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Computerized cognitive training for memory functions in mild cognitive impairment or dementia: a systematic review and meta-analysis.

作者信息

Chan Aaron T C, Ip Roy T F, Tran Joshua Y S, Chan Joyce Y C, Tsoi Kelvin K F

机构信息

JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

Stanley Ho Big Data Decision Analytics Research Centre, The Chinese University of Hong Kong, Hong Kong, China.

出版信息

NPJ Digit Med. 2024 Jan 3;7(1):1. doi: 10.1038/s41746-023-00987-5.


DOI:10.1038/s41746-023-00987-5
PMID:38172429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10764827/
Abstract

Dementia is a common medical condition in the ageing population, and cognitive intervention is a non-pharmacologic strategy to improve cognitive functions. This meta-analysis evaluated the benefits of computerized cognitive training (CCT) on memory functions in individuals with MCI or dementia. The study was registered prospectively with PROSPERO under CRD42022363715 and received no funding. The search was conducted on MEDLINE, Embase, and PsycINFO on Sept 19, 2022, and Google Scholar on May 9, 2023, to identify randomized controlled trials that examined the effects of CCT on memory outcomes in individuals with MCI or dementia. Mean differences and standard deviations of neuropsychological assessment scores were extracted to derive standardized mean differences. Our search identified 10,678 studies, of which 35 studies were included. Among 1489 participants with MCI, CCT showed improvements in verbal memory (SMD (95%CI) = 0.55 (0.35-0.74)), visual memory (0.36 (0.12-0.60)), and working memory (0.37 (0.10-0.64)). Supervised CCT showed improvements in verbal memory (0.72 (0.45-0.98)), visual memory (0.51 (0.22-0.79)), and working memory (0.33 (0.01-0.66)). Unsupervised CCT showed improvement in verbal memory (0.21 (0.04-0.38)) only. Among 371 participants with dementia, CCT showed improvement in verbal memory (0.64 (0.02-1.27)) only. Inconsistency due to heterogeneity (as indicated by I values) is observed, which reduces our confidence in MCI outcomes to a moderate level and dementia outcomes to a low level. The results suggest that CCT is efficacious on various memory domains in individuals with MCI. Although the supervised approach showed greater effects, the unsupervised approach can improve verbal memory while allowing users to receive CCT at home without engaging as many healthcare resources.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589f/10764827/56ec124549e5/41746_2023_987_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589f/10764827/f0fa16f4a36c/41746_2023_987_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589f/10764827/43824a480fec/41746_2023_987_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589f/10764827/56ec124549e5/41746_2023_987_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589f/10764827/f0fa16f4a36c/41746_2023_987_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589f/10764827/43824a480fec/41746_2023_987_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589f/10764827/56ec124549e5/41746_2023_987_Fig3_HTML.jpg

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本文引用的文献

[1]
Computerized Cognitive Training Enhances Episodic Memory by Down-Modulating Posterior Cingulate-Precuneus Connectivity in Older Persons With Mild Cognitive Impairment: A Randomized Controlled Trial.

Am J Geriatr Psychiatry. 2023-10

[2]
Effect of eight-week online cognitive training in Parkinson's disease: A double-blind, randomized, controlled trial.

Parkinsonism Relat Disord. 2022-3

[3]
Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019.

Lancet Public Health. 2022-2

[4]
Clinical efficacy of aerobic exercise combined with computer-based cognitive training in stroke: a multicenter randomized controlled trial.

Top Stroke Rehabil. 2022-5

[5]
A novel cognitive-motor exercise program delivered via a tablet to improve mobility in older people with cognitive impairment - StandingTall Cognition and Mobility.

Exp Gerontol. 2021-9

[6]
Effect of Cognitive Training in Fully Immersive Virtual Reality on Visuospatial Function and Frontal-Occipital Functional Connectivity in Predementia: Randomized Controlled Trial.

J Med Internet Res. 2021-5-6

[7]
Effectiveness of an Innovative Cognitive Treatment and Telerehabilitation on Subjects With Mild Cognitive Impairment: A Multicenter, Randomized, Active-Controlled Study.

Front Aging Neurosci. 2020-11-16

[8]
A double-blind randomized controlled trial of the efficacy of cognitive training delivered using two different methods in mild cognitive impairment in Parkinson's disease: preliminary report of benefits associated with the use of a computerized tool.

Aging Clin Exp Res. 2021-6

[9]
Dementia prevention, intervention, and care: 2020 report of the Lancet Commission.

Lancet. 2020-8-8

[10]
Effects of virtual reality-based spatial cognitive training on hippocampal function of older adults with mild cognitive impairment.

Int Psychogeriatr. 2022-2

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