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

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Computer‑based cognitive rehabilitation program GRADIOR for mild dementia and mild cognitive impairment: new features Manuel A. Franco‑Martín1,2,3,4, Angie A. Diaz‑Baquero3,4*  , Yolanda Bueno‑Aguado5, María T. Cid‑Bartolomé6, Esther Parra Vidales7, María V. Perea Bartolomé8, Isabel de la Torre Díez9 and Henriëtte G. van der Roest10

Abstract  Background:  The 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 sev‑ eral 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. Results:  GRADIOR 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. Discussion:  Previous 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. Keywords:  Dementia, Software, Neurological rehabilitation, Cognition, Community mental health services Background Europe is an ageing society. Eurostat’s population projections anticipate that in the coming decades the number of people aged over 60 will increase by approximately two million people per year, accounting for around 30% of the total population by 2060 [1]. Dementia and cognitive impairment are age-related conditions that involve very high healthcare demands. The overall crude prevalence rate for mild cognitive impairment (MCI) in the over-60 *Correspondence: [email protected] 3 Institute of Biomedical Research of Salamanca, University of Salamanca, Salamanca, Spain Full list of author information is available at the end of the article

population is between 6 and 42% [2], and with 20–40% of such cases progressing into dementia [3]. Approximately 5–7% of the world population has developed some form of dementia [4]. In Spain alone, over 800,000 people are affected by dementia [5]. Due to its high prevalence and consequences in the older population, dementia has become a major public health challenge [6] and a healthcare priority in many countries [4]. Projections based on current he