The Effects of Cognitive Stimulation Program on Cognition and Activities of Daily Living for Older Persons with Chronic Disease and Mild Cognitive Impairment in the Community
Keywords:
Cognitive stimulation program, Cognitive function, Activities of daily Living, Older persons, Mild cognitive impairmentAbstract
This quasi-experimental research with two-group pretest-posttest design aimed to investigate the effects of a cognitive stimulation program on cognition and activities of daily living for older persons with chronic disease and mild cognitive impairment in the community. The samples were 48 older persons aged 60 years and over with chronic disease and mild cognitive impairment living in a community. They were consecutive sampling was selected according to inclusion criteria assigned to the experimental group and the control group of 24 people each. The experimental group received a cognitive stimulation program. Consisting of a total of 6 activities, taking a total of 6 weeks, with 1 activity per week, 3 hours per activity while the control group lived a normal life. The data collection tools included Barthel ADL Index, Lawton Instrumental Activities of Daily Living Scale (L-IADL) and Montreal Cognitive Assessment (MoCA) (Thai Version 8.1). The data analyzed using descriptive statistics, Paired t-test, Wilcoxon signed-ranks test, and Analysis of Covariance (ANCOVA).
The research findings were as follows. After the experiment, the mean score of cognition and Instrumental Activities of Daily Living of the experimental group receiving the cognitive stimulation program was significantly higher than the control group at the .05 level (p<.001). However, the mean scores of activities of daily living were not significantly different at the .05 level (p=.239).
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