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Article ; Online: Eliminating the gap between the use of assistive technologies and the inclusion of people with intellectual disabilities in leisure activities.

Dratsiou, Ioanna / Metaxa, Maria / Romanopoulou, Evangelia / Dolianiti, Foteini / Spachos, Dimitris / Bamidis, Panagiotis D

Health informatics journal

2021 Volume 27, Issue 2, Page(s) 14604582211005004

Abstract: Information and Communication Technology (ICT) tools and Assistive Technologies (AT) can support people with Down Syndrome (PDS) and Intellectual Disabilities (PID) in increasing their self-confidence and independence, enhancing skills, and competences, ... ...

Abstract	Information and Communication Technology (ICT) tools and Assistive Technologies (AT) can support people with Down Syndrome (PDS) and Intellectual Disabilities (PID) in increasing their self-confidence and independence, enhancing skills, and competences, participating in leisure activities. For families of PDS/PID, professionals, non-formal caregivers and volunteers, the challenge is to appreciate the benefits of ICT Tools in promoting inclusion. The aim of this study is to present the interdisciplinary and multidimensional scope of the DS Leisure project aiming at promoting the inclusion of PDS/PID through innovative ICT tools and their participation in inclusive leisure activities. Particularly, 24 individuals were asked to assess the global satisfaction and performance of PDS/PID, as well as the exploitation of ICT tools. Findings suggested that PDS/PID specific social, decision-making, and communication skills were significantly improved after their participation in the Experiential Activity and the e-Training platform was positively rated and considered a constructive learning experience.
MeSH term(s)	Disabled Persons ; Down Syndrome ; Humans ; Intellectual Disability ; Leisure Activities ; Self-Help Devices
Language	English
Publishing date	2021-04-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2213115-2
ISSN	1741-2811 ; 1460-4582
ISSN (online)	1741-2811
ISSN	1460-4582
DOI	10.1177/14604582211005004
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Article: Introducing New Paths towards Public Primary Healthcare Services in Greece: Efforts for Scaling-Up Mental Healthcare Services Addressed to Older Adults.

Pinaka, Ourania / Gioulekas, Fotios / Routa, Evlampia / Delliou, Aikaterini / Stamatiadis, Evangelos / Dratsiou, Ioanna / Romanopoulou, Evangelia / Billinis, Charalambos

Healthcare (Basel, Switzerland)

2022 Volume 10, Issue 7

Abstract: The exponential growth in the aging population challenges the Primary Care Providers (PCPs) who provide health care services to older adults who are considered highly vulnerable and are in need of specialized healthcare services. The development of new ... ...

Abstract	The exponential growth in the aging population challenges the Primary Care Providers (PCPs) who provide health care services to older adults who are considered highly vulnerable and are in need of specialized healthcare services. The development of new policies and the adoption of appropriate health strategies by PCPs may improve the early detection and prevention of mental disorders in older adults. This reduces both queuing and costs in outpatient clinics while preventing stigma for patients and families. To this end, specialized training for PCPs at the Local Primary Health Care Unit (LPHCU) was provided in order to conduct efficient assessments of older adults (65 and above years old, without previously diagnosed depression or dementia, and willing to participate). The assessment is based on the Mini Mental State Examination (MMSE) and Geriatric Depression Scale (GDS). Older adults identified with MMSE <20 and GDS >5 were referred to the psychiatric outpatient clinic. The aim of this study is to discuss evidence-informed policymaking in Greece with a focus on advancing mental health practices and scaling up quality primary healthcare services for older adults.
Language	English
Publishing date	2022-06-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare10071230
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Article ; Online: Health and Social Care During Coronavirus Outbreak: The Exploitation of Long Lasting Memories - LLM Care.

Romanopoulou, Evangelia / Zilidou, Vasiliki / Gylou, Sotiria / Dratsiou, Ioanna / Katsouli, Aikaterini / Karagianni, Maria / Petronikolou, Vasileia / Varella, Annita / Bamidis, Panagiotis

Studies in health technology and informatics

2021 Volume 281, Page(s) 694–698

Abstract: The Covid-19 pandemic has globally introduced a new crisis with severe consequences and led to a series of pandemic-related containment measures, including social distancing and self-isolation may cause significant impact on mental health. This study ... ...

