The effectiveness and user experience of a computer-based training programme on everyday activities for older adults : a mixed method study

AIMS Older adults may experience cognitive deterioration, which impacts their independence in everyday activities. This study aims to examine the effectiveness and user experience of a computer-based cognitive training program called Enhancing Memory in Daily Life (E-MIND Life). The program uses memory-encoding strategies to enhance independence in everyday activities. METHODS Semantic and visual memory encoding strategies were incorporated into E-MinD Life, focusing on 12 everyday activities. A convenience sample of 20 cognitively healthy older adults was recruited from independent living communities. Participants completed nine therapist-guided sessions and 18 self-administered sessions of E-MinD Life over a nine-week period. Cognition was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status before and after the program, while performance in everyday activities was evaluated using the Assessment of Motor and Process Skills. In-depth, semi-structured interviews were conducted to explore the experiences of older adults using E-MinD Life. The interviews were audio recorded and transcribed verbatim by professionals. Qualitative content analysis was applied to the interview transcripts to generate categories and sub-categories. RESULTS Quantitative results demonstrated improvements in memory, recall, visuospatial skills, and everyday activity performance after the nine-week program. Qualitative analysis revealed important categories, including the desire for therapeutic relationships and companionship, the need for cognitive stimulation in programs to avoid boredom and incorrect administration, and the challenge of transitioning memory strategies into day-to-day life. CONCLUSIONS The findings indicate that E-MinD Life was accepted and effective in maintaining cognition and performance in everyday activities among older adults. Computer-based interventions using memory strategies have the potential to complement therapist-led cognitive rehabilitation sessions.