A Randomized Controlled Trial Study of a Multimodal Intervention vs. Cognitive Training to Foster Cognitive and Affective Health in Older Adults.
A Randomized Controlled Trial Study of a Multimodal Intervention vs. Cognitive Training to Foster Cognitive and Affective Health in Older Adults.
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DOI：
10.3389/fpsyg.2022.866613
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发表时间：
2022
影响因子：
3.8
通讯作者：
Studer-Luethi, Barbara
中科院分区：
文献类型：
--
作者：
Brasser, Maria;Fruhholz, Sascha;Schneeberger, Andres R.;Ruschetti, Gian G.;Schaerli, Rahel;Haner, Michele;Studer-Luethi, Barbara
过去几十年的研究表明，认知、社交和体育活动对老年人的认知和情感健康有积极影响。特别是对与健康相关的行为的干预，如认知激活、体力活动、社交活动、营养、正念和创造力，已经证明特别有益。虽然大多数干预研究采用单峰干预，如认知训练(CT)，但本研究调查了通过支持自主的多模式干预(MMI)培养老年人认知和情感健康因素的可能性。这项干预结合了心理教育信息，对六个循证领域的日常生活提出了建议。这项随机对照试验研究比较了MMI和CT对等待控制组(WCG)在认知和情感因素、日常生活记忆表现和日常生活活动方面的影响。三组，包括总共119名年龄在65-86 岁的成年人，参加了为期5周或10周的干预。具体地说，一组完成了10周的人机界面，第二组完成了5周的基于计算机的CT，然后是5周的人机界面，而第三组在完成最后5周的人机界面之前暂停了5周 。所有参与者都在三个测试点完成了在线调查和认知测试。研究结果显示，所有参与者在日常生活中的活动数量和可变性都有所增加。对MMI和CT的认知表现的事后分析表明，MMI和CT的效果相似(经典记忆和注意力)或更好(工作记忆)。此外，关于远距离迁移变量的结果显示出有利于MMI的有趣趋势，例如增加幸福感和对老化大脑的态度。此外，在所有自我报告的个人变量(日常生活中的记忆和压力)方面，MMI组在所有组中表现出最大的改善。这一结果表明，在老年人的认知和情感因素上，MMI具有积极的趋势。这些趋势表明，与训练特定的认知功能相比，多通道方法具有潜力。此外，研究结果表明，关于MMI的信息会激励参与者在日常生活中增加活动的可变性和频率。最后，这一结果也可能对神经认知缺陷和退行性疾病的初级预防产生影响。
Research over the past few decades has shown the positive influence that cognitive, social, and physical activities have on older adults’ cognitive and affective health. Especially interventions in health-related behaviors, such as cognitive activation, physical activity, social activity, nutrition, mindfulness, and creativity, have shown to be particularly beneficial. Whereas most intervention studies apply unimodal interventions, such as cognitive training (CT), this study investigates the potential to foster cognitive and affective health factors of older adults by means of an autonomy-supportive multimodal intervention (MMI). The intervention integrates everyday life recommendations for six evidence-based areas combined with psychoeducational information. This randomized controlled trial study compares the effects of a MMI and CT on those of a waiting control group (WCG) on cognitive and affective factors, everyday life memory performance, and activity in everyday life. Three groups, including a total of 119 adults aged 65–86 years, attended a 5- or 10-week intervention. Specifically, one group completed a 10-week MMI, the second group completed 5-week of computer-based CT followed by a 5-week MMI, whereas the third group paused before completing the MMI for the last 5 weeks. All participants completed online surveys and cognitive tests at three test points. The findings showed an increase in the number and variability of activities in the everyday lives of all participants. Post hoc analysis on cognitive performance of MMI to CT indicate similar (classic memory and attention) or better (working memory) effects. Furthermore, results on far transfer variables showed interesting trends in favor of the MMI, such as increased well-being and attitude toward the aging brain. Also, the MMI group showed the biggest perceived improvements out of all groups for all self-reported personal variables (memory in everyday life and stress). The results implicate a positive trend toward MMI on cognitive and affective factors of older adults. These tendencies show the potential of a multimodal approach compared to training a specific cognitive function. Moreover, the findings suggest that information about MMI motivates participants to increase activity variability and frequency in everyday life. Finally, the results could also have implications for the primary prevention of neurocognitive deficits and degenerative diseases.
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影响因子：
120.7
作者：
Ball, K;Berch, DB;Willis, SL
通讯作者：
Willis, SL
影响因子：
4.3
作者：
Austin, EJ;Manning, JT;Mathews, E
通讯作者：
Mathews, E
影响因子：
4.4
作者：
Clare L;Nelis SM;Jones IR;Hindle JV;Thom JM;Nixon JA;Cooney J;Jones CL;Tudor Edwards R;Whitaker CJ
通讯作者：
Whitaker CJ
DOI：
10.1177/1745691615570616
发表时间：
2015-03
期刊：
Perspectives on psychological science : a journal of the Association for Psychological Science
影响因子：
--
作者：
Cacioppo S;Grippo AJ;London S;Goossens L;Cacioppo JT
通讯作者：
Cacioppo JT
影响因子：
120.7
作者：
Abbott, RD;White, LR;Petrovitch, H
通讯作者：
Petrovitch, H