Goal-Oriented Attention Self-Regulation (GOALS) training in older adults.
Goal-Oriented Attention Self-Regulation (GOALS) training in older adults.
复制标题
老年人的目标导向注意力自我调节（GOALS）培训。
DOI：
10.1080/13607863.2018.1534080
复制
发表时间：
2020
影响因子：
3.4
通讯作者：
D'Esposito,Mark
中科院分区：
文献类型：
--
作者：
Turner,GaryR;Novakovic-Agopian,Tatjana;Kornblith,Erica;Adnan,Areeba;Madore,Michelle;Chen,AnthonyJW;D'Esposito,Mark
Objectives:A common cognitive complaint of older adulthood is distractibility, or decline in ability to concentrate and maintain focus, yet few evidence-based interventions exist to address these deficits. We implemented s pilot trial of an evidence-based executive function training program, to investigate whether training in applied goal-directed attention regulation and problem solving would enhance executive control abilities in a sample of cognitively normal older adults with self-reported complaints of concentration problems.Method:Consecutively recruited participants were placed into small groups and randomized to either Goal-Oriented Attentional Self-Regulation training (GOALS;N= 15) or a closely matched Brain Health Education program (BHE;N= 15).Results:GOALS participants significantly improved on: neurocognitive measures of mental flexibility (p= 0.03, partial eta squared = 0.23); real-world setting functional performance measures of: task failures (p= 0.02, Cohen’sd= 0.88), task rule breaks (p= 0.02, Cohen’sd= 1.06), and execution (p= 0.04, Cohen’s d = 0.76); and in-lab functional assessment of goal-directed behaviour divergent thinking scale (p= 0.03, Cohen’sd= 0.95). All participants improved on a neurocognitive measure of planning (p= 0.01, partial eta squared = 0.031). BHE participants’ improvement over and above GOALS participants was limited to: rule adherence on the real world task (p= 0.04, Cohen’sd= 0.99), and evaluator rating (p= 0.03, Cohen’sd= 0.56), and average score (p= 0.02, Cohen’sd= 0.71) on the in-lab functional task.Conclusion:Participation in GOALS training can enhance executive control, and lead to real-world functional improvements, for cognitively normal older adults with self-reported attention difficulties.
