Objectives. We piloted a computerised cognitive training battery in a group of participants with Parkinson’s disease without dementia to investigate the relevance of the training to daily life and the feasibility and the acceptability of the tasks. Previous studies of CT have had limited success in the benefits of training, extending to improvements in everyday function. By taking a pragmatic approach and targeting training to the cognitive skills affected by Parkinson’s disease (planning, attention, and recollection), whilst using tasks that emulated real-life scenarios, we sought to understand whether participants perceived the training to be effective and to identify the elements of the training that elicited beneficial effects. Methods. Four participants completed a cognitive training session comprising three distinct tasks 5 days a week over two weeks. Participants completed baseline questionnaires examining health-related quality of life, everyday cognition, and apathy before the training period, after the last session, and two weeks after the last session. An interview was held after participants had completed the training. Results. The findings indicated that participants felt the training was acceptable, enhanced their awareness, and encouraged them to monitor their thinking abilities. The group interview indicated that the training was feasible; participants felt the tasks had potential to improve everyday performance, but more supporting information should be provided to facilitate this transfer. Responses to the questionnaires reflected these findings, indicating improvement for some participants’ cognition and quality of life. Objective measures supported the subjective reports; there were improvements in some but not all domains. Performance on the planning and recollection tasks improved over the training period, and the evidence for improvement on the attention task was mixed. Conclusion. This study has found that pragmatic computer-based training with real-life outcomes is both feasible and acceptable and should be evaluated more extensively using controlled methods.

中文翻译：

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帕金森病日常认知计算机化认知训练的可行性和可接受性。

目标。我们在一组患有帕金森病但没有痴呆的参与者中试用了计算机化认知训练电池，以调查训练与日常生活的相关性以及任务的可行性和可接受性。以前的 CT 研究在训练的益处方面取得了有限的成功，延伸到日常功能的改善。通过采取务实的方法，针对受帕金森病影响的认知技能（计划、注意力和回忆）进行培训，同时使用模拟现实生活场景的任务，我们试图了解参与者是否认为培训有效并确定产生有益效果的培训要素。方法. 四名参与者在两周内每周 5 天完成了包括三个不同任务的认知训练课程。参与者在训练期前、最后一次训练后和最后一次训练后两周完成了检查与健康相关的生活质量、日常认知和冷漠的基线问卷。学员完成培训后进行了面试。结果. 调查结果表明，参与者认为培训是可以接受的，提高了他们的意识，并鼓励他们监控自己的思维能力。小组访谈表明培训是可行的；参与者认为这些任务有可能提高日常表现，但应提供更多支持信息以促进这种转移。对问卷的答复反映了这些发现，表明一些参与者的认知和生活质量有所改善。客观测量支持主观报告；在一些但不是所有领域都有改进。计划和回忆任务的表现在训练期间有所提高，而注意力任务改进的证据好坏参半。结论. 这项研究发现，具有现实生活成果的基于计算机的实用培训既可行又可以接受，应该使用受控方法进行更广泛的评估。