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Updated: Jun 14, 2025
Working Memory Training for Older Participants: A Control Group Training Regimen and Initial Intellectual Functioning Assessment
Published on: September 20, 2020
Adherence and satisfaction with interventions and neuropsychological changes in older people: A randomized clinical
Graziele Norberto Pereira1, Karina Gramani-Say1, Mariana Ignácio Sossai1
1Department of Gerontology, Federal University of São Carlos, São Carlos, SP, Brazil.
Purpose:
To assess the impacts of adherence and satisfaction with interventions on changes in neuropsychological risk factors for falls in older adults with a history of falls.
Methods:
This controlled, randomized, single-center clinical trial was conducted with Brazilian community-dwelling older adults with a history of at least 2 falls in the past 12 months. Participants were divided into two groups: the Intervention Group (IG) and the Control Group (CG), with assessments at baseline and after 16 weeks. The IG participated in a case management program, including a multidimensional assessment, an explanation of fall risk factors, an individualized intervention plan, and monitoring. The CG received monthly health-related guidance. Evaluations included clinical and sociodemographic data, neuropsychological measures (cognition, depressive and anxiety symptoms, fear of falling), adherence to intervention and satisfaction with interventions.
Results:
The final sample consisted of 26 volunteers from the CG and 29 volunteers from the IG. The mean frequency in the IG (adherence) was 80.27 %. There was good satisfaction in both groups, especially in the IG. Both groups showed a non-significant increase in global cognitive functions, especially the IG. Adherence to the case management-based intervention and satisfaction with remote interventions did not positively influence neuropsychological changes over 16 weeks.
Conclusion:
Despite individuals' adherence and satisfaction with the interventions being positive, these factors did not influence changes in neuropsychological risk factors for falls in older people with a history of recurrent falls in the past 12 months.
