Preserving Cognition Through an Integrated Cognitive Stimulation and Training Program

Preserving Cognition Through an Integrated Cognitive Stimulation and Training Program
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DOI:
10.1177/1533317509332624
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发表时间:
2009-06-01
影响因子:
3.4
通讯作者:
Siberski, James
Siberski, James
中科院分区:
医学4区
文献类型:
--
作者:
Eckroth-Bucher, Margie;Siberski, James

文献摘要

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背景:认知能力下降会导致残疾和医疗支出增加。方法:采用传统活动和计算机活动相结合的形式(综合认知刺激和训练计划),每周2天,每天45分钟,持续6周,以确定刺激多个认知域的干预的有效性。年龄65岁的健康受试者、轻度受损者和中度受损者(n=32)被随机分为对照组或试验组。采用重复测量设计,在干预后和随访8周时再次对参与者进行测试。结果:轻度和中度受损的治疗参与者(n=15)在痴呆症评定量表得分上有统计学上的显著改善。在WMS-III的分量表:逻辑记忆I和逻辑记忆II上有统计学意义。结论:将基于计算机的认知刺激活动与传统的认知刺激活动相结合,在保护老年人认知功能方面是有希望的。未来需要进行研究,以探索在更大、更多样化的样本中的有效性。
Background: Cognitive decline leads to disability and increased health care expenditures. Methods: Effectiveness of an intervention to stimulate multiple cognitive domains was determined using a format combining traditional and computer-based activities (Integrated Cognitive Stimulation and Training Program), 45 minutes a day, 2 days a week, for 6 weeks. Nonimpaired, mildly, and moderately-impaired participants > age 65 (n = 32) were randomly allocated into a control or experimental group. Using a repeated measures design participants were tested again postintervention and at 8 weeks follow-up. Results: Statistically significant improvement on Dementia Rating Scale scores occurred for mildly and moderately impaired treatment participants (n = 15). Statistical significance was demonstrated on subscales of the WMS-III: Logical Memory I and Logical Memory II. Conclusion: Blending computer-based with traditional cognitive stimulation activities shows promise in Preserving cognitive function in elders. Future studies to explore efficacy in larger, more diverse samples are needed.