Correction for Post-COVID Cognitive Impairment Using the Remote Mobile Application “Aita”
This paper presents a pilot study aimed at evaluating the effectiveness of an adapted version of the mobile application Aita for remote cognitive rehabilitation in patients with post-COVID cognitive dysfunction (PCCD). The study included 60 participants: 24 patients with PCCD and 36 normotypic respondents. All participants completed a 7-day course of cognitive training using the application. At the baseline assessment, statistically significant differences were identified between the groups: patients with PCCD demonstrated prolonged reaction times, reduced information processing speed, and impaired visual and working memory compared to the control group. Following a one-week training course, the PCCD group showed positive dynamics across key cognitive indicators. Significant improvements were observed in neurodynamics related tasks: task completion time decreased, average reaction time shortened, and the number of correct responses increased. Performance also improved in memory and attention tasks: participants completed more levels in the "Object Memorization" exercise, and completion times decreased for both the Schulte Tables and the "Duplicate Word Search" tasks. A crucial aspect of the application’s adaptation was the integration of metacognitive support via an in-app chat with a psychologist, which enhanced user adherence to the training regimen and reduced frustration levels. The findings indicate that the Aita mobile application is an effective tool for short-term cognitive rehabilitation in patients with PCCD. It demonstrates high diagnostic sensitivity and therapeutic potential, particularly concerning information processing speed and working memory. The findings highlight the importance of integrating psychological support into digital rehabilitation programs to enhance their clinical effectiveness. The developed approach opens up opportunities for scaling up remote neurorehabilitation in settings with limited access to in-person care. The application can be recommended for use in remote neurorehabilitation practices following COVID-19-related neuroinfection.
Keywords
post-COVID cognitive dysfunction,
"Aita" mobile application,
remote rehabilitation,
metacognitive support,
cognitive processes,
neurodynamics,
memory,
attentionAuthors
| Solodukhin Anton V. | Kemerovo State University | mein11@mail.ru |
| Seriy Andrey V. | Kemerovo State University | avgrey@yahoo.com |
| Yanitskiy Mikhail S. | Kemerovo State University | direktorspi@kemsu.ru |
| Sidorckin Dmitry A. | Kemerovo State University | sidorckin.dmit@yandex.ru |
Всего: 4
References
Варич, Л. А., Брюханов, Я. И., Серый, А. В., Солодухин, А. В. (2022). Особенности проявления соматических и когнитивных нарушений у лиц юношеского возраста, перенесших COVID-19. Вестник психофизиологии, 4, 92-99. doi: 10.34985/f0194-0574-8740-f.
Громова, Д. О., Науменко, А. А., Преображенская, И. С. (2017). Когнитивный тренинг и реабилитация пациентов с когнитивными нарушениями. Доктор.Ру, 11(140), 31-38.
Захаров, Д. В., Буряк, Ю. В. (2021). Постковидные когнитивные расстройства. Современный взгляд на проблему, патогенез и терапию. Обозрение психиатрии и медицинской психологии имени В. М. Бехтерева, 55(4), 97-105. doi: 10.31363/2313-7053-2021-57-4-97-105.
Семкина, Е. Н., Кононова, С. В., Булах, К. В., Балык, А. С., Петьков, В. А. (2021). Дистанционные образовательные технологии в обучении студентов в условиях пандемии COVID-19: проблемы и пути их эффективной реализации. Вестник Адыгейского государственного университета. Сер. 3. Педагогика и психология, 4, 97-107. doi: 10.53598/2410-3004-2021-4-288-97-107.
Солодухин, А. В., Серый, А. В., Яницкий, М. С., Саблинский, А. И., Сидоркин, Д. А., Варич, Л. А. (2024). Дистанционная нейропсихологическая коррекция легких и умеренных когнитивных нарушений Aita : свидетельство о государственной регистрации программы для ЭВМ № 2024685964.
Солодухин, А. В., Серый, А. В., Трубникова, О. А. (2017). Возможности методов когнитивно-поведенческой психотерапии в изменении внутренней картины болезни у пациентов с ишемической болезнью сердца. Фундаментальная и клиническая медицина, 2(1), 84-90.
Солодухин, А. В., Серый, А. В., Варич, Л. А., Брюханов, Я. И., Жихарев, А. Ю. (2022). Применение техник когнитивно-поведенческой психотерапии для восстановления когнитивной сферы у лиц, перенесших коронавирусную инфекцию (COVID-19): возможности и перспективы. Вестник Кемеровского государственного университета, 24(4), 420-429. doi: 10.21603/2078-8975-2022-24-4-420-429.
Солодухин, А. В., Яницкий, М. С., Серый, А. В. (2020). К проблеме выбора коррекционных компьютерных программ для восстановления когнитивных функций у пациентов кардиологического профиля. Российский психологический журнал, 17(1), 5-14. doi: 10.21702/ipj.2020.1.1.
