3062 Support and cognitive rehabilitation care at home in the management of early neurocognitive disorders

Abstract Introduction The implementation of cognitive rehabilitation sessions (CRS) in the management of individuals with neurodegenerative diseases has increased. To identify the barriers to the implementation of CRS at home from the perspective of the primary caregiver. Method This is a multicentric, quantitative, descriptive, observational, cross-sectional study. We distributed questionnaires from May to November 2023 to the primary caregivers of patients being followed for mild to moderate cognitive disorders and who had received a prescription for CRS. Comparisons of variables were made using the Kruskal-Wallis test. We collected 150 questionnaires. Our population had an average age of 81 years, predominantly female (55%), and mainly followed in memory clinics (61%) for Alzheimer’s disease (58%). The primary caregiver was mainly a spouse (74%), with 40% being female. The patients mostly received home nursing care (SSIAD) (47%) and physiotherapy (34%), with 54% of the patients receiving the personalised autonomy allowance (APA). 69% of CRS prescriptions were made by a geriatrician, and 19% by a general practitioner. Results The time to prescription of CRS differed according to the place of follow-up (15 months day hospital vs. 26 months general practitioner vs. 20 months memory clinic (p = 0.03)). The average time between prescription and implementation of CRS was 3 months. Regarding the opinions of the primary caregivers: 98% of the primary caregivers considered them beneficial but insufficient in quantity (67%); 22% did not accept the presence of a team at home, and 21% found the home unsuitable for sessions. Conclusion The sessions should be started as early as possible in the management of cognitive disorders to prevent the progression of the pathology. Our study showed that patients managed in a day hospital had a quicker prescription of sessions compared to patients followed by a general practitioner or in a memory clinic.