Speed-of-Processing Training in Assisted and Independent Living: A Randomized Controlled Trial.
Speed-of-Processing Training in Assisted and Independent Living: A Randomized Controlled Trial.
复制标题
辅助和独立生活的处理速度培训：随机对照试验。
DOI：
10.1111/jgs.15423
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发表时间：
2018
影响因子：
6.3
通讯作者：
Wolinsky,FredricD
中科院分区：
文献类型：
--
作者：
Smith,Marianne;Jones,MichaelP;Dotson,MeganM;Wolinsky,FredricD
目的研究处理速度训练（SOPT）在老年生活社区的老年人，特别是那些在辅助生活。设计双臂，平行，随机对照试验。设置在31个老年生活社区的辅助和独立的居住环境。残疾人55至102岁的个人（平均81.0，73.8%女性，76.4%独居，47.0%居住在辅助生活中; N=351）.干预干预是在基线时进行10小时的计算机化SOPT，在5和11个月时进行4小时的加强;注意力控制是在基线时解决10小时的电脑填字游戏，在5个月和11个月时进行4小时的增强。测量结果是有用视野（UFOV）评分和0.5标准差（SD）或更多（> 158.4 ms）的改善。在基线、培训后、6个月和12个月收集数据。随机效应线性混合效应模型用于估计意向治疗完整病例和多重插补分析中的SOPT效应。（Cohen的ds0.25-0.40）对于SOPT，反映了UFOV分数的处理速度提高（39-63毫秒）及以上百分比（9.8至14.9个百分点的优势），以实现超过0.5个SD的改进（> 158.4 ms）结论：这些发现支持了关于SOPT对老年生活社区老年人的潜在益处的公共卫生信息，并支持了SOPT在辅助和独立生活中的可行性和可接受性适合老年人。
ObjectivesTo examine speed‐of‐processing training (SOPT) in older adults in senior living communities, especially those in assisted living.DesignTwo‐arm, parallel, randomized controlled trial.SettingAssisted and independent residence settings in 31 senior living communities.ParticipantsIndividuals aged 55 to 102 (mean 81.0, 73.8% female, 76.4% living alone, 47.0% residing in assisted living; N=351).InterventionThe intervention was 10 hours of computerized SOPT at baseline with 4‐hour boosters at 5 and 11 months; the attention control was 10 hours of solving computerized crossword puzzles at baseline with 4‐hour boosters at 5 and 11 months.MeasuresOutcomes were useful field of view (UFOV) scores and improvements of 0.5 standard deviations (SDs) or more (> 158.4 ms). Data collection occurred at baseline, after training, and 6 and 12 months. Random‐effects linear mixed‐effect models were used to estimate SOPT effects in intention‐to‐treat complete‐case and multiple imputation analyses.ResultsWe found statistically significantly small standardized effect sizes (Cohen's ds0.25–0.40) for SOPT, reflecting processing speed improvements on UFOV scores (of 39–63 ms) and greater percentages (9.8 to 14.9 percentage point advantages) for achieving more than 0.5 SD improvements (> 158.4 ms) over the 3 time periods.ConclusionThese findings support public health messaging about the potential benefits of SOPT for older adults in senior living communities and support the feasibility and acceptability of SOPT in assisted and independent living for older adults.