Maintaining Cognitive Health in Aging Veterans

保持老年退伍军人的认知健康

• 批准号: 8634918
• 负责人: Maureen Katheleen O'Connor
• 金额: --
• 依托单位: EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-02-01 至 2016-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8634918
• 关键词: Activities of Daily Living; Affective; Age; Age Factors; Aging; Aging-Related Process; Alzheimer disease prevention; Alzheimer' s Disease; American; Anxiety; Appointment; Attitude; Belief; Brain; Caring; Centers for Disease Control and Prevention (U.S.); Clinic; Clinical; Clinical Services; Clinical Trials Design; Cognition; Cognition Disorders; Cognitive; Cognitive aging; Complex; Control Groups; Dementia; Diagnosis; Distress; Education; Effectiveness; Elderly; Emotional; Evaluation; Fright; Goals; Happiness; Health; Health Personnel; Hour; Impaired cognition; Intervention; Intervention Studies; Investigation; Knowledge; Life; Literature; Measures; Memory; Mental Depression; Mental Health; Minor; National Institute of Neurological Disorders and Stroke; Neuropsychological Tests; Occupational; Older Population; Outcome; Outcome Measure; Perception; Performance; Population; Prospective Studies; Psychological Factors; Psychological Transfer; Questionnaires; Randomized; Randomized Controlled Trials; Recommendation; Research Personnel; Risk Factors; Signal Transduction; Sleep; Social Welfare; Specificity; Staging; Time; Training; Veterans; Well in self; Work; age related; cognitive change; cognitive function; cognitive training; design; diet and exercise; effective intervention; emotional distress; follow-up; functional outcomes; group intervention; health administration; improved; informant; intervention effect; lifestyle factors; mild cognitive impairment; multi-component intervention; normal aging; pathological aging; prevent; psychoeducation; psychological distress; psychological outcomes; public health relevance; response; skills; skills training; social

DESCRIPTION (provided by applicant): The proportion of Veterans over age 65 has risen from 11% to 26% from 1980 to 1990, and is estimated to rise to over 50% by 2030 (Hisnanik, 1994). Due to the growing number of older Veterans, health issues specific to the aging Veteran population is a primary concern for the Veterans Health Administration. Fear of developing dementia is common among older adults (Commisseris, Ponds, & Jollees, 1998; Corner & Bond, 2004) and minor memory lapses that were previously of little concern may be misinterpreted as signaling the beginning stages of dementia (Commissaris et al., 1994). Although normal cognitive aging is not the same as pathological aging, the impact of normal age-related changes warrants intervention since it can cause emotional distress and functional difficulties impacting occupational, recreational, and social pursuits (Royall et al., 2004, 2005; Dodge et al., 2008) and subjective cognitive impairment, defined as a noticed cognitive change without objective evidence of decline on neuropsychological testing may be the earliest precursor for dementia (Reisberg, et al., 2010). While cognitive changes can be expected as we age, there is a growing body of literature demonstrating that modifiable lifestyle factors can influence functional ability and quality of lif as one ages (Depp, Vahia, & Jeste, 2010; LaRue, 2010). In addition, cognitive training may result in improvements in cognition and functioning in older adults (Unverzagt et al., 2009; Papp et al., 2009; Lustig et al., 2009). Unfortunately, many older adults lack knowledge about cognitive aging and the factors that contribute to successful cognitive aging, which limits their ability to make changes that can improve the odds of successful cognitive aging (Anderson et al., 2009). The need to disseminate information related to brain health has recently been recognized by key agencies involved in promoting the welfare of older adults, including the National Institutes of Neurological Disorders and Stroke, Mental Health, and Aging (the Cognitive and Emotional Health Project; Hendrie et al., 2006) as well as the Centers for Disease Control and Prevention and the Alzheimer's Association (the Healthy Brain Initiative; 2007). The current study builds upon previous work on cognitive intervention in older adults by investigating a multi-component intervention which includes psychoeducation about cognitive aging, presentation of lifestyle factors that contribute to successful cognitive aging, and broad cognitiv skills training. Using a randomized controlled trial design, 72 Veterans will be assigned to either the intervention group (36) or a no treatment control group (36). Veterans will undergo baseline assessment, which will be used for comparison immediately following the intervention and at 3 and 6 month follow- up. Outcomes include knowledge of cognitive aging, measures of psychological wellness, and indicators of cognitive and functional ability.

描述（由申请人提供）： 从1980年到1990年，65岁以上的退伍军人的比例从11%上升到26%，估计到2030年将上升到50%以上（Hisnanik，1994年）。由于越来越多的老年退伍军人，健康问题具体到老龄化的退伍军人人口是一个主要关注的退伍军人健康管理局。对发展痴呆症的恐惧在老年人中很常见（Commissaris，Ponds，& Jollees，1998; Corner & Bond，2004），并且以前很少关注的轻微记忆丧失可能被误解为痴呆症开始阶段的信号（Commissaris等人，1994年）。虽然正常认知老化与病理老化不同，但正常年龄相关变化的影响需要干预，因为它可能导致影响职业、娱乐和社会追求的情绪困扰和功能困难（Royall等人，2004，2005; Dodge等人，2008）和主观认知损害（定义为在神经心理学测试中没有下降的客观证据的明显认知变化）可能是痴呆的最早前兆（Reisberg，et al.，2010年）。虽然随着年龄的增长，认知能力会发生变化，但越来越多的文献表明，随着年龄的增长，可改变的生活方式因素会影响功能能力和生活质量（Depp，Vahia，& Jeste，2010; LaRue，2010）。此外，认知训练可导致老年人认知和功能的改善（Unverzagt等人，2009; Papp等人，2009; Lustig等人，2009年）。不幸的是，许多老年人缺乏关于认知老化和有助于成功认知老化的因素的知识，这限制了他们做出改变的能力，这些改变可以提高成功认知老化的几率（安德森等人，2009年）。参与促进老年人福利的关键机构最近已经认识到传播与脑健康相关的信息的必要性，包括国立神经疾病和中风、心理健康和衰老研究所（认知和情感健康项目; Hendrie等人，2006年）以及疾病控制和预防中心和阿尔茨海默氏症协会（健康大脑倡议; 2007年）。目前的研究建立在以前的工作，对老年人的认知干预调查的多成分干预，其中包括心理教育认知老化，介绍生活方式因素，有助于成功的认知老化，和广泛的认知技能培训。使用随机对照试验设计，72名退伍军人将被分配到 干预组（36例）或未治疗对照组（36例）。退伍军人将接受基线评估，这将用于比较后立即干预和3个月和6个月的随访。结果包括认知老化的知识，心理健康的措施，以及认知和功能能力的指标。