Reasoning Exercises in Assisted Living (REAL): a feasibility study.

Reasoning Exercises in Assisted Living (REAL): a feasibility study.
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DOI:
10.1080/01612840802182813
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发表时间:
2008-08
影响因子:
2.1
通讯作者:
Williams KN
Williams KN
中科院分区:
医学4区
文献类型:
--
作者:
Williams KN

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辅助生活设施的居民有认知能力下降的风险,这会促使养老院的安置。认知训练保护认知,并导致社区居住的老人保持自我照顾。这项试点研究测试了一种干预措施,旨在改善辅助生活居民的推理和日常问题解决能力。志愿者(N= 4)完成了为期一个月的辅助生活培训课程中的六个推理练习。比较了干预前、干预后即刻和3个月的问题解决随访评估。认知障碍老年人的日常问题(EPCCE)评分从干预前(M=11.00,SD = 8.83)到干预后(M=19.5,SD=8.35)增加了20%,t=-312,p = 0.05。3个月后,受试者表现出持续的EPCCE评分改善(M = 21.75,SD = 4.57,t =-3.95,p = 0.03)。
Assisted Living Facility residents are at risk for cognitive decline that precipitates nursing home placement. Cognitive training protects cognition and leads to maintained self-care for community dwelling elders. This pilot study tested an intervention designed to improve reasoning and everyday problem solving for assisted living residents. Volunteers (N= 4) completed the six Reasoning Exercises in Assisted Living training sessions provided over one month. Pre-intervention, immediate post-intervention, and 3 month follow-up assessments of problem solving were compared. Scores on the Everyday Problems for Cognitively Challenged Elderly (EPCCE) increased 20% from pre (M=11.00, SD = 8.83) to post-intervention (M=19.5, SD=8.35), t=−312, p = .05. After three months, subjects showed sustained EPCCE score improvement (M = 21.75, SD = 4.57, t =−3.95, p = .03).