Study of Computer-Assisted Cognitive Stimulation and Non-Drug Care to Improve Delirium in Older Adults in Subacute Care

What this Trial Is About

Researchers are evaluating non-drug treatments for people aged 60 and older with delirium in a subacute care unit. The study aims to see if improving sleep schedules, mobility, and cognitive stimulation can help reduce delirium after one week. It also compares two groups one receiving standard non-pharmacological care and the other getting additional computer-assisted cognitive therapy. The study will explore how personal factors like diseases, genetics, gender, age, and education affect delirium development, severity, and treatment response. Participants will be randomly assigned to one of two groups. One group will receive usual care focusing on orientation, cognitive stimulation, early mobility, and sleep-wake cycle restoration. The other group will receive the same care plus a twice-daily cognitive intervention using a tablet, guided by an occupational therapist, for up to 20 minutes per session over five working days. This intervention targets attention, orientation, and visuospatial abilities related to delirium symptoms. During the study, participants will be assessed at the start and after one week to measure changes in delirium severity, presence, and core symptoms according to DSM-5 criteria. Researchers will also monitor psychopharmacological treatments, functional independence, fall risk, walking ability, and clinical events. Adherence to non-pharmacological measures will be tracked from admission through the intervention week. The total study duration for each participant is one week after enrollment.

Computer-assisted Cognitive Stimulation Treatment for Delirium