CIP- ICT- PSP: Proyecto LONG LASTING MEMORIES

1. Long Lasting Memories: cognitive and physical training using new technologies in mild impairment. Usefulness and implementation in the community. M. Franco-Martín , F. González Palau, E. Parra, M. Bernate; R. Losada, Y. Ruiz, A. Solis, T. Cid and C. Turuelo. INTRAS Foundation, Zamora, Spain INTERDEM Network.

2. CIP- ICT- PSP: Proyecto LONG LASTING MEMORIES

3. Partners

4. BACKGROUND Despite of the huge advance in the field of computer-based interventions, few applications have been analyzed in terms of their effectiveness and their usability in healthy elderly population and the recovery of cognitive functions in people with mild cognitive impairment and mild dementia.

5. BACKGROUND Long Lasting Memories (LLM) is an integrated ICT platform which combines cognitive exercises with physical activity in the framework of advance technologies. LLM aims to deliver an effective solution against age-related cognitive decline, and to allow the recovery of higher cognitive functions in people who show cognitive impairment related to Mild Cognitive Impairment and Mild Dementia

6. LLM Platform LLM Components Independent Living Component (ILC) Cognitive Training Component (CTC) Physical Training Component (PTC) Central Management System(CMS)

7. Technical Integration I LLM Integration Architecture

8. LLM Design Idea

9. CMS – LUI

10. LLM Platform - ILC LLM Components (ILC) Independent Living Component (ILC)

11. LLM Platform - CTC LLM Components (CTC) Cognitive Training Component (CTC) Software: BrainFitness / GRADIOR Presentation Layer: Local User Interface (touch screen) Required Hardware: Regular low-cost personal computer Delivery: Wiring with the rest of the system

12. COGNITIVE ASSESSMENT AND REHABILITATION THROUGH COMPUTER

13. LLM Platform - PTC LLM Components (PTC) Physical Training Component (PTC) Hardware: Wii peripheral devices, such as Wii Remote and Wii Balance Board Software: FitForAll: Custom developed games that interact with users training of balance (static/dynamic), muscle strength, aerobic endurance and flexibility. (http://kedip.med.auth.gr/FitForAll)

14. Simple Exergaming Interface

15. Aerobic exercise & feedback Δείκτες άσκησης, όπως χρόνος,απόσταση, ταχύτητα, κ.ά.

16. The Pilots Pilots in 5 countries • Austria • Spain • France • Greece • Cyprus

17. OBJECTIVES To examine and analyze preliminary results of theeffectiveness and usability of Long Lasting Memories cognitive (Gradior) and physical training applications in Spanish population

18. The PilotsPost Pilot Review and Timeline • Analysis of all results • Technology Solution • Usability • Health (physical and cognitive results) • Marketability Pre-Pilot Phase Execute Pilot Tests (3 iterations) Test Evaluation (3 iterations) Pilot Test Evaluation • Establish Goals • Define Metrics • Develop Monitoring Tools • System Integration &Localisation • Train technical staff • Install Systems • Train Staff • Recruit and Screen Participants • Random Assignment • Train and Monitor Participants • Technical support • Quality Control/Auditing • Collect and Analyse Data • Post-Pilot Follow-Up Monitoring • Systems and Process Adjustments • Medical Data Analysis • Technology Efficacy Analysis • Cost Analysis • Analysis of Best Practices • User Satisfaction Analysis • Analysis of Impact on Marketability • Final Report

19. DESCRIPTION OF PILOT STUDY

20. Inclusión/ExclusionCriteria

21. PARTICIPANTS SUMMARY FIRST AND SECOND INTERATION

22. MAIN CAUSES FOR NOT ACCEPTING THE PROGRAM

23. MATERIALS

24. INTERVENTION PILOT PROTOCOL • Cognitive Training Procedure/Duration - GRADIOR: • 40 minutes/ 3-5 times a week • Exercises to train perception, attention, memory, calculus, reasoning and orientation • Physical Training Procedure/Duration - FITforAlLL • 1 hour session/ 3 times a week • Stretching, balance, muscular endurance and flexibility exercises

25. HVLT-R: recognition

26. Memory Weschler Text subscale (WMS)

27. Geriatric Depression Scale (GDS)

28. USABILITY RESULTS 73,33 % of the participants perceived LLM platform as beneficial (60%) to very beneficial (13,33 %)for them. 91,1% reported they enjoyed (58,62%) and totally enjoyed (34,48 %) the sessions

29. USABILITY All the participants expressed they would be able to use the program alone if they have it at home All the users agreed they would characterize LLM software as “warm and friendly” and would recommend the program

30. EXPECTATIONS MET 70% reported that it met (56,67%) to totally met (13,33%) their expectations and the majority of them indicated they wish to continue using the platform after 12 weeks study.

31. CONCLUSIONS • Primary results are promising, indicating that healthy elderly and older adults with mild to moderate impairment could be benefited by LLM cognitive and physical training software. • Effectiveness of the platform in several cognitive functions. Specially memory (recognition, working memory and immediate recall) can be enhanced by cognitive and physical LLM training.

32. CONCLUSIONS • LLM platform could provide a stimulating and usefulness new technology method for cognitive and physical training in elderly population. • Reviewing aspects of usability have significant implications in the development of new computer-based programs. • Delineating this aspects can assist in identifying new features to be considerer in LLM and help to refine the application, being this a promising solution for elderly population

33. CONCLUSION • Most of the participants shown interest in participating in the study. • Elderly reacted positively to the use of technology in the treatment. • Elderly affirmed the program is necessary and beneficial for their health. • In higher levels of impairment (dementia) patients shown less motivation to participate in the training activities.

34. Thankyouverymuch www.longlastingmemories.eu Become an LLM community member and stay connected! mfm@intras.es