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Computer-based cognitive rehabilitation program GRADIOR for mild dementia and mild cognitive impairment: new features

  • Franco-Martín, Manuel A.1, 2, 3, 4
  • Diaz-Baquero, Angie A.3, 4
  • Bueno-Aguado, Yolanda5
  • Cid-Bartolomé, María T.5
  • Parra Vidales, Esther6
  • Perea Bartolomé, María V.7
  • de la Torre Díez, Isabel8
  • van der Roest, Henriëtte G.9
  • 1 Rio Hortega University Hospital, Valladolid, Spain , Valladolid (Spain)
  • 2 Zamora Hospital, Zamora, Spain , Zamora (Spain)
  • 3 University of Salamanca, Salamanca, Spain , Salamanca (Spain)
  • 4 Iberian Research Psycho-Sciences Institute, INTRAS Foundation, Zamora, Spain , Zamora (Spain)
  • 5 INTRAS Foundation, Valladolid, Spain , Valladolid (Spain)
  • 6 INTRAS Foundation, Zamora, Spain , Zamora (Spain)
  • 7 Salamanca University, Salamanca, Spain , Salamanca (Spain)
  • 8 University of Valladolid, Valladolid, Spain , Valladolid (Spain)
  • 9 Netherlands Institute of Mental Health and Addiction (Trimbos-Institute), Utrecht, The Netherlands , Utrecht (Netherlands)
Published Article
BMC Medical Informatics and Decision Making
Springer (Biomed Central Ltd.)
Publication Date
Oct 22, 2020
DOI: 10.1186/s12911-020-01293-w
Springer Nature


BackgroundThe growing number of older people and, with it, the increase of neurological impairments such as dementia has led to the implementation of the use of computer programs for cognitive rehabilitation in people with dementia. For 20 years, we have been developing the GRADIOR cognitive rehabilitation program and conducted several studies associated with its usability and effectiveness. This paper describes the development of the latest version of the GRADIOR computer-based cognitive rehabilitation program for people with different neurological etiologies, especially mild cognitive impairment and mild dementia.ResultsGRADIOR is a program that allows cognitive evaluation and rehabilitation of people affected by cognitive impairment. The new version of GRADIOR is characterized by a structure that is dynamic and flexible for both user and therapist, consisting of: Clinical Manager, Clinical History Manager, Treatment Manager and Report Manager. As a structure based on specific requirements, GRADIOR includes a series of modalities and sub-modalities, each modality comprising a series of exercises with different difficulty levels.DiscussionPrevious studies associated with earlier versions of GRADIOR have allowed the development of a new version of GRADIOR. Taking into account aspects associated with user experience, usability and effectiveness. Aspects that have made it possible to achieve a program that can meet the needs of older people with dementia.

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