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Web-Based Application to Support Caregivers in the Use of Learning Optimization Methods: Participatory Action Research Study Background: Major neurocognitive disorders (MNCDs) frequently lead to difficulties in performing activities. Several studies have shown that people living with an MNCD benefit from the use of learning optimization methods from cognitive rehabilitation, such as error-free learning, motor encoding, spaced retrieval, and fading, which promote the safe pursuit of their meaningful activities. However, while the principles of learning optimization methods are relatively straightforward, the personalized application of these methods to the specific situations encountered can be more difficult. Objective: The aim of this study was to describe the codevelopment process, including the validation of a web application called “Aide-Mémoire-Interactif (AMI),” a tool to help in personalizing learning optimization methods. Methods: To design the web application, participatory action research based on a codevelopment and validation process was carried out. The various stages leading to the codevelopment of the AMI web application were grouped into 3 phases: (1) assessment of caregivers’ needs (identification of situations frequently encountered by people living with an MNCD); (2) production of the first version of the AMI web application; and (3) validation of the AMI application. Individual interviews and workshops were conducted with 20 participants (caregivers, health and social service professionals, and community organization workers) to obtain a diversity of viewpoints and application contexts of use. Results: The AMI web application was developed through an iterative, participatory process involving caregivers and professionals. Participants identified daily situations requiring the use of learning optimization methods and provided feedback that guided successive refinements to the content, answer choices, navigation, and personalization features. The logical architecture was built according to the rationale underlying learning optimization methods. The final version enables users to generate tailored strategies for specific situations, access educational capsules, and save personalized strategies. Participants reported improved clarity, usability, and relevance. Conclusions: This participatory action research enabled the codevelopment and validation of the AMI web application to support the operationalization of learning optimization methods for people living with an MNCD by personalizing them to the situations encountered daily as well as to the underlying cognitive difficulties. By involving caregivers, professionals, and users, this process contributed to the development of a web application that meets user needs and their appreciation.

New in JMIR Aging: Web-Based Application to Support Caregivers in the Use of Learning Optimization Methods: Participatory Action Research Study #NeurocognitiveDisorders #CognitiveRehabilitation #LearningOptimization #WebApplication #CaregiverSupport

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Effectiveness and User Experience of Immersive Virtual Reality in Cognitive Rehabilitation for Attention-Deficit/Hyperactivity Disorder #adhd: Systematic Review Background: Attention-Deficit/Hyperactivity Disorder #adhd (ADHD) is a neurodevelopmental disorder characterised by difficulties in attention, impulsivity, and hyperactivity. These difficulties can result in pervasive and longstanding psychological distress and social, academic, and occupational impairments. Objective: This systematic review investigates the effectiveness and user experience (ie, safety, usability, acceptability, and attrition) outcomes of immersive virtual reality (VR) interventions for cognitive rehabilitation in people with ADHD and identifies research gaps and avenues for future research in this domain. Methods: Peer-reviewed journal articles that #Appraised the treatment impact of any immersive VR-based intervention on cognitive abilities in people of all ages with ADHD were eligible for inclusion. The following databases were searched up until November 2024: Cochrane Library, IEEE Explore #Digital Library, PsycINFO, PubMED, Scopus, and Web of Science. Records were screened on title and abstract information after deduplication, leading to full text #Appraisal of the remaining records. Findings from eligible articles were extracted into a standardized coding sheet before being tabulated and reported with a narrative synthesis. Results: Out of 1046 records identified, 15 articles met inclusion criteria. Immersive VR-based interventions for people with ADHD were generally effective in improving cognitive abilities, such as attention, memory, and executive functioning. User experience outcomes were also generally positive with low levels of simulator sickness and minimal attrition reported during VR-based treatment. Conclusions: Immersive VR-based interventions hold promise for effectively, safely, and rapidly treating cognitive deficits in children and adults with ADHD. However, more studies are required to examine their longitudinal impact beyond treatment cessation.

JMIR Mental Health: Effectiveness and User Experience of Immersive Virtual Reality in Cognitive Rehabilitation for Attention-Deficit/Hyperactivity Disorder #adhd: Systematic Review #ADHD #VirtualReality #CognitiveRehabilitation #MentalHealth #UserExperience

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Research Status and Trends in Virtual Reality Technology for Older Adults: Bibliometric and Visual Analysis Background: Virtual reality (VR) technology is increasingly applied in aging-related research. While existing bibliometric studies have focused on specific applications, such as older adults' acceptance of VR and its use in cognitive rehabilitation, no comprehensive mapping of the global research landscape on VR for older populations has been conducted. This study fills this gap by providing a holistic bibliometric and thematic analysis of VR applications in older adults, mapping research trends, intellectual structures, and emerging frontiers. Objective: This study aims to explore the current applications, potential benefits, and future directions of virtual reality technology for older adults, based on literature published between 2015 and April 30, 2025. Methods: This study employed bibliometric methods to systematically examine the current status and developmental trends in VR research for older adults. We searched the Web of Science Core Collection (WoSCC) for research articles and reviews published in English. A total of 1,609 publications were included in the final analysis. Using CiteSpace and VOSviewer, we conducted co-authorship network analysis, keyword clustering, and burst detection to map research hotspots, academic collaboration patterns, and emerging trends in the field. Results: Analysis of 1,609 publications revealed a steady growth in the application of VR technology for older adults. The predominant research areas included meta analysis, rehabilitation, dementia, and gait. The United States and China were the two most productive countries, with Tel Aviv University emerging as the leading institution. Frontiers in Aging Neuroscience and Applied Sciences Basel were the most prolific journals, each publishing 40 papers. The most cited article evaluated the effects of VR-based physical and cognitive training on executive function and dual-task gait performance in older adults with mild cognitive impairment. Emerging research themes include artificial intelligence(AI), association, and depression. Conclusions: VR research for older adults is rapidly expanding and globally collaborative. While applications span multiple geriatric domains, future efforts should prioritize mental health, disease integration, and AI-enhanced VR technologies.

