Purpose: This case aims to present basic data needed to improve cognitive function and quality of care for aged with dementia. Methods: A total of ten sessions were organized and operated once a week for 12 aged with dementia using the center. Data collection was conducted from July 27 to September 30, 2022. Data analysis was conducted through observational evaluation of participation, satisfaction, and performance of each individual and in-depth interviews at the end of the program. Results: Among the 12 subjects who participated in the quality improvement program, an average of 8.4 subjects in each session showed high levels of participation and satisfaction. On the other hand, the performance level was low, with an average of 6.9 subjects per session. In the in-depth interview, two concepts were confirmed: ‘regrets about the past’ and ‘satisfaction with present life.’ Conclusions: We hope that the results of this case report will be useful in developing a multifaceted cognitive therapy program to improve the cognitive function of aged with dementia in the future.

The introduction of a speaking and writing test is of greater importance because it is becoming more central to language assessment, especially with reference to communicative language instruction. In order for a writing test to be reliable and valid, the item difficulty should be the same across different test forms. In line with this test equivalence, this study examined the factors that affect writing item difficulty in Level 2 of the NEAT using two qualitative data collection methods, a) focus-group meetings with researchers, professors and teachers who specialized in English education, and b) in-depth interviews with students who took Level 2 of the NEAT. The results indicated that the following factors affected writing item difficulty: a) topic familiarity, b) topic concreteness, c) the extent to which a topic elicits negative feelings from test-takers, d) concreteness of a given writing prompt, e) the extent to which a given writing prompt elicits diverse words, and f) the vocabulary and grammar knowledge required to complete a given writing task. Based upon the study’s results, further research about teaching and testing writing skills is discussed.