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

ABSTRACT 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.

Download full-text


Available from: Alexandra M Kueider, Sep 29, 2015
1 Follower
94 Reads
    • "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). "
    [Show abstract] [Hide abstract]
    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; DOI:10.1016/j.archger.2015.08.015 · 1.85 Impact Factor
  • Source
    • "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]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Younger generations are extensive users of digital devices; these technologies have always existed and have always been a part of their lives. Video games are a big part of their digital experience. User-centered design is an approach to designing systems informed by scientific knowledge of how people think, act, and coordinate to accomplish their goals. There is an emerging field of intervention research looking into using these techniques to produce video games that can be applied to healthcare. Games with the purpose of improving an individual's knowledge, skills, or attitudes in the " real " world are called " Serious Games ". Before doctors and patients can consider using Serious Games as a useful solution for a health care-related problem, it is important that they first are aware of them, have a basic understanding of what they are, and what, if any, claims on their effectiveness exist. In order to bridge that gap, we have produced this concise overview to introduce physicians to the subject at hand.
    MEDINFO 2015: eHealth-enabled Health; 08/2015
    • "Another innovative aspect was the use of a computerized support to administer both interventions. This offered advantages such as the availability of feedback and tailoring programs on the users' performance (Kueider et al., 2012). Most of the exercises trained memory and EFs, but we also included exercises aimed at improving those domains (i.e., orientation , constructional praxis, abstract reasoning, and language) that might be affected by physiological aging and AD. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this paper was to assess the efficacy of process-based cognitive training (pb-CT) combined with reminiscence therapy (RT) in patients with mild Alzheimer's disease (mAD) and mild cognitive impairment (MCI) and in healthy elderly (HE) subjects. This multicenter, randomized, controlled trial involved 348 participants with mAD, MCI, and HE from four European countries. Participants were randomly assigned to two arms of a crossover design: those in arm A underwent 3 months of computerized pb-CT for memory and executive functions combined with RT and 3 months of rest; those in arm B underwent the reverse. The primary outcome was the effect of the training on memory and executive functions performance. The secondary outcome was the effect of the training on functional abilities in mAD assessed with the instrumental activities of daily living. We found a significant effect of the training for memory in all three groups on delayed recall of the Rey Auditory Verbal Learning Test and for executive functions in HE on the phonological fluency test. MCI and HE participants maintained these effects at follow-up. MCI and mAD participants also showed a significant effect of the training on the Mini-mental state examination scale. Participants with mAD showed more stable instrumental activities of daily living during the training versus the rest period. Our results corroborate the positive effect of pb-CT and its maintenance primarily on memory in HE and MCI participants that did not seem to be potentiated by RT. Moreover, our results are very promising for the mAD participants. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.
    International Journal of Geriatric Psychiatry 07/2015; DOI:10.1002/gps.4328 · 2.87 Impact Factor
Show more