[Analysis of the Effect of a Program of Cognitive Stimulation in Elderly People with Normal Aging in Primary Care: Randomized Clinical Trial]

Overview

Journal Aten Primaria

Specialty Public Health

Date 2018 Nov 25

PMID 30470457

Citations 6

Authors

Estela Calatayud

Fernando Plo

Carmen Muro

Affiliations

Soon will be listed here.

Abstract

Objective: To provide evidence of the effectiveness of a community health intervention, that includes a cognitive stimulation program, to prevent the deterioration of cognitive abilities in our population of elderly people with normal cognition that are living in the community.

Design: Randomized clinical trial (CONSORT group norms) LOCATION: San José Norte-Centro Health Center and La Caridad Foundation (Zaragoza, Spain).

Participants: 201 people aged 65 or older, with a MEC score of at least 28 points, which were randomized between the Intervention group (101) and the Control group (100).

Intervention: The intervention was applied in 10 sessions of 45minutes, one per week. It used materials designed by one of the authors, which addressed the following areas: memory, orientation, language, praxis, gnosis, calculation, perception, logical reasoning, attention-concentration and programming.

Main Measurements: The main outcome variables were MEC, Set-Test, Barthel and Lawton-Brody.

Results: Increases of the main result variables over their baseline level were analized. For MEC variable, the Intervention group obtained, on average, 1.58 points more than the Control group in the evaluation performed immediately after the intervention. After 6months, the improvement was 1.51 points and after a year, it was of 2.04 points. All these differences were statistically significant. For Set-Test, Barthel and Lawton-Brody variables, no statistically significant differences were observed between Intervention group and Control group.

Conclusions: Cognitive stimulation with our program is effective to maintain or improve cognitive performance, measured with the variable MEC, our population of elderly people with normal cognition that are living in the community. There is no evidence that this improvement is transferred to the activities of daily life measured with Barthel and Lawton-Brody variables.

Citing Articles

Study protocol for a randomized controlled trial: Effect of an everyday cognition training program on cognitive function, emotional state, frailty and functioning in older adults without cognitive impairment.

Saez-Gutierrez S, Fernandez-Rodriguez E, Sanchez-Gomez C, Garcia-Martin A, Barbero-Iglesias F, Sanchez Aguadero N PLoS One. 2024; 19(3):e0300898.

PMID: 38551981 PMC: 10980185. DOI: 10.1371/journal.pone.0300898.

Effectiveness of Different Neurocognitive Intervention Approaches on Functionality in Healthy Older Adults: A Systematic Review.

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Community Activities in Primary Care: A Literature Review.

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The Importance of Technology in the Combined Interventions of Cognitive Stimulation and Physical Activity in Cognitive Function in the Elderly: A Systematic Review.

Rocha R, Fernandes S, Santos I Healthcare (Basel). 2023; 11(17).

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Cognitive Effects of a Cognitive Stimulation Programme on Trained Domains in Older Adults with Subjective Memory Complaints: Randomised Controlled Trial.

Gomez-Soria I, Cuenca-Zaldivar J, Rodriguez-Roca B, Subiron-Valera A, Salavera C, Marcen-Roman Y Int J Environ Res Public Health. 2023; 20(4).

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References

Ngandu T, Lehtisalo J, Solomon A, Levalahti E, Ahtiluoto S, Antikainen R . A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet. 2015; 385(9984):2255-63. DOI: 10.1016/S0140-6736(15)60461-5. View

Kawashima R . Mental exercises for cognitive function: clinical evidence. J Prev Med Public Health. 2013; 46 Suppl 1:S22-7. PMC: 3567314. DOI: 10.3961/jpmph.2013.46.S.S22. View

Rebok G, Ball K, Guey L, Jones R, Kim H, King J . Ten-year effects of the advanced cognitive training for independent and vital elderly cognitive training trial on cognition and everyday functioning in older adults. J Am Geriatr Soc. 2014; 62(1):16-24. PMC: 4055506. DOI: 10.1111/jgs.12607. View

Salthouse T . Aging Cognition Unconfounded by Prior Test Experience. J Gerontol B Psychol Sci Soc Sci. 2014; 71(1):49-58. PMC: 4840365. DOI: 10.1093/geronb/gbu063. View