Abstract	The Covid-19 pandemic has globally introduced a new crisis with severe consequences and led to a series of pandemic-related containment measures, including social distancing and self-isolation may cause significant impact on mental health. This study describes a social care initiative that was actualized during the Covid-19 outbreak with regard to the potential benefits in older adults' quality of life through the use of the Integrated Healthcare System Long Lasting Memories Care (LLM Care), and specifically the web-based cognitive training software. Online questionnaires, assessing various psychosocial and mental health domains, were distributed to 28 older adults before and after the interaction with the software aiming at evaluating the potential positive effect and usability of cognitive training software. Overall, the study demonstrates that the interaction with the web-based cognitive training software during the pandemic plays a significant role in maintaining mental health among older people, through improvements in well-being.
MeSH term(s)	Aged ; COVID-19 ; Disease Outbreaks/prevention & control ; Humans ; Pandemics ; Quality of Life ; SARS-CoV-2 ; Social Support
Language	English
Publishing date	2021-05-27
Publishing country	Netherlands
Document type	Journal Article
ISSN	1879-8365
ISSN (online)	1879-8365
DOI	10.3233/SHTI210261
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Technology Enhanced Health and Social Care for Vulnerable People During the COVID-19 Outbreak.

Romanopoulou, Evangelia D / Zilidou, Vasiliki I / Gilou, Sotiria / Dratsiou, Ioanna / Varella, Annita / Petronikolou, Vasileia / Katsouli, Aikaterini-Marina / Karagianni, Maria / Bamidis, Panagiotis D

Frontiers in human neuroscience

2021 Volume 15, Page(s) 721065

Abstract: The COVID-19 pandemic has spread rapidly worldwide with critical consequences in health, as well as in social, economic, and particularly in psychological conditions of vulnerable people, especially older adults. Therefore, it is necessary the direct ... ...

Abstract	The COVID-19 pandemic has spread rapidly worldwide with critical consequences in health, as well as in social, economic, and particularly in psychological conditions of vulnerable people, especially older adults. Therefore, it is necessary the direct attention to their health care needs and related interventions. Information and Communication Technology (ICT) have direct impact on older adults' health and quality of life leading to decreased depression and loneliness, along with empowerment of independent life. Many studies involve cognitive training programs/software based on new technological systems that provide to vulnerable people access to gamified, attractive, cognitive exercises for overall functionality everywhere and at any time. Twenty-four participants (mean age 69.3 years) were assigned to this study. The cognitive training component of LLM Care was used as an interactive software to enhance participants' cognitive functions. The intervention lasted 12 weeks with the frequency of 2-4 times per week in sessions of at least 30 min. Participants used their personal devices (tablets/laptops) in their own residence, while technical and consulting guidance was provided by LLM Care certified trainers. They were informed about the purpose of the study, while consent forms along with psychological assessments were distributed every 2 weeks to periodically evaluate their psychosocial and mental health conditions. The assessments included the World Health Organization-Five Well-Being Index (WHO-5), the Short Anxiety Screening Test (SAST), the System Usability Scale (SUS) and the Impact Factor Event Scale (IES-R). According to the results, the participants with improved well-being tended to report decreased subjective distress caused by COVID-19, and their engagement with new technologies can potentially minimize the negative outcomes occurred by the current stressful situation, mitigating the effect of hyperarousal symptoms, while increasing their overall well-being. Well-being seems to remain relatively stable among older adults and decreases only when adversities occur, while the usability of the software was perceived as marginally acceptable by participants. The exploitation of the LLM Care contributes to the improvement of older adults' well-being and alleviates the negative experience caused by stressful situations like COVID-19.
Language	English
Publishing date	2021-09-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2425477-0
ISSN	1662-5161
ISSN	1662-5161
DOI	10.3389/fnhum.2021.721065
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Unmet Needs of Persons with Down Syndrome: How Assistive Technology and Game-Based Training May Fill the Gap.

