认知训练对老年人日常功能结果的长期影响
Sherry L Willis1, Sharon L Tennstedt, Michael Marsiske
1Department of Human Development and Family Studies, Pennsylvania State University, State College, PA 16801. slw@psu.edu
JAMA
|December 21, 2006
概括
认知训练,特别是推理技能,帮助老年人在五年内保持日常功能. 虽然有针对性的训练提高了认知能力,但只有推理对日常活动产生了重大影响.
科学领域:
- 老年学是指老年学的学科.
- 认知神经科学 认知神经科学
- 临床试验 临床试验
背景情况:
- 认知训练对提高老年人的认知能力有很大的前景.
- 以前的研究并没有明确证明认知训练对日常功能的影响.
研究的目的:
- 评估认知训练对老年人日常功能的长期影响.
- 为了评估认知训练对特定认知能力的影响在五年时间内的持久性.
主要方法:
- 一项随机对照试验的五年随访,涉及2832名老年人 (平均年龄73.6岁).
- 参与者被分配到记忆,推理或处理速度训练小组,其中一些接受了增强训练.
- 测量结果包括自我报告和日常功能和认知能力的基于绩效的评估.
主要成果:
- 推理训练导致自我报告的日常生活工具活动 (IADL) 难度明显减少.
- 记忆和处理速度训练没有显著影响IADL.
- 所有的培训干预措施都保持了它们的特定认知效应五年;增强剂会提高推理和处理性能的速度.
结论:
- 专注于推理的认知训练可以减轻老年人日常生活活动中的功能衰退.
- 认知训练干预措施在目标认知能力方面取得了持续的改善,证明了长期的好处.
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