| خلاصه مقاله | Background
Dementia is characterized by a progressive decline in cognitive functioning. Assistive technologies, such as cognitive stimulation tools like digital apps and virtual reality programs, have emerged to potentially mitigate disease progression and enhance quality of life. This systematic review synthesizes evidence from randomized controlled trials evaluating these interventions in patients with dementia.
Methods
Following PRISMA guidelines, we searched databases including PubMed, Scopus, and Web of Science for randomized controlled trials published between 2020/01/01 and 2025/08/13. Inclusion criteria encompassed trials assessing assistive technologies or cognitive stimulation tools in demented patients with primary outcomes focused on disease progression and quality of life. Screened was done using the Cochrane risk of bias tool, and data were narratively synthesized due to intervention heterogeneity.
Results
Five randomized controlled trials were included, involving 185 participants with mild to moderate dementia. Interventions included digital cognitive stimulation therapy combined with hearing training (n=23), NeuronUP platform-integrated rehabilitation (n=20), individual cognitive stimulation therapy apps (n=61), virtual group cognitive stimulation therapy (n=21), and cognitive stimulation therapy based on Roy's adaptation model (n=60). Across studies, interventions significantly improved quality of life, with effect sizes ranging from moderate to large. Cognitive function showed stabilization or mild improvement in four trial, suggesting potential delay in disease progression, though one trial reported no significant changes.
Conclusions
Assistive technologies and cognitive stimulation tools demonstrate promise in enhancing quality of life and possibly slowing cognitive decline in demented patients. However, limited trial numbers underscore the need for further studies to confirm efficacy and generalizability. |