Eckroth-Bucher Margie, Siberski James
Department of Nursing, Bloomsburg University, Bloomsburg, Pennsylvania 17815, USA.
Am J Alzheimers Dis Other Demen. 2009 Jun-Jul;24(3):234-45. doi: 10.1177/1533317509332624. Epub 2009 Apr 3.
Cognitive decline leads to disability and increased health care expenditures.
Effectiveness of an intervention to stimulate multiple cognitive domains was determined using a format combining traditional and computer-based activities (Integrated Cognitive Stimulation and Training Program), 45 minutes a day, 2 days a week, for 6 weeks. Nonimpaired, mildly, and moderately-impaired participants > age 65 (n = 32) were randomly allocated into a control or experimental group. Using a repeated measures design participants were tested again postintervention and at 8 weeks follow-up.
Statistically significant improvement on Dementia Rating Scale scores occurred for mildly and moderately impaired treatment participants (n = 15). Statistical significance was demonstrated on subscales of the WMS-III: Logical Memory I and Logical Memory II.
Blending computer-based with traditional cognitive stimulation activities shows promise in preserving cognitive function in elders. Future studies to explore efficacy in larger, more diverse samples are needed.
认知能力下降会导致残疾并增加医疗保健支出。
采用结合传统活动和基于计算机活动的形式(综合认知刺激与训练计划)来确定刺激多个认知领域的干预措施的有效性,每天45分钟,每周2天,共6周。65岁以上未受损、轻度和中度受损的参与者(n = 32)被随机分配到对照组或实验组。采用重复测量设计,在干预后和8周随访时对参与者再次进行测试。
轻度和中度受损的治疗参与者(n = 15)在痴呆评定量表得分上有统计学意义的改善。在韦氏记忆量表第三版(WMS-III)的子量表:逻辑记忆I和逻辑记忆II上显示出统计学意义。
将基于计算机的认知刺激活动与传统活动相结合,在保持老年人认知功能方面显示出前景。需要进一步开展研究,以探索在更大、更多样化样本中的疗效。