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Public Health.

Sylvie Belleville1,2, Aline Moussard1, Ana-Inès Ansaldo3,4

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Summary
This summary is machine-generated.

The ENGAGE program, combining cognitive training with leisure activities, improved attention and memory strategy use in older adults. Spanish learning showed a greater benefit for attention than music engagement.

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Area of Science:

  • Neuroscience
  • Gerontology
  • Cognitive Psychology

Background:

  • Cognitive training is a known method to enhance cognition in older adults at risk for dementia.
  • Multifaceted interventions may offer greater cognitive benefits than standard training, especially for those with lower education levels.
  • The ENGAGE program was developed to combine memory and attention training with stimulating leisure activities.

Purpose of the Study:

  • To assess the efficacy of the ENGAGE program in older adults experiencing subjective cognitive decline or mild cognitive impairment.
  • To evaluate the impact of a multifaceted intervention on cognitive function and memory strategy use.

Main Methods:

  • A randomized controlled preference trial involving 128 participants across two sites.
  • Participants were randomized to either the ENGAGE-MUSIC/SPANISH intervention or an active control (ENGAGE-DISCOVERY).
  • A mixed linear model analyzed pre- and post-intervention changes in cognitive composite scores, everyday cognition, and memory strategy use.

Main Results:

  • The ENGAGE program demonstrated significant improvements in attention composite scores and the use of memory strategies.
  • A significant Intervention x Time interaction was observed for attention and memory strategy use.
  • Secondary analyses indicated that Spanish learning had a greater positive effect on attention compared to music engagement.

Conclusions:

  • The ENGAGE program effectively enhanced attention and the utilization of memory strategies in daily life.
  • Combining leisure activities with formal cognitive training shows promise for mitigating cognitive decline and reducing dementia risk.
  • Differential effects were noted between Spanish and Music components of the intervention.