Romanopoulou, Evangelia / Zilidou, Vasiliki / Savvidis, Theodore / Chatzisevastou-Loukidou, Chariklia / Bamidis, Panagiotis

Studies in health technology and informatics

2018 Volume 251, Page(s) 15–18

Abstract: The use of new technology seems to be an important factor that contributes to the overall ability to adapt and achieve higher independence. Technologies using digital games have gained the great interest of the scientific community as there are many ... ...

Abstract	The use of new technology seems to be an important factor that contributes to the overall ability to adapt and achieve higher independence. Technologies using digital games have gained the great interest of the scientific community as there are many advantages for both effectiveness and benefits, physically and mentally, providing the opportunity for essential and enjoyable training. This study presents an important initial step utilizing the LLM Care service which focuses on the needs and challenges for the health and daily living of people with Down syndrome (DS) by applying new technology hardware and software. People with cognitive impairments, such as memory, attention and motivation problems may also benefit from this kind of cognitive support that assistive technology offers.
MeSH term(s)	Attention ; Disabled Persons ; Down Syndrome/psychology ; Down Syndrome/rehabilitation ; Humans ; Memory ; Motivation ; Self-Help Devices
Language	English
Publishing date	2018-06-28
Publishing country	Netherlands
Document type	Journal Article
ISSN	0926-9630
ISSN	0926-9630
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Functional Re-organization of Cortical Networks of Senior Citizens After a 24-Week Traditional Dance Program.

Zilidou, Vasiliki I / Frantzidis, Christos A / Romanopoulou, Evangelia D / Paraskevopoulos, Evangelos / Douka, Styliani / Bamidis, Panagiotis D

Frontiers in aging neuroscience

2018 Volume 10, Page(s) 422

Abstract: Neuroscience is developing rapidly by providing a variety of modern tools for analyzing the functional interactions of the brain and detection of pathological deviations due to neurodegeneration. The present study argues that the induction of ... ...

Abstract	Neuroscience is developing rapidly by providing a variety of modern tools for analyzing the functional interactions of the brain and detection of pathological deviations due to neurodegeneration. The present study argues that the induction of neuroplasticity of the mature human brain leads to the prevention of dementia. Promising solution seems to be the dance programs because they combine cognitive and physical activity in a pleasant way. So, we investigated whether the traditional Greek dances can improve the cognitive, physical and functional status of the elderly always aiming at promoting active and healthy aging. Forty-four participants were randomly assigned equally to the training group and an active control group. The duration of the program was 6 months. Also, the participants were evaluated for their physical status and through an electroencephalographic (EEG) examination at rest (eyes-closed condition). The EEG testing was performed 1-14 days before (pre) and after (post) the training. Cortical network analysis was applied by modeling the cortex through a generic anatomical model of 20,000 fixed dipoles. These were grouped into 512 cortical regions of interest (ROIs). High quality, artifact-free data resulting from an elaborate pre-processing pipeline were segmented into multiple, 30 s of continuous epochs. Then, functional connectivity among those ROIs was performed for each epoch through the relative wavelet entropy (RWE). Synchronization matrices were computed and then thresholded in order to provide binary, directed cortical networks of various density ranges. The results showed that the dance training improved optimal network performance as estimated by the small-world property. Further analysis demonstrated that there were also local network changes resulting in better information flow and functional re-organization of the network nodes. These results indicate the application of the dance training as a possible non-pharmacological intervention for promoting mental and physical well-being of senior citizens. Our results were also compared with a combination of computerized cognitive and physical training, which has already been demonstrated to induce neuroplasticity (LLM Care).
Language	English
Publishing date	2018-12-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2558898-9
ISSN	1663-4365
ISSN	1663-4365
DOI	10.3389/fnagi.2018.00422
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Article ; Online: Computerized physical and cognitive training improves the functional architecture of the brain in adults with Down syndrome: A network science EEG study.

