Efectos de la estimulación cognitiva sobre las personas mayores en el ámbito comunitario

Apóstolo, João; Cardoso, Daniela; Paúl, Constança; Rodrigues, Manuel Alves; Macedo, Marinha Sofia

doi:10.1016/j.enfcli.2015.07.008

Cited by 4 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…After a 12 weeks CI implementation, there is an evident deterioration of cognitive performance in CG, when compared with the EG. These results are in concordance with the results found at the study conducted by [47] that singly implemented the original cognitive stimulation program among older adults from nursing homes. The gains in cognitive performance after receiving cognitive stimulation are also well stated on the literature [54,55].…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Effectiveness of a Combined Intervention on Psychological and Physical Capacities of Frail Older Adults: A Cluster Randomized Controlled Trial

Apóstolo

Dixe

Bobrowicz-Campos

et al. 2019

IJERPH

View full text Add to dashboard Cite

Background: Older adults experience physical and psychological declines affecting independency. Adapted and structured combined interventions composed of cognitive stimulation and physical exercise contribute to comorbidities’ reduction. Methods: Multicenter single-blinded two-arm cluster randomized controlled trial conducted to assess effectiveness of a combined intervention (CI), composed of a cognitive stimulation program (CSP) and a physical exercise program (PEP), on psychological and physical capacities of frail older adults as to on their activities of daily living. Were recruited 50 subjects from two elderly end-user organizations. Of these, 44 (65.9% females, mean age of 80.5 ± 8.47 years) were considered eligible, being randomly allocated in experimental (EG) or control group (CG). Data collected at baseline and post-intervention. EG received CI three times a week during 12 weeks. CG received standard care. Non-parametric measures were considered. Results: At baseline, groups were equivalent for study outcomes. The comparison of pre- and post-intervention data revealed that subjects receiving CI reduced depressive symptomatology and risk of fall based on gait and balance, and improved gait speed. Simultaneously, in the CG a significant decline on activities of daily living was observed. Significant results were found among biomechanical parameters of gait (BPG). EG’ effect size revealed to be small (0.2 ≤ r < 0.5). CG’ effect size was also small; but for activities of daily living there was an evident decrease. Conclusion: The CI is effective on managing older adults’ psychological and physical capacities.

show abstract

Section: Discussionsupporting

confidence: 92%

“…For sample size calculation, primary outcomes were considered and the software G*Power 3.1.9.2. was used, based on literature [46,47] (44 old adults were randomized: 23 were used for the IG and 21 for the CG)…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a Combined Intervention on Psychological and Physical Capacities of Frail Older Adults: A Cluster Randomized Controlled Trial

Apóstolo

Dixe

Bobrowicz-Campos

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…However, the study developed by Chariglione and Janczura (2013), in a sample composed of 21 seniors submitted to a program that includes different processes of cognitive stimulation, verified improvement in the depressive symptomatology and cognition in literate older adults. In relation to the studies developed in Portugal that used the same PEC-FD in seniors, it was found once again that they are not conclusive concerning the effect of CS on depressive symptomatology, because while one of the studies shows that there are statistically significant differences (Apóstolo, Cardoso, Paúl, Rodrigues, & Macedo, 2016), two other studies showed no statistically significant difference Apóstolo et al, 2011). Although the results related to depressive symptomatology are not conclusive, they should be submitted to a careful analysis and consideration, because, for instance, in seniors with NCDs, lower scores on depressive symptomatology mean a higher probability of improvement in cognition and quality of life (Middelstadt et al, 2016).…”

