American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

Academy of Neurologic Communication Disorders and Sciences; American Speech-Language-Hearing Association; Department of Veterans Affairs
Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Computer-Assisted Cognitive Interventions (CACIs)

Mahendra, N., Kim, E. S., et al. (2005).
Journal of Medical Speech-Language Pathology, 13(4), xxxv-xliv

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided Yes*
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes

Description: This is a review of quantitative studies that investigated the use of computer-assisted cognitive interventions (CACIs) for persons with dementia. This review is part of a series of reports from the Academy of Neurologic Communication Disorders and Science specific to the assessment and management of individuals with dementia.

Question(s) Addressed:

  1. Who are the participants who received the CACIs?
  2. What does a CACI consist of?
  3. What are the outcomes of CACIs?
  4. What are key methodological concerns in implementing CACIs?
  5. Are there clinically applicable trends across studies in which CACIs were implemented?

Population: Individuals with the diagnosis of dementia

Intervention/Assessment: Computer-assisted cognitive treatments

Number of Studies Included: 3

Years Included: 1966 - 2002

Findings:

Conclusions:

  • Treatment
    • Cognition
      • Restorative Treatments
        • Computer-Based Treatment
          • Findings from three studies support the use of computer-assisted interventions for individuals with mild to moderate dementia.
          • Findings suggest that individuals with mild to moderate dementia show improvements in specific cognitive tasks with computer-assisted treatments.
          • Further studies are needed to strengthen the research base.

Keywords: Dementia, Computer-Based Treatment

Access the Review

Note:

*Inclusion criteria not fully described. Information provided about excluded studies only.

Added to Compendium: December 2011

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