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Citation
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Yang HL, Chu H, Kao CC, Miao NF, Chang PC, Tseng P, O'Brien AP, Chou KR. Int. J. Geriatr. Psychiatry 2020; ePub(ePub): ePub. |
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Abstract
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OBJECTIVES: We aimed to analyze the effects of multi-domain attention training on alertness, sustained attention, and visual-spatial attention in older adults with mild cognitive impairment (MCI).
DESIGN: Two-arm, parallel group, double-blind randomized controlled trial. SETTING AND PARTICIPANTS: Seventy-eight older adults with MCI (mean age: 79.5 ± 7.9 years) from retirement centers and community housing for the elderly. INTERVENTION: The participants were randomly assigned to an experimental group (multi-domain attention training, n = 39) or an active control group (n = 39). Both groups underwent training sessions for 45 minutes three times per week for 6 weeks (18 sessions total). MEASURES: The main efficacy indicator was alertness (Trail Making Test Part B), sustained attention (Digit Vigilance Test), and visual-spatial attention (Trail Making Test Part A). The secondary outcome indicators were other cognitive functions (MMSE and MoCA subscale). Measurements were obtained pretest, posttest, and at 3 and 6 months after training.
RESULTS: The results were analyzed by a generalized estimating equation (GEE), which indicated that attention outcomes (alertness, sustained attention and visual-spatial attention) of the experimental group did not improve after training. However, the experimental group displayed a significant improvement in the attention, memory, and orientation of MMSE and MoCA subscales over a period of 6 months and also showed superior results compared to the control group.
CONCLUSIONS: Multi-domain attention training demonstrated improved alertness and visual-spatial attention for posttest-after 6 months. We also outline potential future advances in attention training for improving attention in older adults with MCI. This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.
Language: en |