Technology-Based Cognitive Interventions: Comparative Effectiveness and Adherence

项目摘要 这项研究的目标是找到提高认知和执行能力的最佳方法 患有年龄相关性认知衰退的老年人使用技术进行重要的日常活动- 以认知干预为基础。任何成功的认知老化干预都必须满足两个要求：1) 干预必须有效和高效地提高重要活动所需的认知能力 独立生活所必需的，以及2)干预必须是老年人能够并愿意进行的 投身于。当这些要求中的任何一个都得不到满足时，干预很可能会失败。研究1旨在 评估技术提供的狭义和广泛干预措施的相对有效性，旨在 提高认知，支持功能独立。训练前后的各种结果 将对措施进行评估。这项研究的一个子目标是建立功能能力的指数，这些能力的失败 对老年人来说可能是灾难性的；因此，我们将重点放在乐器的模拟版本上 日常生活活动(IADL)。我们还将评估个体差异是居中还是适度。 认知干预效率。这项研究将有助于了解干预的基本知识。 方法，以及对干预效率理论的贡献。研究2将调查技术- 坚持以干预为基础。老年人不坚持的干预措施不会有理想的效果 结果。老年人将被要求坚持基于技术的认知干预，我们将探索 几个技术采用和医疗依从性模型的预测也适用于该领域 AS应用一个新的时间折扣框架来探索老年人愿意 投资于培训，以获得未来的好处。这项研究将提供指导方针和遵守的模式 因此，可以设计以技术为基础的干预措施，促进遵守。计算结果的总和 FSU项目的两项拟议研究将为有针对性的、个性化的设计提供指导 有效地提高认知和IADL成绩的培训，同时也确保最大限度地受益 是通过促进干预坚持而获得的。

Project Summary The goal of this research is to discover the best methods to improve cognition and the ability to perform important everyday activities of older adults suffering from age-related cognitive decline using technology- based cognitive interventions. Any successful cognitive aging intervention must satisfy two requirements: 1) the intervention must effectively and efficiently improve cognitive abilities necessary for important activities required for independent living, and 2) the intervention must be one that older adults are able and willing to engage in. When either of these requirements is not met an intervention is likely to fail. Study 1 aims to assess the comparative effectiveness of technology-delivered narrow and broad interventions designed to improve cognition and support functional independence. Before and after training a variety of outcome measures will be assessed. A sub-goal of this study is to create indices of functional abilities whose failure could be catastrophic to older adults; therefore we adopt a focus on simulated versions of Instrumental Activities of Daily Living (IADLs). We will also assess whether individual differences mediate or moderate cognitive intervention efficiency. This study will contribute to fundamental knowledge about intervention approaches, as well as contribute to theories of intervention efficiency. Study 2 will investigate technology- based intervention adherence. An intervention that an older adult does not adhere to will not have the desired outcome. Older adults will be asked to adhere to a technology-based cognitive intervention and we will explore the predictions of several technology adoption and medical adherence models applied to this domain, as well as apply a novel temporal-discounting framework to explore the amount of time older adults are willing to invest in training to obtain benefits in the future. This study will provide guidelines and a model of adherence so that technology-based interventions can be designed that promote adherence. The sum of the results from the two proposed studies of the FSU project will provide guidelines for designing targeted, individualized training that effectively improves cognition and IADL performance while also ensuring that maximum benefits are obtained by promoting intervention adherence.