Center for Research on the Implementation of Innovative Strategies into Practice, Iowa City, Iowa, USA.
J Gerontol B Psychol Sci Soc Sci. 2010 Sep;65(5):591-8. doi: 10.1093/geronb/gbp117. Epub 2009 Dec 11.
OBJECTIVES: We evaluated the effect of cognitive training among 1,534 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) randomized controlled trial (RCT) on 5-year improvements in 3 cognitive-specific measures of locus of control-internal, chance, and powerful others. METHODS: ACTIVE was a multisite RCT (age > or = 65), with 4 groups (memory, reasoning, speed of processing, and no-contact control). Complete 5-year follow-up data were available for 1,534 (55%) of the 2,802 participants. A propensity score model was used to adjust for potential attrition bias. Clinically important improvements (and decrements) in the cognitive-specific locus of control scale scores were defined as greater than or equal to 0.5 SD (medium) and greater than or equal to 1.0 SD (large). Multinomial logistic regression was used to simultaneously contrast those who improved and those who declined with those whose locus of control scale score was unchanged. RESULTS: Statistically significant effects reflecting medium-sized (> or = 0.5 SD) improvements in internal locus of control between baseline and the 5-year follow-up were found for the reasoning and speed of processing intervention groups who were 76% (p < .01) and 68% (p < .05) more likely, respectively, to improve than the no-contact control group. No improvement effects were found on the chance or powerful others locus of control measures or for the memory intervention group. CONCLUSION: Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults.
目的:我们评估了认知训练对高级认知训练独立和有活力的老年人(ACTIVE)随机对照试验(RCT)中 1534 名参与者的影响,该 RCT 研究了 5 年内 3 项认知特定控制源测量(内部、机会和强大他人)的改善情况。
方法:ACTIVE 是一项多地点 RCT(年龄≥65 岁),分为 4 组(记忆、推理、处理速度和无接触对照组)。共有 2802 名参与者中的 1534 名(55%)完成了 5 年的随访。使用倾向评分模型调整潜在的失访偏差。认知特定控制源量表评分的临床显著改善(和下降)定义为大于或等于 0.5 标准差(中等)和大于或等于 1.0 标准差(大)。使用多项逻辑回归同时对比那些改善和下降的人与控制源量表评分不变的人。
结果:在推理和处理速度干预组中,与无接触对照组相比,分别有 76%(p<.01)和 68%(p<.05)的人更有可能在基线和 5 年随访之间出现中等(≥0.5 SD)的内部控制源评分改善,这反映出统计学上显著的效果。在机会或强大他人控制源测量或记忆干预组中,没有发现改善效果。
结论:针对推理和处理速度的认知训练可以改善老年人对生活的认知特定控制感。
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