{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:02:40Z","timestamp":1783051360192,"version":"3.54.6"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T00:00:00Z","timestamp":1562112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>despite the extensive literature on the effectiveness of cognitive training, its effectiveness has not been demonstrated within a population-based long-term care system. To provide cognitive training services to older people with mild dementia, Korea introduced a special dementia rating, as a long-term care grades, in the national long-term care insurance in July 2014. These services are only offered to those with the special dementia rating. This study evaluated the national long-term care insurance-funded cognitive function training programme for older people with mild dementia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>data were derived from the Korean National Health Insurance Elderly Cohort database between 2008 and 2015. We compared changes in function between the intervention (n = 352) and control (n = 1952) groups before (2014) and after (2015) introduction of the cognitive function training programme. Difference-in-differences analysis was performed, to compare changes in each score between the intervention and control groups before and after introduction of the cognitive function training programme.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>introduction of the cognitive function training programme was associated with significantly less cognitive function decline in the intervention group than in the control groups (\u03b2 = \u20133.39; standard errors [SE] = 1.14; P = 0.003). A subgroup analysis revealed that this effect increased in subjects in the youngest group, low income bracket, who had a primary caregiver, who were supported in multiple activities of daily living by the primary caregiver, or who were not living alone.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>introduction of the cognitive function training programme was associated with positive effects on cognitive function.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afz067","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T07:09:24Z","timestamp":1560841764000},"page":"636-642","source":"Crossref","is-referenced-by-count":17,"title":["Evaluation of the South Korean national long-term care insurance-funded cognitive function training programme for older people with mild dementia"],"prefix":"10.1093","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4891-0524","authenticated-orcid":false,"given":"Yeong Jun","family":"Ju","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, Republic of Korea"},{"name":"Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung Mo","family":"Nam","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea"},{"name":"Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Gyu","family":"Lee","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea"},{"name":"Department of Hospital Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohee","family":"Park","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea"},{"name":"Department of Biostatistics, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung-Il","family":"Hahm","sequence":"additional","affiliation":[{"name":"Department of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2306-5398","authenticated-orcid":false,"given":"Eun-Cheol","family":"Park","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea"},{"name":"Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,7,3]]},"reference":[{"key":"2019090603051711400_afz067C1","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1093\/ageing\/afu189","article-title":"The challenges of human population ageing","volume":"44","author":"Sander","year":"2014","journal-title":"Age Ageing"},{"key":"2019090603051711400_afz067C2","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1016\/S0140-6736(16)31012-1","article-title":"Global, regional, and national 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