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Ten‐Year Effects of the Advanced Cognitive Training for Independent and Vital Elderly Cognitive Training Trial on Cognition and Everyday Functioning in Older Adults
Author(s) -
Rebok George W.,
Ball Karlene,
Guey Lin T.,
Jones Richard N.,
Kim HaeYoung,
King Jonathan W.,
Marsiske Michael,
Morris John N.,
Tennstedt Sharon L.,
Unverzagt Frederick W.,
Willis Sherry L.
Publication year - 2014
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.12607
Subject(s) - medicine , cognition , cognitive training , activities of daily living , randomized controlled trial , psychological intervention , confidence interval , effects of sleep deprivation on cognitive performance , physical therapy , psychiatry
Objectives To determine the effects of cognitive training on cognitive abilities and everyday function over 10 years. Design Ten‐year follow‐up of a randomized, controlled single‐blind trial (Advanced Cognitive Training for Independent and Vital Elderly ( ACTIVE )) with three intervention groups and a no‐contact control group. Setting Six U.S. cities. Participants A volunteer sample of 2,832 persons (mean baseline age 73.6; 26% African American) living independently. Intervention Ten training sessions for memory, reasoning, or speed of processing; four sessions of booster training 11 and 35 months after initial training. Measurements Objectively measured cognitive abilities and self‐reported and performance‐based measures of everyday function. Results Participants in each intervention group reported less difficulty with instrumental activities of daily living ( IADL s) (memory: effect size = 0.48, 99% confidence interval ( CI ) = 0.12–0.84; reasoning: effect size = 0.38, 99% CI = 0.02–0.74; speed of processing: effect size = 0.36, 99% CI = 0.01–0.72). At a mean age of 82, approximately 60% of trained participants, versus 50% of controls ( P < .05), were at or above their baseline level of self‐reported IADL function at 10 years. The reasoning and speed‐of‐processing interventions maintained their effects on their targeted cognitive abilities at 10 years (reasoning: effect size = 0.23, 99% CI = 0.09–0.38; speed of processing: effect size = 0.66, 99% CI = 0.43–0.88). Memory training effects were no longer maintained for memory performance. Booster training produced additional and durable improvement for the reasoning intervention for reasoning performance (effect size = 0.21, 99% CI = 0.01–0.41) and the speed‐of‐processing intervention for speed‐of‐processing performance (effect size = 0.62, 99% CI = 0.31–0.93). Conclusion Each Advanced Cognitive Training for Independent and Vital Elderly cognitive intervention resulted in less decline in self‐reported IADL compared with the control group. Reasoning and speed, but not memory, training resulted in improved targeted cognitive abilities for 10 years.