Efficacy of a computer-based cognitive training program in older people with subjective memory complaints: a randomized study

Pereira-Morales, Angela J.; Cruz-Salinas, Andrés Felipe; Aponte, J. Morales; Pereira-Manrique, Francisco

doi:10.1080/00207454.2017.1308930

Cited by 30 publications

(91 citation statements)

References 54 publications

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“…Of the 20 included studies, five were classified as psychological interventions—four as group psychological treatment 28–31 and one as mindfulness training. 32 Eleven studies were classified as cognitive or memory training, 28 33–42 two as lifestyle 35 43 and four as pharmacological 44–47 interventions. Three studies 31 33 46 examined two differing interventions from the same category while two studies investigated interventions from different categories.…”

Section: Resultsmentioning

confidence: 99%

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Interventions for subjective cognitive decline: systematic review and meta-analysis

et al. 2018

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ObjectivesThis review provides a broad overview of the effectiveness of interventions for subjective cognitive decline (SCD) in improving psychological well-being, metacognition and objective cognitive performance.MethodsDatabases including PubMed, Web of Science and Cochrane Systematic Reviews were searched up to August 2017 to identify randomised controlled trials evaluating interventions for SCD. Interventions were categorised as psychological, cognitive, lifestyle or pharmacological. Outcomes of interest included psychological well-being, metacognitive ability and objective cognitive performance. To assess the risk of bias, three authors independently rated study validity using criteria based on the Critical Appraisal Skills Programme. Random-effects meta-analyses were undertaken where three or more studies investigated similar interventions and reported comparable outcomes.ResultsTwenty studies met inclusion criteria and 16 had sufficient data for inclusion in the meta-analyses. Of these, only seven were rated as being high quality. Group psychological interventions significantly improved psychological well-being (g=0.40, 95% CI 0.03 to 0.76; p=0.03) but the improvement they conferred on metacognitive ability was not statistically significant (g=0.26, 95% CI −0.22 to 0.73; p=0.28). Overall, cognitive training interventions led to a small, statistically significant improvement in objective cognitive performance (g=0.13, 95% CI 0.01 to 0.25; p=0.03). However, the pooled effect sizes of studies using active control groups (g=0.02, 95% CI −0.19 to 0.22; p=0.85) or reporting global cognitive measures (g=0.06, 95% CI –0.19 to 0.31; p=0.66) were non-significant.ConclusionsThere is a lack of high-quality research in this field. Group psychological interventions improve psychological well-being and may also improve metacognition. A large, high-quality study is indicated to investigate this further. There is no evidence to suggest that cognitive interventions improve global cognitive performance and the clinical utility of small improvements in specific cognitive domains is questionable. There is a lack of research considering lifestyle interventions and poor quality evidence for pharmacological interventions.PROSPERO registration numberCRD42017079391.

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Section: Resultsmentioning

confidence: 99%

“…Three studies 31 33 46 examined two differing interventions from the same category while two studies investigated interventions from different categories. 28 35 …”

Section: Resultsmentioning

confidence: 99%

Interventions for subjective cognitive decline: systematic review and meta-analysis

et al. 2018

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“…However, there are very few studies of older Mexicans adults that have discussed whether the improvement of cognitive functions can have short or long-term effects with the use of technology. The studies mentioned above have found that cognitive interventions based on ICT can result in improvements in many perceptual and cognitive abilities [27-35]. Thus, these types of interventions are potentially an ideal solution to address the many perceptual and cognitive declines associated with aging.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, these types of interventions are potentially an ideal solution to address the many perceptual and cognitive declines associated with aging. The study by Pereira-Morales et al [35] suggested that cognitive training of moderate intensity, supported by a web platform, could lead to significant improvements in cognitive and psychological well-being in older people with subjective memory complaints. Shellington et al [30] argue that sixty percent found the app was easy to use or similar to what they experienced with square-stepping exercise in the laboratory setting.…”

