Highlights
- •What is the primary question addressed by this study? This study addressed the question of whether computerized functional skills training improved cognition in older people with normal cognition or cognitive impairments.
- •What is the main finding of this study? Computerized functional skills training alone was associated with improvements in four of six cognitive domains assessed in participants with cognitive impairments. Overall, combined computerized cognitive and functional skills training led to greater improvements in all six domains of cognition across the two participant groups.
- •What is the meaning of the finding? These data suggest that both older people with cognitive impairments and normal cognition show evidence of plasticity in their cognitive functioning and that combining functional skills and cognitive training leads to wide-ranging cognitive improvements.
Abstract
Objectives
Both cognitively impaired (CI) and nonimpaired (NC) older people have challenges in
performing everyday tasks. Previous skills training efforts in NC individuals have
led to improvements in both functional skills and cognitive functioning. We evaluated
the cognitive benefits of combining computerized cognitive training (CCT) with a computer-based
functional skills assessment and training (CFSAT) program in a sample of CI and NC
older adults.
Design
Randomized parallel clinical trial with two treatment conditions: up to 24 sessions
of CFSAT training alone or CFSAT plus speed focused CCT.
Participants
NC (n = 62) and CI (n = 55) older adults, ranging in age from 60–86 years (M = 73.12), primarily female (90%), and ethnically diverse (21% Hispanic, 52% African
American). Participants were divided based on Montreal Cognitive Assessment scores
and cognitive complaints.
Setting
Three different community centers in Miami, FL.
Measurements
The Brief Assessment of Cognition, app version, was used to measure cognitive performance
across six different cognitive domains before and after training.
Results
All six cognitive domains improved from baseline. Multivariate analyses found the
effects of the combined CFSAT and CCT to be superior. The interaction of training
condition and cognitive status was not statistically significant, indicating no global
impact of cognitive status on improvements in cognition across training conditions.
Conclusions
CFSAT training was associated with cognitive benefits, particularly in CI participants.
The combined intervention led to greater improvements. Consistent with results of
previous studies, there is considerable evidence of cognitive plasticity in older
adults, including those with CI.
Key Words
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Article info
Publication history
Published online: November 21, 2021
Accepted:
November 16,
2021
Received in revised form:
November 13,
2021
Received:
October 19,
2021
Identification
Copyright
© 2021 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