Anagnostopoulou, Alexandra / Styliadis, Charis / Kartsidis, Panagiotis / Romanopoulou, Evangelia / Zilidou, Vasiliki / Karali, Chrysi / Karagianni, Maria / Klados, Manousos / Paraskevopoulos, Evangelos / Bamidis, Panagiotis D

Network neuroscience (Cambridge, Mass.)

2021 Volume 5, Issue 1, Page(s) 274–294

Abstract: Understanding the neuroplastic capacity of people with Down syndrome (PwDS) can potentially reveal the causal relationship between aberrant brain organization and phenotypic characteristics. We used resting-state EEG recordings to identify how a ... ...

Abstract	Understanding the neuroplastic capacity of people with Down syndrome (PwDS) can potentially reveal the causal relationship between aberrant brain organization and phenotypic characteristics. We used resting-state EEG recordings to identify how a neuroplasticity-triggering training protocol relates to changes in the functional connectivity of the brain's intrinsic cortical networks. Brain activity of 12 PwDS before and after a 10-week protocol of combined physical and cognitive training was statistically compared to quantify changes in directed functional connectivity in conjunction with psychosomatometric assessments. PwDS showed increased connectivity within the left hemisphere and from left-to-right hemisphere, as well as increased physical and cognitive performance. Our findings reveal a strong adaptive neuroplastic reorganization as a result of the training that leads to a less-random network with a more pronounced hierarchical organization. Our results go beyond previous findings by indicating a transition to a healthier, more efficient, and flexible network architecture, with improved integration and segregation abilities in the brain of PwDS. Resting-state electrophysiological brain activity is used here for the first time to display meaningful relationships to underlying Down syndrome processes and outcomes of importance in a translational inquiry. This trial is registered with ClinicalTrials.gov Identifier NCT04390321.
Language	English
Publishing date	2021-03-01
Publishing country	United States
Document type	Journal Article
ISSN	2472-1751
ISSN (online)	2472-1751
DOI	10.1162/netn_a_00177
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Gains in cognition through combined cognitive and physical training: the role of training dosage and severity of neurocognitive disorder.

Bamidis, Panagiotis D / Fissler, Patrick / Papageorgiou, Sokratis G / Zilidou, Vasiliki / Konstantinidis, Evdokimos I / Billis, Antonis S / Romanopoulou, Evangelia / Karagianni, Maria / Beratis, Ion / Tsapanou, Angeliki / Tsilikopoulou, Georgia / Grigoriadou, Eirini / Ladas, Aristea / Kyrillidou, Athina / Tsolaki, Anthoula / Frantzidis, Christos / Sidiropoulos, Efstathios / Siountas, Anastasios / Matsi, Stavroula /

Papatriantafyllou, John / Margioti, Eleni / Nika, Aspasia / Schlee, Winfried / Elbert, Thomas / Tsolaki, Magda / Vivas, Ana B / Kolassa, Iris-Tatjana

Frontiers in aging neuroscience

2015 Volume 7, Page(s) 152

Abstract: Physical as well as cognitive training interventions improve specific cognitive functions but effects barely generalize on global cognition. Combined physical and cognitive training may overcome this shortcoming as physical training may facilitate the ... ...

Abstract	Physical as well as cognitive training interventions improve specific cognitive functions but effects barely generalize on global cognition. Combined physical and cognitive training may overcome this shortcoming as physical training may facilitate the neuroplastic potential which, in turn, may be guided by cognitive training. This study aimed at investigating the benefits of combined training on global cognition while assessing the effect of training dosage and exploring the role of several potential effect modifiers. In this multi-center study, 322 older adults with or without neurocognitive disorders (NCDs) were allocated to a computerized, game-based, combined physical and cognitive training group (n = 237) or a passive control group (n = 85). Training group participants were allocated to different training dosages ranging from 24 to 110 potential sessions. In a pre-post-test design, global cognition was assessed by averaging standardized performance in working memory, episodic memory and executive function tests. The intervention group increased in global cognition compared to the control group, p = 0.002, Cohen's d = 0.31. Exploratory analysis revealed a trend for less benefits in participants with more severe NCD, p = 0.08 (cognitively healthy: d = 0.54; mild cognitive impairment: d = 0.19; dementia: d = 0.04). In participants without dementia, we found a dose-response effect of the potential number and of the completed number of training sessions on global cognition, p = 0.008 and p = 0.04, respectively. The results indicate that combined physical and cognitive training improves global cognition in a dose-responsive manner but these benefits may be less pronounced in older adults with more severe NCD. The long-lasting impact of combined training on the incidence and trajectory of NCDs in relation to its severity should be assessed in future long-term trials.
Language	English
Publishing date	2015-08-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2558898-9
ISSN	1663-4365
ISSN	1663-4365
DOI	10.3389/fnagi.2015.00152
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Article: Gains in cognition through combined cognitive and physical training

