Web-Based ACTIVE Memory Training Intervention for Older Adults

基于网络的老年人主动记忆训练干预

• 批准号: 8510887
• 负责人: GEORGE W. REBOK
• 金额: $ 24.3万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8510887
• 关键词: Caring; Categories; Cognition; Cognitive; Communities; Data Analyses; Data Collection; Educational Intervention; Elderly; Health; Individual; Institutionalization; Intervention; Lead; Maintenance; Memory; Memory Loss; Memory impairment; Monitor; Network-based; Online Systems; Paper; Performance; Population; Provider; Public Health; Quality of life; Randomized; Reporting; Research Training; Sampling; Short-Term Memory; Technology; Testing; Time; Training; Training Programs; Translational Research; Translations; Waiting Lists; age related; base; behavior change; cognitive training; community living; community organizations; cost; design; evidence base; fitness; follow-up; group intervention; interest; meetings; programs; public health relevance; skills

DESCRIPTION (provided by applicant): This proposal responds to PA-11-124 Translational Research to Help Older Adults Maintain Their Health and Independence in the Community (R21) and seeks support to test a web-based version of the evidence-based ACTIVE (Advanced Cognitive Training for Independent and Vital Elderly) memory training intervention for use by community organizations to promote memory health and fitness among the elderly. Memory loss is a major public health problem among community-living older adults, and is often associated with loss of independence, need for formal care, and institutionalization. Although there is growing evidence that small-group, trainer-led, paper-and-pencil based classes used in ACTIVE lead to significant cognitive gains and some improvement in everyday function, they offer few practice opportunities outside of class time, are limited in their ability to reach the growing population of older adults, and are not easily disseminated due to high costs of administration. The proposed use of online, interactive technology for this cognitive training is conceived as superior to the limited approach used in the original ACTIVE trial and in most previous training research. We propose to field test an online program called ACTIVE Memory Works (AMW) to help older adult users increase performance and monitor changes in memory and cognition and assess their effects on daily functional activities. The web- based AMW experimental intervention will: greatly reduce administrative costs compared with the paper-and- pencil form by incorporating automated data collection and analysis; provide automated scoring and reporting; increase engagement with context-sensitive coaching based on individual progress; and provide opportunities to evaluate a larger sample of categories and exemplars for memory tasks; and increase user-directed practice. This yields an overall design with the following key features: 1) a baseline assessment and randomization to a 10-session experimental intervention group, a 10-session experimental intervention plus 4-session booster group, or to a wait-list control condition, and 2) an immediate post-test and 6-month follow-up test. The use of the online format will make possible the widespread dissemination necessary to begin to make a difference in the lives of older adults interested in monitoring and maintaining their memory performance, cognitive vitality, and quality of life in the face of age-related memory impairments and begin to reduce the costs of institutionalization. Several community organizations are ready and able to participate.

描述（由申请人提供）：本提案响应 PA-11-124 帮助老年人在社区保持健康和独立的转化研究 (R21)，并寻求支持测试基于证据的 ACTIVE（独立和活力老年人高级认知训练）记忆训练干预的网络版本，供社区组织使用，以促进老年人的记忆健康和健身。记忆丧失是社区老年人的一个主要公共卫生问题，通常与丧失独立性、需要正规护理和收容有关。尽管越来越多的证据表明，ACTIVE 中使用的小团体、培训师主导、纸笔课程可带来显着的认知收益和日常功能的一定改善，但它们在课堂时间之外提供的练习机会很少，接触到不断增长的老年人口的能力有限，而且由于管理成本高昂而不易传播。拟议使用在线交互式技术进行这种认知训练被认为优于最初的 ACTIVE 试验和大多数先前的训练研究中使用的有限方法。我们建议对名为 ACTIVE Memory Works (AMW) 的在线程序进行现场测试，以帮助老年用户提高表现并监测记忆和认知的变化，并评估其对日常功能活动的影响。基于网络的 AMW 实验干预将： 通过结合自动数据收集和分析，与纸笔形式相比，大大降低管理成本；提供自动评分和报告；增加基于个人进步的情境敏感辅导的参与度；并提供评估记忆任务的更大样本类别和范例的机会；并增加以用户为导向的实践。这产生了具有以下关键特征的总体设计：1) 基线评估和随机化为 10 次实验干预组、10 次实验干预加 4 次加强组，或等待名单控制条件，以及 2) 立即进行测试后和 6 个月的后续测试。在线格式的使用将使广泛传播成为可能，从而开始改变那些有兴趣监测和维持其记忆表现、认知活力和面对与年龄相关的记忆障碍的生活质量的老年人的生活，并开始降低收容成本。一些社区组织已准备好并能够参与。