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Background  Through the process of normal aging, cognitive decline would cause a lower level of functioning in real life. This flow might interfere with health-related quality of life (QoL). The purpose of this study is to investigate the effect of computer-based cognitive intervention on increasing QoL of elderly people.    Methods  A total number of 52 community-dwelling older adults participated in this study. This community scored ≥ 21 in the Mini-Mental State Examination (MMSE) and a clock drawing test score ≥ 4 from health centers in Tehran, Iran. This study is a parallel group stratified randomized clinical trial. The intervention group received a 45-min cognitive training session twice a week for 10 sessions, using Attentive Rehabilitation of Attention and Memory (ARAM) software focusing on selective attention and working memory. QoL was evaluated as a primary outcome. The control group participated in educational workshops.    Results  From fifty-two persons, only one participant was excluded from the study in the intervention group during follow-up. Results revealed by increasing cognitive function, improvement occurred in QoL ( F  = 13.417,  p  value < 0.001, partial eta-squared = 0.324) as a primary outcome in the intervention group. Among eight domains of QoL, there was significant increasing in domain of role limitations due to emotional problems ( F  = 4.007,  p  value = 0.021, partial eta-squared = 0.059), social functioning ( F  = 2.423,  p  value = 0.044, partial eta-squared = 0.004), and role limitations due to physical health ( F  = 10.749,  p  value < 0.001, partial eta-squared = 0.026).    Conclusions  Based on the results, ARAM showed transition and long-term effects on QoL in elderly people by improving cognitive functions such as selective attention and working memory.    Trial registration  Iranian Registry of Clinical Trials  IRCT2016122731602N1 . Registered on June 21, 2017

The impact of computer-based cognitive training intervention on the quality of life among elderly people: a randomized clinical trial