Tailored and Adaptive Computerized Cognitive Training in Older Adults at Risk for Dementia: A Randomized Controlled Trial

Bahar‐Fuchs, Alex; Webb, Shannon; Bartsch, Lauren; Clare, Linda; Rebok, George W.; Cherbuin, Nicolas; Anstey, Kaarin J.

doi:10.3233/jad-170404

Cited by 84 publications

(111 citation statements)

References 66 publications

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“…The population treated represents people at risk for dementia, so not yet suffering from it. This might also be a relevant aspect to consider, but results are not conclusive because other studies with population at risk for dementia seem not to be effective [35]. Mixed trials are also inconclusive when analyzing the length of the trial.…”

Section: Discussionmentioning

confidence: 92%

“…In these two studies, patients of the experimental group increased their cognition relatively more than the control group after intervention, both for the ADAS-Cog and the MMSE. Other studies showed no significant differences between the conditions with regard to cognition [34,35,45,46,49,51,55,57,58]. Studies that used other assessment tools to measure cognitive impairment showed also positive effects.…”

Section: Skills Training Trialsmentioning

confidence: 94%

“…Bahar-Fuchs et al [35] found that mood improved more among the patients receiving treatment, Dawson et al [38] that physical activity and communication with physicians improved more, and Giovagnoli et al [42] found that some psychosocial aspects improved more among patients, but altogether most studies found no effect. Some studies also examined the effects on depression, but no effects were found, except in the study by Fernández-Calvo et al [39], where patients reported a decrease in depression compared to patients in the control, who showed an increase.…”

Section: Skills Training Trialsmentioning

confidence: 97%

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Cognitive Therapy for Dementia Patients: A Systematic Review

Carrión

Folkvord

Anastasiadou

et al. 2018

Dement Geriatr Cogn Disord

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Background: Cognitive therapy is a well-established intervention for treating elderly suffering from dementia. In particular, reality orientation and skills training seem to be effective interventions for reversing cognitive impairment among elderly, although findings are inconclusive. Therefore, a systematic update of the existing evidence of cognitive therapy for people suffering from dementia is needed. Aim: To review existing scientific evidence regarding the efficacy of cognitive therapies for elderly suffering from dementia. Methods: Studies were retrieved from several bibliographic databases (January 2009 to December 2017) with prespecified selection criteria, data extraction, and methodological quality assessment. Results: In total, 10 reality orientation, 25 skills training, and 12 mixed trials were identified as meeting the inclusion criteria and were systematically reviewed. Results from reality orientation trials showed minor effects for cognitive assessments, while skills training trials and mixed trials showed contradicting effects on cognition. Effects on other outcomes (e.g., daily functioning, depression, language) were limited or not found. Conclusions: Skills training trials and mixed trials seem to affect cognitive impairment in a positive way, although the results are inconclusive. Comparison between studies was difficult due to differences in form of intervention. Because findings are inconclusive, more structuralized and comparable randomized controlled trials are needed.

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Section: Discussionmentioning

confidence: 92%

Section: Skills Training Trialsmentioning

confidence: 94%

Section: Skills Training Trialsmentioning

confidence: 97%

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Cognitive Therapy for Dementia Patients: A Systematic Review

Carrión

Folkvord

Anastasiadou

et al. 2018

Dement Geriatr Cogn Disord

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“…We found 19 studies in which 11 digital cognitive training programs for older people with cognitive impairment and dementia were mentioned. The selected papers consisted of ten RCTs (Gaitán et al, 2012;Zaccarelli et al, 2013;Fiatarone Singh et al, 2014;Barban et al, 2015;Cavallo et al, 2016;Hyer et al, 2016;Suo et al, 2016;Bahar-Fuchs et al, 2017;Hagovská et al, 2017;Cavallo and Angilletta, 2018), five pre-post studies (Gigler et al, 2013;González-Palau et al, 2014;Hwang et al, 2015;Vermeij et al, 2017;Mendoza Laiz et al, 2018), two studies with repeated measures design (Eckroth-Bucher and Siberski, 2009;Vermeij et al, 2016), one pilot study (Danassi, 2015), and one study protocol for an RCT (Vanova et al, 2018).…”

Section: Characteristics Of Computerized Programsmentioning

confidence: 99%

“…CogniFit cognitive training software was evaluated in an RCT (Bahar-Fuchs et al, 2017) in people with MCI and people with mood-related neuropsychiatric symptoms (MrNPS). The study showed that people with MrNPS performed overall better than participants with MCI in global cognitive ability.…”

Section: Cognitive Stimulation Programmentioning

confidence: 99%

Technologies for Cognitive Training and Cognitive Rehabilitation for People With Mild Cognitive Impairment and Dementia. A Systematic Review

et al. 2020

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Due to the growing number of older adults with cognitive impairment, it is essential to delay the onset and progression of cognitive decline and promote a healthy lifestyle. The rapid growth of technology has considerably advanced the field of computerized cognitive interventions. Consequently, traditional cognitive interventions are being adapted and new multimedia systems are being developed to encourage health and independent living in old age. The primary objective of this review was to identify cognitive stimulation, training and rehabilitation programs aimed at older people with mild cognitive impairment (MCI) and dementia. PsycINFO, Medline, CINAHL, Web of Science, PubMed, and CORDIS databases were searched from January 2008 to August 2018. Two researchers reviewed the potential studies individually for eligibility. Studies of computerized cognitive interventions for people with dementia and cognitive impairment were included if they clearly described objectives, users and functioning. A systematic review of the studies was carried out, providing a qualitative synthesis of the features and study characteristics of each software. Nineteen studies met the inclusion criteria, and 11 different cognitive stimulation, training, and rehabilitation programs were identified. The studies found on cognitive intervention software indicate the existence of various technological programs for people with MCI and dementia. On the overall, the programs were aimed at people with different clinical conditions, able to create specific treatments and personalized training, optimized for portable devices, and user-friendly. However, the selected programs differ from each other in terms of objectives, usage mode and characteristics, even if they were used for the same purposes. Therefore, the information obtained in the review may be relevant to distinguish between programs and select the one that best suits each user. Thus, more information about the features and context of use is needed as well as more clinical studies to be able to compare among computerized cognitive programs.

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