Ball K, Berch D, Helmers K, Jobe J, Leveck M, Marsiske M . Effects of cognitive training interventions with older adults: a randomized controlled trial. JAMA. 2002; 288(18):2271-81. PMC: 2916176. DOI: 10.1001/jama.288.18.2271. View

Pascual Millan L, Martinez Quinones J, Modrego Pardo P, Mostacero Miguel E, Lopez Del Val J, Morales Asin F . [The set-test for diagnosis of dementia]. Neurologia. 1990; 5(3):82-5. View

Mahncke H, Connor B, Appelman J, Ahsanuddin O, Hardy J, Wood R . Memory enhancement in healthy older adults using a brain plasticity-based training program: a randomized, controlled study. Proc Natl Acad Sci U S A. 2006; 103(33):12523-8. PMC: 1526649. DOI: 10.1073/pnas.0605194103. View

Nebot M, Buron A, Pasarin M, Hortal N, Juarez O, Quintana E . [Cognitive impairment prevention: characteristics of memory workshops in Barcelona]. Aten Primaria. 2011; 44(1):54-6. PMC: 7025155. DOI: 10.1016/j.aprim.2011.01.014. View

Valencia C, Lopez-Alzate E, Tirado V, Zea-Herrera M, Lopera F, Rupprecht R . [Cognitive effects of combined memory and psychomotor training in elderly adults]. Rev Neurol. 2008; 46(8):465-71. View

10.

Valentijn S, van Hooren S, Bosma H, Touw D, Jolles J, van Boxtel M . The effect of two types of memory training on subjective and objective memory performance in healthy individuals aged 55 years and older: a randomized controlled trial. Patient Educ Couns. 2005; 57(1):106-14. DOI: 10.1016/j.pec.2004.05.002. View

11.

. [Disability evaluation: Barthel's index]. Rev Esp Salud Publica. 1997; 71(2):127-37. View

12.

Novoa A, Juarez O, Nebot M . [Review of the effectiveness of cognitive interventions in preventing cognitive deterioration in healthy elderly individuals]. Gac Sanit. 2008; 22(5):474-82. DOI: 10.1157/13126930. View

13.

Valenzuela M, Sachdev P . Can cognitive exercise prevent the onset of dementia? Systematic review of randomized clinical trials with longitudinal follow-up. Am J Geriatr Psychiatry. 2009; 17(3):179-87. DOI: 10.1097/JGP.0b013e3181953b57. View

14.

Escudero Sanchez C, Garcia Carmona R, Ibanez Colas A, Lopez Lopez M, Perez Juarez A, Salan Garcia M . [Cognitive deficit, its prevalence and associated factors in the population over 74]. Aten Primaria. 1999; 24(6):326-31. View

15.

Dunlosky J, Kubat-Silman A, Hertzog C . Training monitoring skills improves older adults' self-paced associative learning. Psychol Aging. 2003; 18(2):340-5. DOI: 10.1037/0882-7974.18.2.340. View

16.

Argimon Pallas J, Riu Subirana S, Lizan Tudela L, Llach X, Martinez Lage J . [Initial treatment of patients with subjective memory complaints and/or cognitive impairment in primary care: ISSEA Study]. Aten Primaria. 2007; 39(4):171-7. PMC: 7664581. DOI: 10.1016/s0212-6567(07)70871-5. View

17.

Olazaran J . [Can dementia be diagnosed in primary care?]. Aten Primaria. 2011; 43(7):377-84. PMC: 7024937. DOI: 10.1016/j.aprim.2010.09.004. View

18.

Borras Blasco C, Vina Ribes J . [Neurophysiology and ageing. Definition and pathophysiological foundations of cognitive impairment]. Rev Esp Geriatr Gerontol. 2016; 51 Suppl 1:3-6. DOI: 10.1016/S0211-139X(16)30136-6. View

19.

Lesende I . [Primary care detection of the elderly at risk: recommendation]. Aten Primaria. 2005; 36(5):273-7. PMC: 7681803. DOI: 10.1157/13079149. View

20.

Zunzunegui Pastor M, del Ser T, Rodriguez Laso A, Garcia Yebenes M, Domingo J, Otero Puime A . [Non-detected dementia and use of the health services: implications for primary care]. Aten Primaria. 2003; 31(9):581-6. PMC: 7681802. DOI: 10.1016/s0212-6567(03)79220-8. View