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RESEARCH ARTICLE
Contents Vol 25(1)

Analysis of an Everyday Cognitive Training Program on the cognitive functioning of older adults: a randomised controlled trial

Celia Sánchez Gómez https://orcid.org/0000-0002-1196-816X A B * , Eduardo J. Fernández Rodríguez https://orcid.org/0000-0002-2175-8545 B C D and Alberto García Martín https://orcid.org/0000-0002-5427-9743 E
+ Author Affiliations
- Author Affiliations

A Department of Developmental and Educational Psychology, University of Salamanca, Salamanca, Spain.

B Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain. Email: edujfr@usal.es

C Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.

D Medical Oncology Service, University Hospital Complex of Salamanca, Salamanca, Spain.

E Department of Labor Law and Social Work, University of Salamanca, Salamanca, Spain. Email: albergm@usal.es

* Correspondence to: celiasng@usal.es

Handling Editor: Jenny Fleming

Brain Impairment 25, IB23078 https://doi.org/10.1071/IB23078
Submitted: 28 February 2023  Accepted: 10 March 2023  Published: 17 January 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment.

Abstract

Background

The prevalence of a probable cognitive deficit in older adults is associated with advanced age and degree of functional impairment. This fact has encouraged the search for non-pharmacological preventive interventions. We set out to evaluate the benefits of the use of specific training programs in everyday cognition on the cognitive functioning of older adults.

Methods

For this purpose, we conducted a randomised controlled trial of two groups. In the experimental group we carried out an ‘Everyday Cognition Training Program’, and in the control group we carried out a ‘Traditional Cognitive Training Program’. The study was divided into four phases. The interventions were carried out in 10 associations of older people. In each group, 20 sessions were conducted in each phase. Participants received a total of 80 sessions. Therefore, a total of 800 intervention sessions were conducted throughout the study. The ERFC Questionnaire was used to assess the intervention. Each participant performed eight assessments, two (initial and final) for each of the four stages.

Results

The study had a final sample of 237 participants. The intervention group had significantly better scores on the ERFC (at P < 0.001) than the control group at both post-intervention and follow-up, except in the third stage of the study, where no significant differences were found after the intervention between the study groups.

Conclusions

The main findings of this study indicate that the use of an Everyday Cognition Training Program presents greater benefits in the cognitive functioning in older adults than the use of a Traditional Cognitive Training Program.

Clinical Trial Registration

ClinicalTrials.gov: NCT04041999.

Keywords: active ageing, cognitive impairment, cognitive performance, cognitive training programmes, everyday cognition, occupational therapy, older adults.

References

Aguirre E, Woods RT, Spector A, Orrell M (2013) Cognitive stimulation for dementia: A systematic review of the evidence of effectiveness from randomised controlled trials. Ageing Research Reviews 12(1), 253-262.
| Crossref | Google Scholar | PubMed |

Allaire JC, Marsiske M (1999) Everyday cognition: Age and intellectual ability correlates. Psychology and Aging 14(4), 627-644.
| Crossref | Google Scholar | PubMed |

Allaire JC, Marsiske M (2002) Well-and ill-defined measures of everyday cognition: Relationship to older adults’ intellectual ability and functional status. Psychology and Aging 17(1), 101-115.
| Crossref | Google Scholar | PubMed |

Araujo F, Ruiz D, Alemán M (2010) Programa de entrenamiento cognitivo en adultos mayores. Revista Mexicana De Medicina Física Y Rehabilitación 22(1), 26-31 [In Spanish].
| Google Scholar |

Argimón Pallàs JM, Riu Subirana S, Lizán Tudela L, Badia Llach X, Martínez Lage JM (2007) Tratamiento inicial de los pacientes con quejas subjetivas de memoria y/o deterioro cognitivo en atención primaria: Estudio ISSEA. Atención Primaria 39(4), 171-177 [In Spanish].
| Crossref | Google Scholar | PubMed |

Arroyo-Anlló EM, Chamorro-Sánchez J, Castaneda-Alegre C, Torres-Pereira J, Poveda-Díaz M, Gile R (2009) Adaptación y validación del test evaluación rápida de las funciones cognitivas (Gil et al, 1986). Primera versión en castellano con una muestra geriátrica. Psiquiatría Biológica 16(3), 112-121 [In Spanish].
| Google Scholar |

