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Published on: September 20, 2020
Cognitive Training Intervention Adherence in Older Women with Cardiovascular Disease: A Secondary Analysis of the
Christina A Rogers1, Charleen Yeager2, Michael Schoeny3
1Christina A. Rogers, BMus, Medical College, Rush University, Chicago, Illinois.
Background:
Computerized cognitive training may reduce age-related cognitive impairment. Adherence is challenging, especially in older adults with cardiovascular disease.
Objective:
To examine associations of sociodemographic, health, technology, and social isolation factors with cognitive training adherence among older women with cardiovascular disease.
Methods:
Secondary analyses were conducted on data from a clinical trial (NCT04556305) with a 24-week cognitive training intervention and maintenance period. Baseline factors and adherence were assessed using Spearman's rho tests.
Results:
Participants (mean age = 73.3, 56.4% non-Hispanic White, 80.9% college-educated) averaged 1.6 sessions/week for active intervention, decreasing to 0.7 (standard deviation = 1.0) during the maintenance period. Higher income ( rs = 0.22-0.25), partnered participants ( rs = 0.25), and higher education ( rs = 0.22) were associated with active period adherence but became nonsignificant in the maintenance period when adjusted for active period adherence.
Conclusions:
Income and partner status were positively correlated with adherence. Further research should explore strategies to sustain adherence to cognitive training.
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