Bamidis, Panagiotis D. / Fissler, Patrick / Papageorgiou, Sokratis G. / Zilidou, Vasiliki / Konstantinidis, Evdokimos I. / Billis, Antonis S. / Romanopoulou, Evangelia / Karagianni, Maria / Beratis, Ion / Tsapanou, Angeliki / Tsilikopoulou, Georgia / Grigoriadou, Eirini / Ladas, Aristea / Kyrillidou, Athina / Tsolaki, Anthoula / Frantzidis, Christos / Sidiropoulos, Efstathios / Siountas, Anastasios / Matsi, Stavroula /

Papatriantafyllou, John / Margioti, Eleni / Nika, Aspasia / Schlee, Winfried / Elbert, Thomas / Tsolaki, Magda

Frontiers in Aging Neuroscience

The role of training dosage and severity of neurocognitive disorder

2015

Abstract: Investigated the benefits of combined training on global cognition, assessing the effect of training dosage and exploring the role of potential effect modifiers. In this multi-center study, older adults with or without neurocognitive disorders (NCDs) ... ...

Title translation	Kognitive Verbesserungen durch kombiniertes kognitives und körperliches Training: Die Rolle der Trainingsdosis und Schwere der neurokognitiven Störung
Abstract	Investigated the benefits of combined training on global cognition, assessing the effect of training dosage and exploring the role of potential effect modifiers. In this multi-center study, older adults with or without neurocognitive disorders (NCDs) participated in a computerized, game-based, combined physical and cognitive training group (163 individuals mean age 71 years) or a passive control group (66 individuals mean age 70 years). Training group participants were allocated to different training dosages ranging from 24 to 110 potential sessions. In a pre-posttest design, global cognition was assessed by averaging standardized performance in working-memory, episodic-memory and executive-function tests including the Digit Span Forward and Backward Tests, the California Verbal Learning Test, and the Trail Making Test (TMT). Additional measures included the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, the Geriatric Depression Scale (GSD-short), the Instrumental Activities of Daily Living Scale (IADL), the Senior Fitness Test, the Mini Mental State Examination (MMSE), the ECD-10, and clinical dementia ratings. Results showed that the intervention group increased in global cognition compared to the control group. Exploratory analysis revealed a trend for less benefits in participants with more severe NCD, p = 0.08 (cognitively healthy: d = 0.54; mild cognitive impairment: d = 0.19; dementia: d = 0.04). In participants without dementia, results revealed a dose response effect of the potential number and of the completed number of training sessions on global cognition, p = 0.008 and p = 0.04, respectively. The results indicate that combined physical and cognitive training improves global cognition in a dose-responsive manner but these benefits may be less pronounced in older adults with more severe NCD. The long-lasting impact of combined training on the incidence and trajectory of NCDs in relation to its severity should be assessed in future long-term trials.
Keywords	Aging ; Altern ; Cognitive Impairment ; Cognitive Therapy ; Dementia ; Demenz ; Exercise ; Fitness-Training ; Kognitive Beeinträchtigung ; Kognitive Therapie ; Krankheitsschweregrad ; Körperliche Leistungsfähigkeit ; Leichte kognitive Beeinträchtigung ; Mild Cognitive Impairment ; Physical Fitness ; Severity (Disorders)
Language	English
Document type	Article
ZDB-ID	2558898-9
ISSN	1663-4365
ISSN	1663-4365
Database	PSYNDEX

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