Bäckman L, Small BJ, Wahlin Å, Larsson M (2000) Cognitive functioning in very old age. In ‘The handbook of aging and cognition’. (Eds FIM Craik, TA Salthouse) pp. 499–558). (Lawrence Erlbaum Associates Publishers)

Ball K, Berch DB, Helmers KF, Jobe JB, Leveck MD, Marsiske M, et al. (2002) Effects of cognitive training interventions with older adults: A randomized controlled trial. JAMA 288(18), 2271-2281.
| Crossref | Google Scholar | PubMed |

Blasco CB, Ribes JV (2016) Neurofisiología y envejecimiento. concepto y bases fisiopatológicas del deterioro cognitivo. Revista Española De Geriatría Y Gerontología 51, 3-6 [In Spanish].
| Crossref | Google Scholar |

Boutron I, Altman DG, Moher D, Schulz KF, Ravaud P, CONSORT NPT Group (2017) CONSORT statement for randomized trials of nonpharmacologic treatments: a 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Annals of Internal Medicine 167(1), 40-47.
| Crossref | Google Scholar | PubMed |

Calatayud E, Plo F, Muro C (2020) Análisis del efecto de un programa de estimulación cognitiva en personas con envejecimiento normal en Atención Primaria: ensayo clínico aleatorizado. Atención Primaria 52(1), 38-46 [In Spanish].
| Crossref | Google Scholar | PubMed |

Calero MD, Navarro E (2007) Cognitive plasticity as a modulating variable on the effects of memory training in elderly persons. Archives of Clinical Neuropsychology 22(1), 63-72.
| Crossref | Google Scholar | PubMed |

Calero García M, Navarro-González E (2006) Eficacia de un programa de entrenamiento en memoria en el mantenimiento de ancianos con y sin deterioro cognitivo. Clínica y Salud 17(2), 187-202 [In Spanish].
| Google Scholar |

Carballo-García V, Arroyo-Arroyo MR, Portero-Díaz M, Ruiz-Sánchez de León JM (2013) Efectos de la terapia no farmacológica en el envejecimiento normal y el deterioro cognitivo: Consideraciones sobre los objetivos terapéuticos. Neurología 28(3), 160-168 [In Spanish].
| Crossref | Google Scholar | PubMed |

Clare L, Woods RT (2004) Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer’s disease: A review. Neuropsychological Rehabilitation 14(4), 385-401.
| Crossref | Google Scholar |

Dunlosky J, Kubat-Silman AK, Hertzog C (2003) Training monitoring skills improves older adults’ self-paced associative learning. Psychology and Aging 18(2), 340-345.
| Crossref | Google Scholar | PubMed |

Facal D, González MF, Buiza C, Laskibar I, Urdaneta E, Yanguas JJ (2009) Envejecimiento, deterioro cognitivo y lenguaje: Resultados del estudio longitudinal donostia. Revista De Logopedia, Foniatría y Audiología 29(1), 4-12 [In Spanish].
| Crossref | Google Scholar |

García-Sevilla J, Fernández PJ, Fuentes LJ, López JJ, Moreno MJ (2014) Estudio comparativo de dos programas de entrenamiento de la memoria en personas mayores con quejas subjetivas de memoria: Un análisis preliminar. Anales De Psicología 30(1), 337-345 [In Spanish].
| Crossref | Google Scholar |

Gauthier S, Reisberg B, Zaudig M, Petersen RC, Ritchie K, Broich K, et al. (2006) Mild cognitive impairment. The Lancet 367(9518), 1262-1270.
| Crossref | Google Scholar | PubMed |

Gómez CS, Rodríguez EJF (2021) The effectiveness of a training programme in everyday cognition in healthy older adults: A randomised controlled trial. BMC Geriatrics 21(1), 79.
| Crossref | Google Scholar |

Hajek A, König H-H (2016) Longitudinal predictors of functional impairment in older adults in europe–evidence from the survey of health, ageing and retirement in europe. PLoS One 11(1), e0146967.
| Crossref | Google Scholar | PubMed |

