Randomized trial of a patient empowerment and cognitive training program for older people with diabetes mellitus and cognitive impairment

2020 ◽  
Vol 20 (12) ◽  
pp. 1164-1170
Author(s):  
Chit‐wai Wong ◽  
Wai‐Tsun William O ◽  
Kin‐Wai Shirley Wong ◽  
Ronald Ma ◽  
Elsie Hui ◽  
...  
2016 ◽  
Vol 36 ◽  
pp. 42-45 ◽  
Author(s):  
Achiraya Chaikham ◽  
Supawadee Putthinoi ◽  
Suchitporn Lersilp ◽  
Anuruk Bunpun ◽  
Nopasit Chakpitak

2018 ◽  
Vol 35 ◽  
pp. 18-23 ◽  
Author(s):  
Chalermpong Sukontapol ◽  
Sasithorn Kemsen ◽  
Sirintorn Chansirikarn ◽  
Daochompu Nakawiro ◽  
Orawan Kuha ◽  
...  

Medicine ◽  
2020 ◽  
Vol 99 (12) ◽  
pp. e19549
Author(s):  
Eun Jae Ko ◽  
In Young Sung ◽  
Jin Sook Yuk ◽  
Dae-Hyun Jang ◽  
Gijeong Yun

2019 ◽  
Vol 34 (6) ◽  
pp. 1028-1028
Author(s):  
A Dye ◽  
J Gehling ◽  
J Buchanan

Abstract Objective Because medical interventions for persons with dementia have limited effectiveness, there is a need to evaluate non-pharmacological interventions designed to support individuals with cognitive impairment. Cognitive training is a non-pharmacological approach aimed at improving or maintaining cognitive functioning through practice. The current study evaluated the effects of a cognitive training program in older adults with moderate to severe cognitive impairment. Method Data were collected from seven females and one male with a mean age of 83.1 who met criteria for moderate to severe cognitive impairment as defined by a Modified Mini-Mental Status Exam score between 49-77 (M = 54.5). Participants were recruited from two organizations that provide housing and supportive services for older adults with cognitive impairments. Cognitive changes were measured using the Repeatable Battery for the Assessment of Neuropsychological Status-Update. Results Effect sizes (Cohen’s d) were calculated to measure the magnitude of change from pre- to post-intervention. Results indicated no change in the domains of immediate memory (d = -0.08) and attention (d = -0.17). A medium effect size was found in delayed memory (d = 0.68), while large effect sizes were found in language (d = 1.70), visuospatial/constructional (d = 0.89), and the total scale index (d = 1.40). Conclusion The results provide tentative support for the effectiveness of cognitive training in maintaining or improving some cognitive abilities in older adults with moderate to severe cognitive impairment. Further research with larger samples sizes and control groups are necessary to verify these preliminary findings and to determine if benefits generalize to everyday life.


2018 ◽  
Vol 35 ◽  
pp. 61-66 ◽  
Author(s):  
Chalermpong Sukontapol ◽  
Sasithorn Kemsen ◽  
Sirintorn Chansirikarn ◽  
Daochompu Nakawiro ◽  
Orawan Kuha ◽  
...  

Author(s):  
Musian Daniele ◽  
Antonio Ascolese

Due to the ageing population, cognitive decline is becoming a widespread problem that requires immediate attention. Preventive strategies can play an important role in reducing progressive decline and delaying or completely preventing the transition of cognitive decline into dementia. One such strategy is computer-based cognitive training, which has been widely used and tested to maintain and improve the cognitive performance of older people. Typically, cognitive training packages utilise gamification techniques to increase engagement. Although gamification can be a powerful motivator for people completing cognitive training, it could also be overwhelming for people with cognitive impairments if designed poorly. This chapter introduces the literature on computer based cognitive training, use of gamification in training, and the DOREMI project that aims to design cognitive training games for older people with cognitive impairment, using a user-centred design process to ensure that the gamification tools used to motivate participation are effective, meaningful, and user-friendly.


2016 ◽  
Vol 37 (10) ◽  
pp. 1195-1214 ◽  
Author(s):  
Calvin Pak-Wing Cheng ◽  
Linda Chiu-Wa Lam ◽  
Sheung-Tak Cheng

Objective: Early intervention to reduce cognitive decline and preserve functioning is a compelling public health issue. Because impaired attention occurs early in the process of cognitive impairment, focusing training strategies upon attention may be a potential intervention to prevent further cognitive decline. We sought to test the effects on cognitive performance and daily functioning of a new cognitive training program that focuses on attention. Method: This single-blind randomized controlled trial lasted 6 months and included two phases. Assessments were conducted at baseline, at 3 months, and at 6 months. The study was performed in four community older adult centers. Ninety-three participants with subjective cognitive impairment without dementia were included. Forty-seven participants were randomized to the Integrated Attention Training Program (IATP), and 46 were randomized to the control group. The two arms of the study included the IATP (intervention group) and a health-related education program (active control group). Results: No significant interactions were identified between group and time for the Clinical Dementia Rating–Sum of Boxes and other secondary outcomes, except for the Digit Forward Score ( p < .05; effect size, 0.057). When the preintervention and postintervention results were compared, the IATP group showed significant improvement in grand mean effect ( p < .05) and accuracy ( p < .05) in the Attention Network Test, Digit Backward Score ( p < .05), Category Verbal Fluency Test ( p < .05), and Trail Making Test A ( p < .01) immediately after the intervention. These improvements were sustained 3 months after the intervention. Conclusion: The IATP showed domain-specific effects but had no effects on global cognition or functioning. It could not show a superior benefit in cognition and functioning when compared with non-specific mental stimulation in a group format. Further studies are needed to determine the role of attention in cognitive training.


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