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Rehabilitation psychology · 2026

The effectiveness of i-virtual reality and telemedicine based cognitive approach for rehabilitation of prospective memory in individuals with Parkinson's disease and mild cognitive impairment: A randomized-controlled trial.

СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Zabberoni Silvia, De Simone Maria Stefania, Taglieri Sara, Tieri Gaetano, Cona Giorgia, Fiorenzato Eleonora, Peppe Antonella, Massimi Valentina, Zannino Gian Daniele, Carlesimo Giovanni Augusto, Antonini Angelo, Caltagirone Carlo, Costa Alberto

Аннотация

PURPOSE/OBJECTIVE: The ability to perform intended actions after a delay or specific event reflects prospective memory (PM), a multiprocess involving episodic memory and attentional/executive functions. PM difficulties are common in Parkinson's disease patients, especially those with Mild Cognitive Impairment (PD-MCI). This study explores the efficacy of attention/executive function training on PM in PD-MCI patients using a combined immersive Virtual Reality (iVR) and Telemedicine approach. Research Methods/Design: Thirty PD-MCI patients were assessed on PM and attention-executive measures and randomly assigned to two groups: training (TR-C) or active placebo (AP-C). Training involved real-life scenarios with planning, shifting, and updating exercises, of increasing difficulty, in an immersive virtual environment. The AP-C group performed similar daily tasks with lower cognitive demands. All tasks were conducted remotely via telemedicine using iVR headsets. Outcome measures were collected at baseline (T0), post-training (T1, 4 weeks), and follow-up (T2, 2 months). A randomized controlled trial (RCT) was executed with Experimental Condition (TR-C vs. AP-C) as between factor and Time of Assessment (T0 vs. T1 and T2) and Task (prospective score and ongoing task) as within factor.

RESULTS: A mixed ANOVA revealed that the training group improved on PM tasks versus placebo, with effects lasting at follow-up. However, no significant gains were observed in executive tasks, highlighting the greater multitasking demands of PM compared to selective executive tasks.

CONCLUSION/IMPLICATIONS: The study demonstrates the efficacy of iVR and telemedicine in improving PM in PD-MCI patients, highlighting the potential of innovative cognitive interventions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты