The pandemic caused by SARS-CoV-2 infection has led to the emergence of diffuse andheterogeneous persistent symptoms in addition to the well-known acute symptoms, whichhave come to be referred to as persistent COVID. In particular, one of the frequentcomplaints of patients with a previous diagnosis of COVID is impaired cognitive ability.Various cognitive rehabilitation programmes have benefited from incorporating themethodology of so-called "serious games" are designed to train or change behaviour whileentertaining players. The design of the online rehabilitation programme (COPERIA-COG)took into account the principles of neuropsychological rehabilitation (neuropsychologicalpre-assessment, operational goal setting, task prioritisation and continuous feedbacksystem) and combined different individual techniques, such as restitution andcompensation. Patients treated with COPERIA-COG will show neuropsychological improvementsin verbal memory compared to the waiting list group.The main objective is to identify differences in long-term memory in patients treatedwith COPERIA-COG vs. patients on the waiting list. For this purpose, both groups will beevaluated through RAVLT, taking the long-term memory subtest as a reference, comparingthe results before and after the active group performs the online training withCOPERIA-COG.The COPERIA platform is a cloud platform that provides a range of ICT tools formonitoring and aiding the recovery of patients with persistent COVID. To achieve thisgoal, the platform will store patient data to which Artificial Intelligence techniqueswill be applied to perform an assessment of the affected person.
Not Provided
Other: Sessions of cognitive stimulation
40 sessions of cognitive stimulation of approximately 20 minutes duration per session are
carried out, using the COPERIA platform.
Inclusion Criteria:
1. Age ≥18 and ≤70 years old.
2. Read and write.
3. Diagnosis of persistent COVID according to WHO criteria.
4. The patient reports cognitive dysfunction with self-assessed impact of at least
grade 2 on the Post-Covid Functional Status (Chile) (Klok et al., 2020, Lorca et
al., 2021).
5. The patient does not present cognitive dysfunction to a degree equal to or greater
than 1.5 SD assessed in the psychology consultation by means of the following
instruments: RAVLT Rey Auditory Verbal Learning Test (Schmidt, 1996). Subtests of
the Number Key, Symbol Search and Digit Span of the Scale for Measuring Adult and
Adolescent Intelligence (WAIS III) (Wechsler, 1999). TMT Stroke Test (Reitan &
Wolfson, 1993). Verbal fluency tests (Benton et al., 1989). In case of scores above
1.5 SD below the normative mean, they will be excluded from the study and referred
for treatment to the Brain Injury Unit (Winblad et al., 2004).
6. Patients with capacity to consent and agree to participate in the study.
7. Patients who know how to use and have a Smartphone or Tablet and an Internet
connection.
Exclusion Criteria:
1. Minors or persons legally incapacitated.
2. Previous neurological or psychiatric pathology involving neuropsychological
compromise.
3. Active Covid19 infection.
4. Home oxygen therapy > 16 hours or home CPAP-BiPAP.
5. Be undergoing another cognitive rehabilitation process at the time of inclusion.
Galicia Sur Health Research Institute (IISGS) - Hospital Álvaro Cunqueiro
Vigo, Pontevedra, Spain
Complexo Hospitalario Universitario de Ourense
Ourense, Spain
Alejandro García Caballero, MD
988 38 55 00
alejandro.alberto.garcia.caballero@sergas.es
Not Provided