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一款促进健康老龄化的平板电脑:平板电脑训练干预对老年人认知能力的影响。

A Tablet for Healthy Ageing: The Effect of a Tablet Computer Training Intervention on Cognitive Abilities in Older Adults.

作者信息

Vaportzis Eleftheria, Martin Mike, Gow Alan J

机构信息

Department of Psychology, School of Social Sciences, Heriot-Watt University, Edinburgh, UK.

Gerontology Center and University Research Priority Program "Dynamics of Healthy Aging", University of Zurich, Switzerland.

出版信息

Am J Geriatr Psychiatry. 2017 Aug;25(8):841-851. doi: 10.1016/j.jagp.2016.11.015. Epub 2016 Dec 5.

Abstract

OBJECTIVE

To test the efficacy of a tablet computer training intervention to improve cognitive abilities of older adults.

DESIGN

Prospective randomized controlled trial.

SETTING

Community-based aging intervention study, Edinburgh, UK.

PARTICIPANTS

Forty-eight healthy older adults aged 65 to 76 years were recruited at baseline with no or minimal tablet experience; 43 completed follow-up testing.

INTERVENTION

Twenty-two participants attended a weekly 2-hour class for 10 weeks during which they learned how to use a tablet and various applications on it.

MEASUREMENTS

A battery of cognitive tests from the WAIS-IV measuring the domains of Verbal Comprehension, Perceptual Processing, Working Memory, and Processing Speed, as well as health, psychological, and well-being measures.

RESULTS

A 2 × 2 mixed model ANOVA suggested that the tablet intervention group (N = 22) showed greater improvements in Processing Speed (η = 0.10) compared with controls (N = 21), but did not differ in Verbal Comprehension, Perceptual Processing, or Working Memory (η ranged from -0.03 to 0.04).

CONCLUSIONS

Engagement in a new mentally challenging activity (tablet training) was associated with improved processing speed. Acquiring skills in later life, including those related to adopting new technologies, may therefore have the potential to reduce or delay cognitive changes associated with ageing. It is important to understand how the development of these skills might further facilitate everyday activities, and also improve older adults' quality of life.

摘要

目的

测试平板电脑训练干预对提高老年人认知能力的效果。

设计

前瞻性随机对照试验。

地点

英国爱丁堡基于社区的衰老干预研究。

参与者

48名年龄在65至76岁之间、无平板电脑使用经验或仅有极少使用经验的健康老年人在基线时被招募;43人完成了随访测试。

干预措施

22名参与者参加了为期10周、每周一次、每次2小时的课程,在课程中他们学习如何使用平板电脑及其各种应用程序。

测量指标

来自韦氏成人智力量表第四版(WAIS-IV)的一系列认知测试,测量言语理解、知觉加工、工作记忆和加工速度等领域,以及健康、心理和幸福感指标。

结果

一项2×2混合模型方差分析表明,与对照组(N = 21)相比,平板电脑干预组(N = 22)在加工速度方面有更大改善(η = 0.10),但在言语理解、知觉加工或工作记忆方面无差异(η范围为 -0.03至0.04)。

结论

参与一项新的具有智力挑战性的活动(平板电脑训练)与加工速度的提高有关。因此,在晚年掌握技能,包括与采用新技术相关的技能,可能有潜力减少或延缓与衰老相关的认知变化。了解这些技能的发展如何进一步促进日常活动以及提高老年人的生活质量非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc80/5524558/87bcc0a09d74/amgp728-fig-0001.jpg

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