Section: Discussionmentioning

confidence: 99%

“…They are easily administered and understood by the elderly. They also save time, minimize the examiner's biases, can provide an early diagnosis enabling patients to stay independent on their tasks of daily living, they may cut hospitalization and treatment costs, they can improve the overall quality of life of the elderly, and they are ecological [27-35]. …”

Section: Introductionmentioning

confidence: 99%

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A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study

Martínez‐Alcalá¹,

Rosales-Lagarde²,

Hernandez-Alonso³

et al. 2018

JMIR Res Protoc

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BackgroundCognitive impairment is considered one of the most feared chronic conditions among the older adult population since its incidence is approximately twice more frequent than that of dementia. In Mexico, no studies or reports of older adults using technology for cognitive interventions have been published, given that institutions usually frame cognitive stimulation tasks in paper and pencil (ie, in the traditional manner).ObjectiveThe objective of this study was to create and analyze the effect, viability, and impact of a mobile app for cognitive stimulation implemented among a group of elderly adults (over 60 years of age) from the state of Hidalgo in Mexico.MethodsThis study was a nonprobabilistic pilot trial using convenience sampling. An intervention was implemented among a group of 22 older adults between 60 and 80 years of age over 12 weeks. Half of the older adults were stimulated with the mobile app (experimental group) and the other half followed the traditional paper and pencil training (control group). Assessments with the Mini-Mental State Examination (MMSE) and the Neuropsi, a neuropsychological test validated in Mexico, were done before and after both cognitive stimulations.ResultsAccording to the analyzed data, 6/11 (55%) participants from the experimental group obtained better results in their cognitive skills, and 5 (45%) of the adults maintained their score, given that the participants were able to execute the exercises repetitively. Meanwhile, for the control group, only 3/11 (27%) participants obtained better results in the postevaluation. Significant values for results of the MMSE were obtained in the postevaluation for the experimental group compared to the control group, while results did not show significant differences in the Neuropsi. Regarding the validation of the app, all the participants evaluated its pertinence positively.ConclusionsThe intervention data show that the experimental group obtained better results in the postevaluation given that the participants were able to execute the exercises repetitively. The control group could not accomplish this since they had to respond on the manual and no further attempts were provided. However, both groups increased their score in the neuropsychological evaluations. This suggests that a longer and more frequent intervention is required.Registered Report IdentifierRR1-10.2196/9603

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Neuropsychological approach to subjective cognitive complaints in cognitively unimpaired older people: A systematic review

Pérez-Blanco

Rodríguez-Salgado

2022

Int J Geriat Psychiatry

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Objective: A systemized approach to subjective cognitive complaints (SCCs) in elderly people is needed owing to the high prevalence of such complaints and their impact on the psychosocial well-being of those affected. The aim of this study was to carry out a systematic review of the characteristics and effectiveness of intervention programmes that use a neuropsychological approach to target SCCs in cognitively unimpaired older people and that are tested in randomized controlled trials. Methods:The search included a time-unlimited query of Scopus, PsycInfo and Medline, yielding 215 articles, of which only 7 met the inclusion/exclusion criteria. Results:The number of intervention programmes was very limited (11 interventions), but diverse, with cognitive stimulation, physical exercise, psychoeducation and cognitive restructuring all used to address SCCs. Conclusions: Interventions including only cognitive stimulation were not effective in reducing SCCs, but interventions including cognitive stimulation and psychoeducation, physical exercise, and group sessions and discussions reinforced by the therapist were effective.

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Efficacy of a computer-based cognitive training program in older people with subjective memory complaints: a randomized study

Abstract: Our findings suggested that cognitive training of moderate intensity, supported by a web platform, could lead to significant improvements in cognitive and psychological well-being in older people with subjective memory complaints.

Cited by 30 publications

References 54 publications

Interventions for subjective cognitive decline: systematic review and meta-analysis

Interventions for subjective cognitive decline: systematic review and meta-analysis

A Mobile App (iBeni) With a Neuropsychological Basis for Cognitive Stimulation for Elderly Adults: Pilot and Validation Study

Neuropsychological approach to subjective cognitive complaints in cognitively unimpaired older people: A systematic review

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