://www. worldalz report2015.org/
4. Alzheimer's Research UK.Dementia Statistic Hub.Global prevalence. [Internet]. 2018. [cited 2018 Jun 15].Available from URL:https://www.dementiastatistics .org/statistics/global-prevalence/
5. World Health Organization .THE EPIDEMIOLOGY AND IMPACT OF DEMENTIA CURRENT STATE AND FUTURE TRENDS. [Internet]. [cited 2018 Jun 17]. Available from URL: http://www.who.int/mental_health/neurology/dementia/en/
6. Alzheimer's Association. Alzheimer's Association. 2019 Alzheimer's Disease Facts and Figures. [Internet]. 2019. [cited 2019 Jun 18]. Available from URL https://www.alz.org/media/Documents/alzheimersfacts-and-figures-2019-r.pdf
7. Hebert LE, Weuve J, Scherr PA, Evans DA. Alzheimer disease in the United States (2010-2050) estimated using the 2010 Census. Neurology 2013;80(19):1778-83.
8. U.S. Census Bureau. 2014 National Population Projections: Downloadable Files. Available at: https://www.census.gov/data/datasets/2014/demo/popproj/2014-popproj.html. Accessed December 18, 2018.
9. Alzheimer's Disease International. Dementiainthe AsiaPacificRegion. [Internet]. 2014. [cited 2018 Jun 15]. Available from URL https://www.alz.co.uk/adi/pdf/Dementia-Asia-Pacific-2014.
10. Brodaty H, Donkin M, Family caregivers of people with dementia. Dialogues in Clinical Neuroscience .[Internet]. 2009. [cited 2018 Jun 15] . Available from URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181916/pdf/DialoguesClinNeurosci-11-217.pdf
11. Wimo A, Guerchet M, Ali GC, Wu YT, Prina AM, Winblad B, et al. The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimers Dement 2017;13(1):1-7.
12. Farias ST, Mungas D, Reed BR, Harvey D, DeCarli C. Progression of mild cognitive impairment to dementia in clinic- vs community-based cohorts. Arch Neurol 2009;66(9):1151-7.
13. Backman L, Small BJ, Fratiglioni L. Stability of the preclinical episodic memory deficit in Alzheimer's disease. Brain 2001;124(Pt 1):96-102.
14. Petersen RC, Roberts RO, Knopman DS, Boeve BF, Geda YE, Ivnik RJ, et al. Mild cognitive impairment:ten years later. Arch Neurol 2009;66(12):1447-55.
15. Petersen RC, Caracciolo B, Brayne C, Gauthier S, Jelic V, Fratiglioni L. Mild cognitive impairment: a concept in evolution. J Intern Med 2014;275(3):214-28.
16. Clark LR, Koscik RL, Nicholas CR, Okonkwo OC, Engelman CD, Bratzke LC, et al. Mild Cognitive Impairment in Late Middle Age in the Wisconsin Registry for Alzheimer's Prevention Study:Prevalence and Characteristics Using Robust and Standard Neuropsychological Normative Data. Arch Clin Neuropsychol 2016;8.pii:acw024.
17. Rattanawat W ,Nakawiro D, Visajan P. Prevalence of Mild Cognitive Impairment (MCI) in Pre-Retirement Period of Hospital Staff. Psychiatr Assoc Thai 2018;63(1):55-64.
18. Raina P, Santaguida P, Ismaila A, Patterson C, Cowan D, Levine M, et al. Effectiveness of cholinesterase inhibitors and memantine for treatingdementia: evidence review for a clinical practice guideline. Ann Intern Med 2008;148(5):379-97.
19. Rogers SL, Farlow MR, Doody RS, Mohs R, Friedhoff LT. A 24-week, double-blind, placebo-controlled trial of donepezil in patients with Alzheimer's disease. Donepezil Study Group. Neurology 1998;50(1):136-45.
20. Qiu C. Preventing Alzheimer's disease by targeting vascular risk factors:hope and gap. J Alzheimers Dis 2012;32(3):721-31.
21. Blazer DG, Yaffe K, Liverman CT, Editors. Cognitive Aging: Progress in Understanding and Opportunities for Action. The National Academies Collection: Reports funded by National Institutes of Health. Washington (DC);2015.
22. Singh-Manoux A, Kivimaki M, Glymour MM, Elbaz A, Berr C, Ebmeier KP, et al. Timing of onset of cognitive decline: results from Whitehall II prospective cohort study. BMJ 2012;344:d7622.
23. Valenzuela M, Sachdev P. Can cognitive exercise prevent the onset of dementia? Systematic review of randomized clinical trials with longitudinal follow-up. Am J Geriatr Psychiatry 2009;17(3):179-87.