New in JMIR Aging: Research Status and Trends in Virtual Reality Technology for Older Adults: Bibliometric and Visual Analysis #VirtualReality #Aging #OlderAdults #HealthcareInnovation #CognitiveRehabilitation

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User-Centered Formative Evaluation of Cognitive Rehabilitation Software: Cognitive Walkthrough and System #usability Scale Study Background: The #usability of software as a medical device plays a critical role in ensuring patient safety, clinical effectiveness, and treatment adherence. Particularly in tablet-based cognitive rehabilitation software, poor #usability can increase the risk of user errors, cognitive overload, and low engagement, which may diminish therapeutic outcomes. Despite the growing integration of cognitive rehabilitation software in clinical settings, few studies have systematically evaluated its #usability using structured human factor methodologies. Objective: This study aimed to conduct a formative evaluation of a tablet-based cognitive rehabilitation software by identifying potential user errors, interface design issues, and opportunities for improving the user experience and user interface (UI). Methods: Following the International Electrotechnical Commission (IEC) 62366-1 framework for #usability engineering, a formative evaluation was conducted using a combination of cognitive walkthrough (CW) and the System #usability Scale (SUS). CW was used to identify interaction breakdowns and potential use-related problems through scenario-based expert evaluation. The SUS was administered to quantitatively assess perceived #usability. Five occupational therapists with experience in cognitive rehabilitation participated in the formative evaluation. Results: A total of 14 #usability issues were identified across 6 task scenarios. Common problems included difficulty locating buttons, insufficient feedback during task completion, and inconsistent UI behavior. Key improvement areas included keypad layout, visibility of task progress, and accessibility of help content. The mean SUS score was 73.5 (SD 11.4), indicating an acceptable #usability level (grade of B–). The lowest scores were related to system complexity and interface integration, suggesting a need to optimize UI flow and content hierarchy. Conclusions: The combined use of CW and the SUS enabled the identification of both objective and perceived #usability challenges in the cognitive rehabilitation software. Findings emphasize the importance of user-centered design and formative evaluation in the early stages of software development. Recommendations such as improving information visibility, reducing unnecessary steps, and enhancing system feedback may contribute to safer and more effective digital cognitive interventions. However, given the small and homogeneous participant sample and the controlled test environment, these findings should be interpreted as preliminary. This study highlights the practical application of the IEC 62366-1 framework in evaluating software as a medical device and demonstrates its utility in guiding iterative user experience and UI improvements in cognitive rehabilitation contexts.

JMIR Formative Res: User-Centered Formative Evaluation of Cognitive Rehabilitation Software: Cognitive Walkthrough and System #usability Scale Study #CognitiveRehabilitation #Usability #UserExperience #MedicalDevice #HealthTech

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Massachusetts House supports healthcare coverage for cognitive rehabilitation in House Bill 4335 House committee recommends passing bill for cognitive rehabilitation coverage for brain injury patients

Massachusetts is one step closer to ensuring brain injury patients receive vital cognitive rehabilitation coverage!

Click to read more!

#MA #CitizenPortal #HealthcareAccess #PatientSupport #CognitiveRehabilitation

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Health providers expand cognitive rehabilitation therapies for brain injury recovery Cognitive communication and neurobehavioral therapies enhance rehabilitation for brain injury patients.

Massachusetts is taking a bold step towards transforming recovery for brain injury patients with Senate Bill 742, which promises to expand essential therapeutic services and support.

Read the full story

#MA #CognitiveRehabilitation #CommunityReintegration #CitizenPortal #HealthcareAccess

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Here are 4 key advantages of VR in cognitive rehabilitation:
#VR #strokerehabilitation #stroke #CognitiveRehabilitation

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Home - ACRM Cognitive Rehabilitation Training 20% Off* ALL ACRM Cognitive Rehabilitation Training Products MANUAL & TEXTBOOK · ONLINE COURSE · IN-PERSON TRAINING ENDS 31 OCT EXTENDED to 30 NOV midnight More *Applies to new registrations only for ...

Here is the ACRM Cognitive Rehabilitation Training
cognitiverehabilitation.org

#CognitiveRehabilitation #CogRehab #OT #ACRM

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#research #CognitiveRehabilitation #CogRehab #OT

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Post-stroke cognitive impairment (PSCI) occurs in up to 60% of stroke survivors in the first year after stroke.
#stroke #cognitive #braininjury #CognitiveRehabilitation #cogrehab #PSCI #OT #OccupationalTherapy

www.ahajournals.org/doi/10.1161/...

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Drew Nagele @PCOMeducation talking about school-based neurolearning interventions 4 students with #ABI:

"cognitive rehabilitation can be done by any discipline who has specific training in #CognitiveRehabilitation". & "Assessment should lead directly to intervention"

@INSneuro

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Non-pharmacological intervention for posteri... Posterior cortical atrophy (PCA) is a rare neurodegenerat...

Non-pharmacological interventions for PCA. Free full text available here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983688/ @RareDementia #posteriorcorticalatrophy #livingwellwithdementia #cognitiverehabilitation

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