为预防高危老年人的痴呆症和认知衰退而开发的认知训练支持计划。
Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults.
作者信息
de Jager Loots Celeste A, Price Geraint, Barbera Mariagnese, Neely Anna Stigsdotter, Gavelin Hanna M, Lehtisalo Jenni, Ngandu Tiia, Solomon Alina, Mangialasche Francesca, Kivipelto Miia
机构信息
Ageing Epidemiology Research Unit, School of Public Health, Imperial College London, London, United Kingdom.
Department of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
出版信息
Front Dement. 2024 Feb 23;3:1331741. doi: 10.3389/frdem.2024.1331741. eCollection 2024.
BACKGROUND
Evidence for the beneficial effects of cognitive training on cognitive function and daily living activities is inconclusive. Variable study quality and design does not allow for robust comparisons/meta-analyses of different cognitive training programmes. Fairly low adherence to extended cognitive training interventions in clinical trials has been reported.
AIMS
The aim of further developing a Cognitive Training Support Programme (CTSP) is to supplement the Computerised Cognitive Training (CCT) intervention component of the multimodal Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER), which is adapted to different cultural, regional and economic settings within the Word-Wide FINGERS (WW-FINGERS) Network. The main objectives are to improve adherence to cognitive training through a behaviour change framework and provide information about cognitive stimulation, social engagement and lifestyle risk factors for dementia.
METHODS
Six CTSP sessions were re-designed covering topics including (1) CCT instructions and tasks, (2) Cognitive domains: episodic memory, executive function and processing speed, (3) Successful ageing and compensatory strategies, (4) Cognitive stimulation and engagement, (5) Wellbeing factors affecting cognition (e.g., sleep and mood), (6) Sensory factors. Session content will be related to everyday life, with participant reflection and behaviour change techniques incorporated, e.g., strategies, goal-setting, active planning to enhance motivation, and adherence to the CCT and in relevant lifestyle changes.
CONCLUSIONS
Through interactive presentations promoting brain health, the programme provides for personal reflection that may enhance capability, opportunity and motivation for behaviour change. This will support adherence to the CCT within multidomain intervention trials. Efficacy of the programme will be evaluated through participant feedback and adherence metrics.
背景
认知训练对认知功能和日常生活活动有益影响的证据尚无定论。研究质量和设计的差异使得无法对不同的认知训练项目进行有力的比较/荟萃分析。据报道，临床试验中对延长认知训练干预的依从性相当低。
目的
进一步开发认知训练支持计划（CTSP）的目的是补充多模式芬兰老年干预预防认知障碍和残疾研究（FINGER）的计算机化认知训练（CCT）干预部分，该部分适用于全球FINGERS（WW-FINGERS）网络内不同的文化、地区和经济环境。主要目标是通过行为改变框架提高对认知训练的依从性，并提供有关认知刺激、社交参与和痴呆症生活方式风险因素的信息。
方法
重新设计了六次CTSP课程，涵盖的主题包括：（1）CCT说明和任务；（2）认知领域：情景记忆、执行功能和处理速度；（3）成功老龄化和补偿策略；（4）认知刺激和参与；（5）影响认知的健康因素（如睡眠和情绪）；（6）感官因素。课程内容将与日常生活相关，并纳入参与者反思和行为改变技巧，如策略、目标设定、积极规划以增强动机，以及坚持CCT和相关生活方式改变。
结论
通过促进大脑健康的互动展示，该计划提供了个人反思，可能会增强行为改变的能力、机会和动机。这将支持在多领域干预试验中坚持CCT。该计划的有效性将通过参与者反馈和依从性指标进行评估。
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