心血管疾患を持つ高齢女性における認知トレーニング介入アドヒアランス：MindMoves試験の二次解析

Computerized cognitive training may reduce age-related cognitive impairment. Adherence is challenging, especially in older adults with cardiovascular disease.

To examine associations of sociodemographic, health, technology, and social isolation factors with cognitive training adherence among older women with cardiovascular disease.

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.

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.

Income and partner status were positively correlated with adherence. Further research should explore strategies to sustain adherence to cognitive training.