Effect of Cognitive Rehabilitation Program in Older person with Risk Cognitive Impairment in Wang –Hin Village Tha - pra Sub-district, Maung District, Khon Kaen Province

Abstract

This pre-experimental research (one group pre-post test) aimed to explore the effects of cognitive rehabilitation program in older person (in Wang –Hin village, Tha-pra sub district, Maung district, Khon Kaen province) with risk of cognitive impairment by comparing the scores of cognitive abilities before and after intervention as well as follow-up period. A total of 35 elderly persons participated in this research and were selected by purposive sampling. Data were collected by structured questionnaires developed from Thai Mini-Mental State Examination (TMSE) which had high content validity, sensitivity between 35.4 and 92.0 and specificity between 81.1 and 9 2 .6. Data were analyzed by statistic programs to acquire percentage, mean and standard deviation. The Friedman test and Wilcoxon Signed Ranks Test were used to compare the scores of cognitive abilities in the elderly with risk of cognitive impairment. The results showed that the scores of cognitive abilities of the participants in post- intervention (mean=25, min=10, max=30) and follow-up period (mean=25, min=13, max=26) higher than pre-intervention (mean=13; min=8, max=18). The score of median difference in preintervention was significant (p-value <0.001) when compared to the score of median difference in post-intervention and follow-up period. For the score of median difference in postintervention were not significant (p-value = 0.24) when compared to the score of median difference in follow-up period. It is suggested that the duration of the experiment and evaluation should be extended. In addition, the model of cognitive rehabilitation program for the elderly with risk cognitive Impairment may be needed to develop.