Солодухин, А. В., Сидоркин, Д. А., Серый, А. В., Саблинский, А. И. (2025). Применение дистанционного мобильного приложения Aita для тренировки и восстановления когнитивных функций у лиц зрелого возраста. Сибирский психологический журнал, 95, 121-137. doi: 10.17223/17267080/95/7.
Яхно, Н. Н., Захаров, В. В., Коберская, Н. Н., Мхитарян, Э. А., Гришина, Д. А., Посохов, С. И. (2017). «Предумеренные» (субъективные и легкие) когнитивные расстройства. Неврологический журнал, 22(4), 198-204. doi: 10.18821/1560-9545-2017-22-4-198-204.
Abdelghani, M., Atwa, S. A., Said, A., Zayed, N. E., Abdelmoaty, A. A., & Hassan, M. S. (2022). Cognitive after-effects and associated correlates among post-illness COVID-19 survivors: a cross-sectional study. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 58(1), 1-8. doi: 10.1186/s41983-022-00505-6.
Agyapong, V. I. O., Hrabok, M., Vuong, W., Shalaby, R., Noble, J. M., Gusnowski, A., … Greenshaw, A. J. (2020). Changes in stress, anxiety, and depression levels of subscribers to a daily supportive text message program (Text4Hope) during the COVID-19 pandemic: Cross-sectional survey study. JMIR Mental Health, 7(12), e22423. doi: 10.2196/22423.
Clark, J. R., Shlobin, N. A., Hoffman, S. C., Orban, Z. S., & Koralnik, I. J. (2020). Frequent neurologic manifestations and encephalopathy-associated morbidity in Covid-19 patients. Annals of Clinical and Translational Neurology, 7(11), 2221-2230. doi: 10.1002/acn3.51210.
Floyd, M., & Scogin, F. (1997). Effects of memory training on the subjective memory functioning and mental health of older adults: A meta-analysis. Psychology and Aging, 12(1), 150-161. doi: 10.1037//0882-7974.12.1.150.
Hampshire, A., Trender, W., Chamberlain, S. R., Jolly, A. E., Grant, J. E., Patrick, F., … Mehta, M. A. (2021). Cognitive deficits in people who have recovered from COVID-19. EClinicalMedicine, 39, 101044. doi: 10.1016/j.eclinm.2021.101044.
Helms, J., Kremer, S., Merdji, H., Clere-Jehl, R., Schenck, M., Kummerlen, C., … Meziani, F. (2020). Neurologic features in severe SARS-CoV-2 infection. New England Journal of Medicine, 382(23), 2268-2270. doi: 10.1056/NEJMc2008597.
Holmes, E. A., O’Connor, R. C., Perry, H., Tracey, I., Wessely, S., Arseneault, L., … Bullmore, E. T. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547-560. doi: 10.1016/S2215-0366(20)30168-1.
Kopelovich, S. L., & Turkington, D. (2021). Remote CBT for psychosis during the COVID-19 pandemic: Challenges and opportunities. Community Mental Health Journal, 57(1), 30-34. doi: 10.1007/s10597-020-00718-0.
Lopez-Leon S., Wegman-Ostrosky T., Perelman C., Sepulveda R., Rebolledo P.A, Cuapio A., & Villapol S. (2021). More than 50 long-term effects of COVID-19: A systematic review and meta-analysis. Scientific Reports, 11(1), 1-12. doi: 10.21203/rs.3.rs-266574/v1.
Manera, M. R., Fiabane, E., Pain, D., Aiello, E. N., Radici, A., Ottonello, M … Pistarini, C. (2022). Clinical features and cognitive sequelae in COVID-19: A retrospective study on N=152 patients. Neurological Sciences, 43(1), 45-50. doi: 10.1007/s10072-021-05744-8.
Moreno, C., Wykes, T., Galderisi, S., Nordentoft, M., Crossley, N., Jones, N., … Arango, C. (2020). How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet Psychiatry, 7(9), 813-824. doi: 10.1016/S2215-0366(20)30307-2.
Moritz, S., & Lysaker, P. H. (2018). Metacognition - what did James H. Flavell really say and the implications for the conceptualization and design of metacognitive interventions. Schizophrenia Research, 201, 20-26. doi: 10.1016/j.schres.2018.06.001.
Murphy, R., Calugi, S., Cooper, Z., & Dalle Grave, R. (2020). Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. The Cognitive Behaviour Therapist, 13, e14. doi: 10.1017/S1754470X20000161.
Ozturk, N. (2017). Assessing metacognition: Theory and practices. International Journal of Assessment Tools in Education, 4(2), 134-148. doi: 10.21449/ijate.298299.
Zimmerman, B. J., & Moylan, A. R. (2009). Self-regulation: Where metacognition and motivation intersect. В D. J. Hacker, J. Dunlosky, & A. C. Graesser (Eds.), Handbook of metacognition in education (pp. 299-315). Routledge.
