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Improving Access to Dementia Care through AI‐Powered Cognitive Rehabilitation Therapy
Jennifer A. Flexman, Jessie Ng, Paul A Campbell, Rebecca Vaughan Darwish, Susan Kane. Alzheimer s & Dementia, 2025-12-01
Topic: Risk, prevention and care in population studies
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]. 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.
Key findings
- 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].
- Access to practical and personalized support is a critical component to helping older adults with cognitive impairment to remain independent in daily life.
Why it matters
In a cohort of 75 patients, an AI-powered telephone cognitive rehabilitation program was followed by improved cognitive function and self-reported quality of life. The study reports real-world outcomes but does not compare against a randomized control group, so it cannot prove the program caused the improvements.
Study details
- Participants75
- Evidence strengthModerate
How this study scored 39/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it. We have no data on senior author's track record and institution's track record, so those were left out: it earned 36 of the 93 points we could judge it on, which is 39 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 1 / 4 | 75 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 1 / 6 | Cited 0.6× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | — / 4 | OpenAlex's profile for last-listed author Susan Kane holds only 3 work(s), too few to judge a track record — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 0 institution(s) in 0 countries — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41433355) |
| Free to read | 2 / 2 | Free to read |
| Points | 36 / 93 | Scored on 18 of 20 parts. We have no data for the rest, so they are left out: 36 of the 93 points we could judge it on is 39 out of 100. |
| Total | 39 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1002/alz70863_110589
- PubMed: 41433355
- Original source →
- Free full text: Alzheimer s & Dementia →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Flexman, J. A., Ng, J., Campbell, P. A., Darwish, R. V., & Kane, S. (2025). Improving Access to Dementia Care through AI‐Powered Cognitive Rehabilitation Therapy. Alzheimer s & Dementia. https://doi.org/10.1002/alz70863_110589
Vancouver
Flexman JA, Ng J, Campbell PA, Darwish RV, Kane S. Improving Access to Dementia Care through AI‐Powered Cognitive Rehabilitation Therapy. Alzheimer s & Dementia. 2025. doi:10.1002/alz70863_110589. PMID: 41433355.
BibTeX
@article{flexman2025-41433355,
author = {Flexman, Jennifer A. and Ng, Jessie and Campbell, Paul A and Darwish, Rebecca Vaughan and Kane, Susan},
title = {{Improving Access to Dementia Care through AI‐Powered Cognitive Rehabilitation Therapy}},
journal = {Alzheimer s \& Dementia},
year = {2025},
doi = {10.1002/alz70863_110589},
pmid = {41433355},
url = {https://doi.org/10.1002/alz70863_110589}
}