24. Lampit A, Hallock H, Suo C, Naismith SL, Valenzuela M. Cognitive training-induced short-term functional and long-term structural plastic change is related to gains in global cognition in healthy older adults: a pilot study. Front Aging Neurosci 2015;7:14.
25. Strenziok M, Parasuraman R, Clarke E, Cisler DS, Thompson JC, Greenwood PM. Neurocognitive enhancement in older adults: comparison of three cognitive training tasks to test a hypothesis of training transfer in brain connectivity. Neuroimage 2014;85Pt 3:1027-39.
26. Freret T, Gaudreau P, Schumann-Bard P, Billard JM, Popa-Wagner A. Mechanisms underlying the neuroprotective effect of brain reserve against late life depression. J Neural Transm (Vienna) 2015;122Suppl1:S55-61.
27. Anguera JA, Boccanfuso J, Rintoul JL, Al-Hashimi O, Faraji F, Janowich J, et al. Video game training enhances cognitive control in older adults. Nature 2013;501(7465):97-101.
28. Sherman DS, Mauser J, Nuno M, Sherzai D. The Efficacy of Cognitive Intervention in Mild Cognitive Impairment (MCI): a Meta-Analysis of Outcomes on Neuropsychological Measures. Neuro psychol Rev 2017;27(4):440-84.
29. Lanzi A, Wallace SE, Bourgeois MS. External Memory Aid Preferences of Individuals with Mild Memory Impairments. Semin Speech Lang 2018;39(3):211-22.
30. Cheng ST. Cognitive Reserve and the Prevention of Dementia:the Role of Physical and Cognitive Activities. Curr Psychiatry Rep 2016;18(9):85.
31. Simons DJ, Boot WR, Charness N, Gathercole SE, Chabris CF, Hambrick DZ, et al. Do "Brain-Training" Programs Work?. Psychol Sci Public Interest 2016;17(3):103-86.
32. Klimova B, Maresova P. Computer-Based Training Programs for Older People with Mild Cognitive Impairment and/or Dementia. Front Hum Neuro Sci 2017;11:262.
33. Savulich G, Piercy T, Fox C, Suckling J, Rowe JB, O'Brien JT, et al. Cognitive Training Using a Novel Memory Game on an iPad in Patients with Amnestic Mild Cognitive Impairment (aMCI). Int J Neuropsychopharmacol 2017;20(8):624-33.
34. Hill NT, Mowszowski L, Naismith SL, Chadwick VL, Valenzuela M, Lampit A. Computerized Cognitive Training in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis. Am J Psychiatry 2017;174(4):329-40.
35. Oh SJ, Seo S, Lee JH, Song MJ, Shin MS. Effects of smartphone-based memory training for older adults with subjective memory complaints: a randomized controlled trial. Aging Ment Health 2018; 22(4):526-34.
36. Tsuno N, Mori T, Nakamura Y. Efficacy of rivastigmine on loss of appetite in patients with Alzheimer's disease. Eur Psychiatry 2017;41:S176-7.
37. Kirchhoff BA, Anderson BA, Smith SE, Barch DM, Jacoby LL. Cognitive trainingrelated changes in hippocampal activity associated with recollection in older adults. Neuroimage 2012;62(3):1956-64.
38. Freret T, Gaudreau P, Schumann-Bard P, Billard JM, Popa-Wagner A. Mechanisms underlying the neuroprotective effect of brain reserve against late life depression. J Neural Transm (Vienna) 2015;122Suppl1:S55-61.
39. World Health Organization. Health workforce requirements for universal health coverage and the Sustainable Development Goals. Background paper No. 1 to the Global Strategy on Human Resources for Health. [Internet]. 2016. [cited 2019 Jan 17]. Available from URL:https://apps.who.int/iris/bitstream/handle/
40. Thordardottir B, Malmgren FA, Lethin C, Rodriguez Gatta D, Chiatti C. Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review. Biomed Res Int 2019;2019:9196729.
41. Al-Thaqib A, Al-Sultan F, Al-Zahrani A, Al-Kahtani F, Al-Regaiey K, Iqbal M, et al. Brain Training Games Enhance Cognitive Function in Healthy Subjects. Med Sci Monit Basic Res 2018;24:63-9.
42. Holthe T, Halvorsrud L, Karterud D, Hoel KA, Lund A. Usability andacceptability of technology for community-dwelling older adults with mildcognitive impairment and dementia: a systematic literature review. Clin Interv Aging 2018;13:863-86.
43. Torous J, Staples P, Fenstermacher E, Dean J, Keshavan M. Barriers, Benefits, and Beliefs of Brain Training Smartphone Apps: An Internet Survey of Younger US Consumers. Front Hum Neurosci 2016;10:180.
Downloads
เผยแพร่แล้ว
2019-04-30
ฉบับ
บท
รายงานวิจัย
