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Factors associated with adherence to tablet-based cognitive training: J-MINT study.

Taiki Sugimoto1,2, Kazuaki Uchida2, Kenji Sato3

  • 1Department of Medicine University of Washington Seattle Washington USA.

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Summary

Adherence to cognitive training in older adults with mild cognitive impairment is influenced by several factors. Vision difficulty and social network size negatively impact adherence, while female sex, higher cognitive function, and satisfaction with training positively influence it.

Keywords:
adherencecognitive trainingmild cognitive impairmentmultidomain intervention

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Area of Science:

  • Gerontology
  • Neuroscience
  • Cognitive Psychology

Background:

  • Cognitive training is crucial for preventing cognitive decline in older adults.
  • Low adherence to cognitive training programs presents a significant challenge.
  • This study analyzes factors affecting adherence in mild cognitive impairment (MCI) patients.

Purpose of the Study:

  • To identify factors associated with cognitive training adherence in older adults with MCI.
  • To inform strategies for improving engagement in cognitive training interventions.

Main Methods:

  • Post hoc analysis of the Japan-Multimodal Intervention Trial for Prevention of Dementia (J-MINT).
  • Included 191 participants from the intervention group of an 18-month randomized controlled trial.
  • Adherence measured by daily engagement in tablet-based cognitive training for ≥30 minutes.

Main Results:

  • Vision difficulty and a larger social network were negatively correlated with adherence.
  • Female sex, higher baseline cognitive function, and satisfaction with training tasks/goals were positively associated with adherence.
  • Participant characteristics and training design elements both impact adherence.

Conclusions:

  • Cognitive training adherence is multifactorial, influenced by individual characteristics and program design.
  • Addressing vision issues and considering social network size may improve engagement.
  • Tailoring training tasks and setting clear goals can enhance adherence in MCI populations.