Memory Support System training in mild cognitive impairment: Predictors of learning and adherence

Wit, Liselotte De; Chandler, Melanie; Amofa, Priscilla; DeFeis, Brittany; Mejia, Andrea; O’Shea, Deirdre; Locke, Dona E.C.; Fields, Julie A.; Smith, Glenn E.

doi:10.1080/09602011.2019.1667833

Cited by 13 publications

(11 citation statements)

References 26 publications

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“…Thus, it may be more difficult for those who are objectively cognitively impaired to self-implement than those with subjective impairment. This is consistent with findings from De Wit et al and Khayoun et al showing that within the MCI population, degree of cognitive impairment is a primary predictor of successful learning of the MSS [54,55].…”

Section: Discussionsupporting

confidence: 92%

Compensatory and Lifestyle-Based Brain Health Program for Subjective Cognitive Decline: Self-Implementation versus Coaching

et al. 2021

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Although recent studies have explored the potential of multidomain brain health programs, there is a dearth of literature on operationalizing this research to create a clinical treatment program specifically for subjective cognitive decline (SCD). Patients seen by geriatricians in primary care and by behavioral neurology services at our institution presenting with SCD were recruited via a patient-appropriate flyer. After all participants had a 1-h brain health consultation with a neuropsychologist and were provided with program materials, they were randomized to attend a 10-week intervention designed to support program implementation (N = 10) or the control group of implementing the program on their own (N = 11). The program included (1) a calendar-based executive and memory support system for compensatory training and (2) training in healthy lifestyle. There were no significant differences between groups for any outcomes. Participants across both groups showed significant improvements with moderate effect sizes in compensatory strategy use, anxiety symptoms, and daily functioning, which were sustained through 6-month follow-up. They also increased physical activity by the end of the intervention period but did not sustain this through 6-month follow-up. Our pilot study demonstrates preliminary feasibility of a cognitive compensatory and lifestyle-based brain health program. Additional research is recommended to further develop two potentially scalable implementation strategies—coaching and self-implementation after brief consultation.

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Section: Discussionsupporting

confidence: 92%

Compensatory and Lifestyle-Based Brain Health Program for Subjective Cognitive Decline: Self-Implementation versus Coaching

et al. 2021

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“…However, it is possible, and perhaps likely that each intervention type has its own associates of adherence. We are actively exploring adherence at the level of the individual interventions (De Wit et al, 2019, manuscript submitted for publication). Clinical trials often mandate a one-size fit all approach to intervention.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment

Amofa

DeFeis

Wit

et al. 2019

The Clinical Neuropsychologist

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2020) Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment, The Clinical Neuropsychologist, 34:5, 937-955, ABSTRACT Objective: Behavioral interventions during early memory decline hold promise in delaying the development of dementia. In the present study, participants in a multimodal behavioral intervention study were assessed for post-intervention adherence and predictors of adherence. Methods: Participants (N ¼ 272, mean age ¼ 75.04 ± 7.54) diagnosed with amnestic Mild Cognitive Impairment (aMCI) were assigned to intervention groups receiving four out of five behavioral intervention components, including yoga, memory compensation training, computerized cognitive training, support groups, and/or wellness education. Length of the intervention was 10 days, 4 h per day, with post-intervention follow-up at 6, 12, and 18 months. Results: Two-hundred and thirty-seven participants completed the 6-month post-intervention follow-up measures, 228 participants completed the 12-month measures, and 218 participants completed the 18-month measures. Participants fully adhered to a mean of 2 out of the 4 taught intervention components. Eightynine percent of participants were at least partially adherent to one or more taught intervention components at 6-, 12-, and 18-month post-intervention follow-up. Physical activity was the most adhered to intervention while group support was the least adhered to intervention across all three follow-up time-points. Higher educational level, higher baseline depressive symptoms, higher baseline global cognitive functioning, and better baseline and concurrent functional abilities were associated post-intervention adherence. Conclusion: Changes in functional abilities are associated with disease progression among persons with aMCI. In the present study, individuals with aMCI who have higher education, higher depressive symptoms, and better baseline functioning abilities are ARTICLE HISTORY more likely to adhere to behavioral intervention components over time. Post-intervention adherence also associates with concurrent daily function.

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“…On the other hand, when older adults are aware of their cognitive decline, specifically when it affects their executive functioning, there was an increase in their adherence [ 16 ]. Similarly, de Wit et al [ 17 ] mentioned that the compensatory strategies offered by a memory support system training in people with MCI could influence adherence. Certain psychological variables such as positive expectations at the beginning of a CCT program were found among the main factors that help predict adherence [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Adherence to a “GRADIOR” Computer-Based Cognitive Training Program in People with Mild Cognitive Impairment (MCI) and Mild Dementia

Diaz-Baquero

Bartolomé

Toribio-Guzmán

et al. 2022

JCM

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Background: Computer-based programs have been implemented from a psychosocial approach for the care of people with dementia (PwD). However, several factors may determine adherence of older PwD to this type of treatment. The aim of this paper was to identify the sociodemographic, cognitive, psychological, and physical-health determinants that helped predict adherence or not to a “GRADIOR” computerized cognitive training (CCT) program in people with mild cognitive impairment (MCI) and mild dementia. Method: This study was part of a randomized clinical trial (RCT) (ISRCTN: 15742788). However, this study will only focus on the experimental group (n = 43) included in the RCT. This group was divided into adherent people (compliance: ≥60% of the sessions and persistence in treatment up to 4 months) and non-adherent. The participants were 60–90 age and diagnosed with MCI and mild dementia. We selected from the evaluation protocol for the RCT, tests that evaluated cognitive aspects (memory and executive functioning), psychological and physical health. The CCT with GRADIOR consisted of attending 2–3 weekly sessions for 4 months with a duration of 30 min Data analysis: Phi and Biserial-point correlations, a multiple logical regression analysis was obtained to find the adherence model and U Mann–Whitney was used. Results: The adherence model was made up of the Digit Symbol and Arithmetic of Wechsler Adult Intelligence Scale (WAIS-III) and Lexical Verbal Fluency (LVF) -R tests. This model had 90% sensitivity, 50% specificity and 75% precision. The goodness-of-fit p-value of the model was 0.02. Conclusions: good executive functioning in attention, working memory (WM), phonological verbal fluency and cognitive flexibility predicted a greater probability that a person would be adherent.

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Memory Support System training in mild cognitive impairment: Predictors of learning and adherence

Cited by 13 publications

References 26 publications

Compensatory and Lifestyle-Based Brain Health Program for Subjective Cognitive Decline: Self-Implementation versus Coaching

Compensatory and Lifestyle-Based Brain Health Program for Subjective Cognitive Decline: Self-Implementation versus Coaching

Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment

Determinants of Adherence to a “GRADIOR” Computer-Based Cognitive Training Program in People with Mild Cognitive Impairment (MCI) and Mild Dementia

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