Computerized Cognitive Training with Older Adults: A Systematic Review

Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
PLoS ONE (Impact Factor: 3.23). 07/2012; 7(7):e40588. DOI: 10.1371/journal.pone.0040588
Source: PubMed


A systematic review to examine the efficacy of computer-based cognitive interventions for cognitively healthy older adults was conducted. Studies were included if they met the following criteria: average sample age of at least 55 years at time of training; participants did not have Alzheimer's disease or mild cognitive impairment; and the study measured cognitive outcomes as a result of training. Theoretical articles, review articles, and book chapters that did not include original data were excluded. We identified 151 studies published between 1984 and 2011, of which 38 met inclusion criteria and were further classified into three groups by the type of computerized program used: classic cognitive training tasks, neuropsychological software, and video games. Reported pre-post training effect sizes for intervention groups ranged from 0.06 to 6.32 for classic cognitive training interventions, 0.19 to 7.14 for neuropsychological software interventions, and 0.09 to 1.70 for video game interventions. Most studies reported older adults did not need to be technologically savvy in order to successfully complete or benefit from training. Overall, findings are comparable or better than those from reviews of more traditional, paper-and-pencil cognitive training approaches suggesting that computerized training is an effective, less labor intensive alternative.

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Available from: Alexandra M Kueider,
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    • "With advances in technology, computerized neuropsychological tests (cNPTs) have been able to address several shortcomings of conventional testing methods (Wild et al., 2008; Lampit et al., 2014; Zygouris and Tsolaki, 2014). Key advantages of cNPTs over pencilpaper assessments include: (1) consistency in administration and scoring, (2) ability to generate numerous alternate forms for repeated testing, (3) precise stimulus control, (4) ability to record multiple components of a participant's response, (5) adaptability of difficulty levels, (6) decreased cost of administration, (7) increased access for a broader population which can lead to greater diversity among subjects, patients, and normative databases, and (8) ability to run larger validation and reliability studies leading to larger, more accurate normative databases (Kane and Kay, 1992; Gualtieri and Johnson, 2006; Kueider et al., 2012; Nakayama et al., 2014). In their relatively short history, cNPTs have proven advantageous compared to pencil-paper neuropsychological tests, lowering the cost of testing, and expanding their utility and potential applications. "
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    ABSTRACT: The NeuroCognitive Performance Test (NCPT) is a brief, repeatable, web-based cognitive assessment platform that measures performance across several cognitive domains. The NCPT platform is modular and includes 18 subtests that can be arranged into customized batteries. Here we present normative data from a sample of 130,140 healthy volunteers for an NCPT battery consisting of 8 subtests. Participants took the NCPT remotely and without supervision. Factor structure and effects of age, education, and gender were evaluated with this normative dataset. Test-retest reliability was evaluated in a subset of participants who took the battery again an average of 78.8 days later. The eight NCPT subtests group into 4 putative cognitive domains, have adequate to good test-retest reliability, and are sensitive to expected age- and education-related cognitive effects. Concurrent validity to standard neuropsychological tests was demonstrated in 73 healthy volunteers. In an exploratory analysis the NCPT battery could differentiate those who self-reported Mild Cognitive Impairment or Alzheimer's disease from matched healthy controls. Overall these results demonstrate the reliability and validity of the NCPT battery as a measure of cognitive performance and support the feasibility of web-based, unsupervised testing, with potential utility in clinical and research settings.
    Frontiers in Psychology 11/2015; 6. DOI:10.3389/fpsyg.2015.01652 · 2.80 Impact Factor
    • "Research has also shown that cognitive training might help to protect against age-related cognitive decline (González-Abraldes et al., 2010; Maseda et al., 2013; Wilson et al., 2007) and might reduce depressive symptomatology (Fernández Calvo, Rodríguez Pérez, Contador, Rubio Santorum, & Ramos Campos, 2011; Lee et al., 2013; Wolinsky et al., 2009). According to our results, this protective effect might not be closely related to several sociodemographic variables (Maseda et al., 2013), which is consistent with several systematic reviews on the subject that do not provide data for considering the differences by gender and educational level (Kueider et al., 2012). "
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    ABSTRACT: The purpose of this study was to evaluate the efficacy of a multimedia and interactive cognitive program on cognition and depressive symptomatology in healthy older adults. Adults aged ≥65 years were randomly assigned to two groups: the experimental group in which the participants received a computerized cognitive training application; and the control group in which the participants received no intervention during the protocol. Performance on the mini-mental state examination (MMSE) and the short-form of the geriatric depression scale (GDS-SF) were analysed using a three-way repeated-measure analysis of variance. To determine cognition after the training, the cognitive program was used and the results were assessed using the MMSE, indicating that the significant time effects within the groups reflected the score for cognitive assessment that was significantly better after the intervention in the experimental group. No significant differences were observed with regard to the depressive symptomatology or between the groups according to sex or educational level on the two dimensions previously established (cognition and depressive symptomatology). The development of technological applications for intervention in older adults is increasing. Based on the established objective, we can conclude that the computerized intervention may constitute a good alternative to enhance the cognitive status in older people. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Archives of gerontology and geriatrics 08/2015; 61(3). DOI:10.1016/j.archger.2015.08.015 · 1.85 Impact Factor
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    • "Serious Games have been shown in a systematic review to be at least as effective as conventional tests in improving cognitive abilities in the elderly[44]. In a randomized controlled trial (RCT) they seemed more effective than conventional neuropsychological interventions when it comes to improving neuropsychological abilities of alcoholic patients[45]. "
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    MEDINFO 2015: eHealth-enabled Health; 08/2015
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