Improving Access to Dementia Care through AI‐Powered Cognitive Rehabilitation Therapy

Abstract

INTRODUCTION: Cognitive impairment affects 32% of adults over 65, impacting approximately 250 million people globally [1,2]. Cognitive rehabilitation is an effective intervention for dementia to preserve independence, delay institutional care and reduce caregiver burden [3]. However, access to rehabilitation is currently limited by a shortage of skilled providers, particularly in low resource and remote settings. PROGRAM OVERVIEW: Moneta Health is addressing this unmet need by delivering cognitive rehabilitation using an automated therapy delivery system. Patients receive personalized and interactive cognitive activities through a voice agent over the telephone focused on stimulating areas of cognitive deficit and teaching compensatory strategies. Automated calls are processed using artificial intelligence and reviewed by a speech-language pathologist (SLP) who assigns therapy content, performs skilled analysis, assesses progress and provides weekly feedback to the patient by telephone. PROGRAM RESULTS: In a cohort of 75 patients who completed Moneta's program (average age 73 ± 10, average MoCA score 20 ± 5), 59% had MCI and 33% had dementia. Patients completed 2.6 digital therapy calls (58 minutes) per week, and 2.3x more sessions overall than traditional outpatient therapy [4]. Patients' cognitive function significantly improved on average by 18% (p <0.001), compared to 13% for traditional outpatient therapy [4, 5]. Self reported quality of life also significantly improved on average by 11% (p <0.001) [6]. CONCLUSION: Access to practical and personalized support is a critical component to helping older adults with cognitive impairment to remain independent in daily life. Moneta's AI-powered program by telephone offers a scalable model for improving access to cognitive rehabilitation, with demonstrated real world outcomes. References [1] Manley et al., JAMA Neurology, 2022;79(12):1242-1249. [2] Leaving No One Behind In An Ageing World: World Social Report, United Nations, 2023. [3] Kudlicka et al., Cognitive rehabilitation for people with mild to moderate dementia, Cochrane Database of Systematic Reviews, 2023. [4] Compared to therapy outcomes data in the National Outcomes Measurement System of the American Speech-Language-Hearing Association for ages 50-89, cognitive communication disorder, outpatient setting, accessed January 17, 2025. [5] Functional communication measure (FCM) for cognitive function assessed by a SLP. [6] Quality of Life in Neurological Disorders.

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