title: [Effects of a Cognitive Training Program on Cognitive Function and Activities of Daily Living in Patients with Acute Ischemic Stroke].
abstract: OBJECTIVE
  The purpose of this study was to examine the effects of a cognitive training program on neurocognitive task performance and activities of daily living (ADL) in patients who had a stroke.
  
  
  METHODS
  The research design for this study was a nonequivalent control group non-synchronized design. Patients were assigned to the experimental (n=21) or control group (n=21). The experimental group received a 4-week cognitive training program and usual care (i.e., rehabilitation service), while the control was received usual care only. Cognitive function was measured with a standardized neurocognitive test battery and ADL was assessed at baseline and one and two months after completion of the intervention. Repeated measures ANOVA was used to determine changes in cognitive function and ADL over 2 months.
  
  
  RESULTS
  The interaction of group and time was significant indicating that the experimental group showed improvement in attention, visuospatial function, verbal memory, and executive function compared to the control group which had a sustained or gradual decrease in test performance. A significant group by time interaction in instrumental ADL was also found between the experimental group with gradual improvement and the control group showing no noticeable change.
  
  
  CONCLUSIONS
  Findings show that the cognitive training program developed in this study is beneficial in restoring cognitive function and improving ADL in patients following a stroke. Further study is needed to investigate the long-term relationship between cognitive training participation and cognitive improvement and effective functioning in daily living.
authors.affiliation: Department of Nursing, U1 University, Yeongdong, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Oh
authors.affiliation: College of Nursing, Chungnam National University, Daejeon, Korea. msjung@cnu.ac.kr.
authors.forename: Mi Sook
authors.initials: MS
authors.lastname: Jung
mesh_terms: D000203:Activities of Daily Living; D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D001288:Attention; D003071:Cognition / Q000502:physiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008568:Memory; D008875:Middle Aged; D016730:Program Development; D015397:Program Evaluation; D020521:Stroke / Q000175:diagnosis / Q000503:physiopathology*; D000071939:Stroke Rehabilitation; D013647:Task Performance and Analysis; D014057:Tomography, X-Ray Computed
keywords: Activities of daily living; Cognition; Cognitive therapy; Stroke