睡眠剥夺对认知功能的影响
认知训练
认知
认知技能
心理学
随机对照试验
考试(生物学)
物理医学与康复
物理疗法
医学
生态学
内科学
精神科
生物
作者
Courtney Dowell-Esquivel,Sara J. Czaja,Peter Kallestrup,Colin A. Depp,John N. Saber,Philip D. Harvey
标识
DOI:10.1016/j.jagp.2023.10.014
摘要
Abstract
Objectives
Cognitive and functional skills training improves skills and cognitive test performance, but the true test of efficacy is real-world transfer. We trained participants with mild cognitive impairment (MCI) or normal cognition (NC) for up to 12 weeks on six technology-related skills using remote computerized functional skills assessment and training (FUNSAT) software. Using ecological momentary assessment (EMA), we measured real-world performance of the technology-related skills over 6 months and related EMA-identified changes in performance to training gains. Design
Randomized clinical trial with post-training follow-up. Setting
A total of 14 Community centers in New York City and Miami. Participants
Older adults with normal cognition (n = 72) or well-defined MCI (n = 92), ranging in age from 60 to 90, primarily female, and racially and ethnically diverse. Intervention
Computerized cognitive and skills training. Measurements
EMA surveys measuring trained and untrained functional skills 3 or more days per week for 6 months and training gains from baseline to end of training. Results
Training gains in completion times across all 6 tasks were significant (p <0.001) for both samples, with effect sizes more than 1.0 SD for all tasks. EMA surveys detected increases in performance for both trained (p <0.03) and untrained (p <0.001) technology-related skills for both samples. Training gains in completion times predicted increases in performance of both trained and untrained technology-related skills (all p <0.001). Conclusions
Computerized training produces increases in real-world performance of important technology-related skills. These gains continued after the end of training, with greater gains in MCI participants.
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