Evaluation of the South Korean national long-term care insurance-funded cognitive function training programme for older people with mild dementia
- Authors
- Ju, Yeong Jun; Nam, Chung Mo; Lee, Sang Gyu; Park, Sohee; Hahm, Myung-Il; Park, Eun-Cheol
- Issue Date
- Sep-2019
- Publisher
- Oxford University Press
- Keywords
- Special dementia rating; Dementia; Cognitive function training; Long-term care insurance; Cognitive function; Older people
- Citation
- Age and Ageing, v.48, no.5, pp 636 - 642
- Pages
- 7
- Journal Title
- Age and Ageing
- Volume
- 48
- Number
- 5
- Start Page
- 636
- End Page
- 642
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4230
- DOI
- 10.1093/ageing/afz067
- ISSN
- 0002-0729
1468-2834
- Abstract
- Objectives: despite the extensive literature on the effectiveness of cognitive training, its effectiveness has not been demonstrated within a population-based long-term care system. To provide cognitive training services to older people with mild dementia, Korea introduced a special dementia rating, as a long-term care grades, in the national long-term care insurance in July 2014. These services are only offered to those with the special dementia rating. This study evaluated the national long-term care insurance-funded cognitive function training programme for older people with mild dementia. Methods: data were derived from the Korean National Health Insurance Elderly Cohort database between 2008 and 2015. We compared changes in function between the intervention (n = 352) and control (n = 1952) groups before (2014) and after (2015) introduction of the cognitive function training programme. Difference-in-differences analysis was performed, to compare changes in each score between the intervention and control groups before and after introduction of the cognitive function training programme. Results: introduction of the cognitive function training programme was associated with significantly less cognitive function decline in the intervention group than in the control groups (beta = -3.39; standard errors [SE] = 1.14; P = 0.003). A subgroup analysis revealed that this effect increased in subjects in the youngest group, low income bracket, who had a primary caregiver, who were supported in multiple activities of daily living by the primary caregiver, or who were not living alone. Conclusions: introduction of the cognitive function training programme was associated with positive effects on cognitive function.
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