关键词: Computerised Cognitive Training (CCT) ageing behaviour change brain maintenance cognitive reserve dementia risk factors lifestyle interventions

来  源:   DOI:10.3389/frdem.2024.1331741   PDF(Pubmed)

Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
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。可变的研究质量和设计不允许对不同的认知训练计划进行可靠的比较/荟萃分析。据报道,临床试验中对扩展认知训练干预措施的依从性相当低。
进一步发展认知训练支持计划(CTSP)的目的是补充芬兰预防认知障碍和残疾的多模式老年干预研究(FINGER)的计算机认知训练(CCT)干预部分。适应不同的文化,全球手指(WW-FINGERS)网络中的区域和经济环境。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的信息,痴呆症的社会参与和生活方式风险因素。
重新设计了六个CTSP会话,涵盖的主题包括(1)CCT指令和任务,(2)认知领域:情景记忆,执行功能和处理速度,(3)成功的老龄化和补偿策略,(4)认知刺激和参与,(5)影响认知的健康因素(例如,睡眠和情绪),(6)感官因素。会话内容将与日常生活相关,结合参与者反思和行为改变技术,例如,战略,目标设定,积极规划,增强动力,坚持CCT和相关生活方式的改变。
通过互动演示促进大脑健康,该计划提供了可以增强能力的个人反思,行为改变的机会和动机。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的反馈和依从性指标进行评估。
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