对有主观认知衰退或轻度认知障碍的老年人进行元认知小组干预的有效性:ASPIRE随机对照试验
S Rotenberg1, N D Anderson, M A Binns
1Shlomit Rotenberg, Department of Occupational Science and Occupational Therapy, University of Toronto, Canada, s.rotenberg@utoronto.ca, 416-978-8541.
The journal of prevention of Alzheimer's disease
|November 19, 2024
概括
ASPIRE干预和大脑教育在改善认知能力下降的老年人日常活动方面表现出类似的有效性. 这两种方法都在六个月内导致主观认知和自我效能的积极变化.
科学领域:
- 老年学是指老年学的学科.
- 认知科学 认知科学
- 康复科学 康复科学 康复科学
背景情况:
- 主观认知衰退 (SCD) 和轻度认知障碍 (MCI) 增加痴呆风险,需要有效的干预措施.
- ASPIRE (将成人策略放入现实世界环境) 的干预旨在提高老年人的日常活动表现.
- 早期干预对于预防功能和认知能力的恶化至关重要.
研究的目的:
- 为了比较ASPIRE干预措施与大脑教育控制的有效性,以改善日常生活活动.
- 评估ASPIRE对自我报告的健康,生活质量和认知测试表现的影响.
- 评估通过干预措施实现的变化的六个月维持情况.
主要方法:
- 一个双盲,并行随机受控试验进行了六个月的随访.
- 264名患有SCD或MCI的老年人被随机分配到ASPIRE (n=131) 或大脑教育 (n=133) 中.
- 该ASPIRE干预涉及10周的元认知小组方法,重点是个性化策略的获取和应用.
主要成果:
- 在ASPIRE和对照组之间,在提高表现或对日常活动的满意度方面没有发现显著差异.
- 在两个组的六个月随访期间,日常活动的改善得到了维持.
- 这两种干预都导致了干预后主观认知和自我有效性的显著改善.
结论:
- 超认知策略培训和成人学习活动都促进认知功能和自我效能的积极变化.
- 干预措施可以支持认知能力下降的个体参与日常活动.
- 进一步的研究可能会探索有助于观察到改善的特定组件.
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