Section: Discussionmentioning

confidence: 94%

Effects of a cognitive stimulation program on institutionalized older people

et al. 2019

View full text Add to dashboard Cite

Background: The evidence suggests that cognitive stimulation in the elderly has positive results in cognition and depressive symptomatology. Objective: To evaluate the effectiveness of a cognitive stimulation program in cognition and depressive symptomatology in institutionalized older people. Methodology: Experimental study in a sample of 100 elderly individuals. The Portuguese versions of the Mini-Mental State Examination and the Geriatric Depression Scale-15 were applied to each one of the groups in the pre-test and post-test. The experimental group was submitted to 14 sessions of cognitive stimulation. Results: The cognitive stimulation program improved cognition (p < 0.01), with no occurrence of statistically significant differences in the depressive symptomatology when comparing both groups (p > 0.05). From a clinical point of view, there was a reduction in depressive symptomatology (p < 0.05) in the experimental group, while the same is not true in the control group (p > 0.05). Conclusion: The cognitive stimulation program significantly improved cognition, explaining 9.8% of identified variability. The results are encouraging, demonstrating that the program benefits institutionalized older people, thus contributing to the maintenance of their mental health.

show abstract

“…Of the studies that examined cognition, most were developed around the theory that age-related decline in cognitive function, specifically memory, attention, executive function and information-processing skills could be improved through targeted training. One review study (Ng et al, 2015) and six partner good practices, i.e., Long Lasting Memories (LLM: Bamidis, 2012), Memory training (Palummeri, 2012c), Cognitive stimulation and brain fitness (Apóstolo et al, 2013(Apóstolo et al, , 2014Apóstolo, Cardoso, Marta, & Amaral, 2011;Apóstolo, Cardoso, Paúl, Rodrigues, & Macedo, 2016) Gwyther et al, 2017) examined cognitive skills in interventions.…”

Section: Theories Of Why Frailty Interventions Workmentioning

confidence: 99%

“…The social (group) intervention Cognitive Stimulation and Brain Fitness (Apóstolo et al, 2011;Apóstolo et al, 2013;Apóstolo et al, 2014;Apóstolo et al, 2016) found improvements in IADL and depressive symptoms but not cognition. These effects were more apparent in participants with fewer than five years' education.…”

Section: Success In the Intervention Processmentioning

confidence: 99%

A realist review to understand the efficacy and outcomes of interventions designed to minimise, reverse or prevent the progression of frailty

Gwyther

Bobrowicz-Campos

Apóstolo

et al. 2018

Health Psychology Review

View full text Add to dashboard Cite

Interventions to minimise, reverse or prevent the progression of frailty in older adults represent a potentially viable route to improving quality of life and care needs in older adults. Intervention methods used across European Innovation Partnership on Active and Healthy Ageing collaborators were analysed, along with findings from literature reviews to determine 'what works for whom in what circumstances'. A realist review of FOCUS study literature reviews, 'real-world' studies and grey literature was conducted according to RAMESES (Realist and Meta-narrative Evidence Synthesis: Evolving Standards), and used to populate a framework analysis of theories of why frailty interventions worked, and theories of why frailty interventions did not work. Factors were distilled into mechanisms deriving from theories of causes of frailty, management of frailty and those based on the intervention process. We found that studies based on resolution of a deficiency in an older adult were only successful when there was indeed a deficiency. Client-centred interventions worked well when they had a theoretical grounding in health psychology and offered choice over intervention elements. Healthcare organisational interventions were found to have an impact on success when they were sufficiently different from usual care. Compelling evidence for the reduction of frailty came from physical exercise, or multicomponent (exercise, cognitive, nutrition, social) interventions in group settings. The group context appears to improve participants' commitment and adherence to the programme. Suggested mechanisms included commitment to co-participants, enjoyment and social interaction. In conclusion, initial frailty levels, presence or absence of specific deficits, and full person and organisational contexts should be included as components of intervention design. Strategies to enhance social and psychological aspects should be included even in physically focused interventions.

show abstract

Efectos de la estimulación cognitiva sobre las personas mayores en el ámbito comunitario

Cited by 4 publications

References 24 publications

Effectiveness of a Combined Intervention on Psychological and Physical Capacities of Frail Older Adults: A Cluster Randomized Controlled Trial

Effectiveness of a Combined Intervention on Psychological and Physical Capacities of Frail Older Adults: A Cluster Randomized Controlled Trial

Effects of a cognitive stimulation program on institutionalized older people

A realist review to understand the efficacy and outcomes of interventions designed to minimise, reverse or prevent the progression of frailty

Contact Info

Product

Resources

About