Hampstead BM, Sathian K, Bikson M, Stringer AY (2017) Combined mnemonic strategy training and high-definition transcranial direct current stimulation for memory deficits in mild cognitive impairment. Alzheimer’s & Dementia: Translational Research & Clinical Interventions 3(3), 459-470.
| Crossref | Google Scholar | PubMed |

Hughes TF (2010) Promotion of cognitive health through cognitive activity in the aging population. Aging Health 6(1), 111-121.
| Crossref | Google Scholar | PubMed |

Kawashima R (2013) Mental exercises for cognitive function: Clinical evidence. Journal of Preventive Medicine and Public Health 46(1), 22-27.
| Crossref | Google Scholar | PubMed |

Lee T-S, Goh SJA, Quek SY, Phillips R, Guan C, Cheung YB, et al. (2013) A brain-computer interface based cognitive training system for healthy elderly: A randomized control pilot study for usability and preliminary efficacy. PLoS One 8(11), e79419.
| Crossref | Google Scholar |

Li H, Li J, Li N, Li B, Wang P, Zhou T (2011) Cognitive intervention for persons with mild cognitive impairment: A meta-analysis. Ageing Research Reviews 10(2), 285-296.
| Crossref | Google Scholar | PubMed |

Lima-Silva TB, Ordonez TN, Santos GD, Moreira APB, Verga CER, Ishibashi GA, et al. (2022) Effects of working memory training on cognition in healthy older adults: A systematic review. Dementia & Neuropsychologia 16, 417-432.
| Crossref | Google Scholar |

López AG, Calero MD (2009) Predictores del deterioro cognitivo en ancianos. Revista Española De Geriatría y Gerontología 44(4), 220-224 [In Spanish].
| Crossref | Google Scholar | PubMed |

Martín Lesende I (2005) Detección de ancianos de riesgo en atención primaria. recomendación. Atención Primaria 36(5), 273-277 [In Spanish].
| Crossref | Google Scholar |

Martínez EF, Pérez AEP, Moinelo MCC (2021) Fundamentos teóricos, metodológicos y prácticos de la rehabilitación cognitiva en adultos con daño cerebral adquirido. Revista Cubana de Medicina Física y Rehabilitación 13(2), 1-21 [In Spanish].
| Google Scholar |

Menor J, Labra JA, Albuerne F (2008) ‘Envejecimiento cognitivo y actividades instrumentales de la vida diaria: Elaboración de un instrumento de valoración de la dependencia.’ (Madrid: Fundación MAPFRE) [In Spanish]

Miller KJ, Siddarth P, Gaines JM, Parrish JM, Ercoli LM, Marx K, et al. (2012) The memory fitness program: Cognitive effects of a healthy aging intervention. The American Journal of Geriatric Psychiatry 20(6), 514-523.
| Crossref | Google Scholar | PubMed |

Montejo P (2003) Programa de entrenamiento de memoria para mayores con alteraciones de memoria: Resultados y predictores. Revista Española De Geriatría y Gerontología 38(6), 316-326 [In Spanish].
| Crossref | Google Scholar |

Nebot M, Burón A, Pasarín M, Hortal N, Juárez O, Quintana E (2012) Prevención del deterioro cognitivo: Características de los talleres de memoria en Barcelona. Atención Primaria 44(1), 54-56 [In Spanish].
| Crossref | Google Scholar | PubMed |

Payne BR, Stine-Morrow EAL (2017) The effects of home-based cognitive training on verbal working memory and language comprehension in older adulthood. Frontiers in Aging Neuroscience 9, 256.
| Crossref | Google Scholar | PubMed |

Pérez JAL, Menor J (2015) Estimulación cotidiana y funcionamiento cognitivo: La importancia de la participación de personas mayores sanas en actividades cotidianas cognitivamente demandantes. European Journal of Investigation in Health, Psychology and Education 4(3), 309-319 [In Spanish].
| Crossref | Google Scholar |

Polito L, Abbondanza S, Vaccaro R, Valle E, Davin A, Degrate A, Villani S, Guaita A (2015) Cognitive stimulation in cognitively impaired individuals and cognitively healthy individuals with a family history of dementia: Short-term results from the “Allena‐Mente” randomized controlled trial. International Journal of Geriatric Psychiatry 30(6), 631-638.
| Crossref | Google Scholar | PubMed |

