Impact of a mobile cognitive activity program on patients with mild cognitive impairment post-stroke: case study

Objective : This study aimed to investigate the effects of a mobile cognitive activity program on patients with mild cognitive impairment (MCI) caused by stroke, using a single-case study design. Methods: An case study design was employed in the study: Baseline A Traditional cognitive activity pro gram, Intervention Phase B: Mobile cognitive activity program, Return-to-Baseline A’: Reversion to the traditional program, Three stroke patients with MCI participated in the program for 30 minutes per session, five days per week, over three weeks (October 14–November 1, 2024). Assessments using online MoCA-K and CERAD-K were conducted at the end of each phase. Data were analyzed using SPSS 25.0 for descriptive statistics, including means and standard deviations. Results: The mean MoCA-K score improved from 20.33 (±2.08) during baseline A to 22.33 (±2.51) during intervention B and remained at 22.33 (±2.51) during the return-to-baseline A’. For the CERAD-K Trail Making Test A (TMA), the mean time improved from 129.66 seconds (±69.97) in baseline A to 108.00 seconds (±48.53) in intervention B, and further improved to 100.33 seconds (±38.68) in return-to-baseline A’. Conclusion: The mobile cognitive activity program had positive effects on patients with mild cognitive impairment caused by stroke, particularly in improving cognitive abilities related to language. This study provides foundational data for the application of mobile cognitive activity programs in stroke patients. Future research should further validate its effectiveness, allowing for broader use of such programs in the community.