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Updated: Apr 18, 2026

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
Computerized auditory cognitive training to improve cognition and functional outcomes in patients with heart failure:
Ponrathi Athilingam1, Jerri D Edwards2, Elise G Valdes2
1College of Nursing, University of South Florida, USA.
Objectives:
Feasibility and efficacy of computerized auditory cognitive training (ACT) was examined among patients with heart failure (HF).
Background:
Individuals with HF have four times increased risk of cognitive impairment, yet cognitive intervention studies are sparse.
Methods:
A pilot randomized controlled design was used.
Results:
The ACT group (n = 9) and control group (n = 8) had similar baseline characteristics. Seven participants (78%) completed ≥ 18 hours of ACT. Medium effect sizes were observed for improved cognition as indicated by auditory processing speed (d = 0.78), speech processing (d = 0.88), and working memory (d = 0.44-0.50). Small effect sizes were found for improved functional outcomes including HF selfcare (d = 0.34), Timed Instrumental Activities of Daily Living (d = 0.32), Six-Minute Walk Test (d = 0.38) and Short-Form-36 (d = 0.22) relative to controls.
Conclusion:
Results indicated ACT is feasible among persons with HF. Despite a small sample size, ACT showed potential for improved speed of processing and working memory and improved functional outcomes, and warrants further exploration.
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