Ruiz-Sánchez de León JM (2012) Estimulación cognitiva en el envejecimiento sano, el deterioro cognitivo leve y las demencias: Estrategias de intervención y consideraciones teóricas para la práctica clínica. Revista De Logopedia, Foniatría y Audiología 32(2), 57-66 [In Spanish].
| Crossref | Google Scholar |

Salthouse TA (2014) Correlates of cognitive change. Journal of Experimental Psychology: General 143(3), 1026-1048.
| Crossref | Google Scholar | PubMed |

Sánchez E (2011) Instrumentos de evaluación cognitiva en terapia ocupacional. TOG (A Coruña) 8(13), 1-16 [In Spanish].
| Google Scholar |

Sánchez CE, Carmona RG, Colás AI, López ML, García-Consuegra MH, Juárez AP, et al. (1999) Déficit cognitivo, prevalencia y factores asociados en la población mayor de 74 años. Atención Primaria: Publicación Oficial De La Sociedad Española De Familia y Comunitaria 24(6), 326-331 [In Spanish].
| Google Scholar |

Sanhueza Guzmán C. (2014) Programa de entrenamiento cerebral en adultos mayores sin deterioro cognitivo: Atención, memoria y funciones ejecutivas. Doctoral dissertation, Universidad Complutense de Madrid. [In Spanish]

Simon SS, Yokomizo JE, Bottino CM (2012) Cognitive intervention in amnestic mild cognitive impairment: A systematic review. Neuroscience & Biobehavioral Reviews 36(4), 1163-1178.
| Crossref | Google Scholar | PubMed |

Small GW, Silverman DH, Siddarth P, Ercoli LM, Miller KJ, Lavretsky H, Wright BC, Bookheimer SY, Barrio JR, Phelps ME (2006) Effects of a 14-day healthy longevity lifestyle program on cognition and brain function. The American Journal of Geriatric Psychiatry 14(6), 538-545.
| Crossref | Google Scholar | PubMed |

Smits LL, Flapper M, Sistermans N, Pijnenburg YA, Scheltens P, Van Der Flier WM (2014) Apraxia in mild cognitive impairment and alzheimer’s d isease: Validity and reliability of the van heugten test for apraxia. Dementia and Geriatric Cognitive Disorders 38(1–2), 55-64.
| Crossref | Google Scholar | PubMed |

Soria IG, Esteban EMA, Bruton AG, Marrupe PP (2021) Análisis del efecto a largo plazo de un programa de estimulación cognitiva en mayores con deterioro cognitivo leve en atención primaria: Ensayo controlado aleatorizado. Atención Primaria 53(7), 102053 [In Spanish].
| Crossref | Google Scholar | PubMed |

Utande A, Molina Cobos FJ, Ruiz Sánchez LJ, Callejón Z, Luciano C (2021) Mejora del análisis analógico en ancianos. Revista Internacional de Psicología y Terapia Psicológica 21(3), 307-321 [In Spanish].
| Google Scholar |

Valencia C, López-Alzate E, Tirado V, Zea-Herrera MD, Lopera F, Rupprecht R, Oswald WD (2008) Efectos cognitivos de un entrenamiento combinado de memoria y psicomotricidad en adultos mayores. Revista de Neurología 46(8), 465-471 [In Spanish].
| Google Scholar | PubMed |

Valenzuela M, Sachdev P (2009) ¿Puede el ejercicio cognitivo prevenir la aparición de demencia? revisión sistemática de ensayos clínicos aleatorizados con seguimiento longitudinal. Revista estadounidense de psiquiatría geriátrica 17(3), 179-187 [In Spanish].
| Crossref | Google Scholar | PubMed |

Youn J-H, Park S, Lee J-Y, Cho S-J, Kim J, Ryu S-H (2020) Mejora cognitiva en adultos mayores con deterioro cognitivo leve: evidencia de un entrenamiento de metamemoria multiestratégico. Revista de Medicina Clínica 9(2), 362 [In Spanish].
| Crossref | Google Scholar | PubMed |