Effective engagement in computerized cognitive training for older adults

IF 12.5 1区医学 Q1 CELL BIOLOGY

Ageing Research Reviews Pub Date : 2025-02-01 DOI:10.1016/j.arr.2024.102650

Anna Luiza Guimarães , Feng V. Lin , Rogerio Panizzutti , Adam Turnbull

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引用次数: 0

Abstract

Computerized cognitive training (CCT) is a frontline therapy to prevent or slow age-related cognitive decline. A prerequisite for CCT research to provide clinically relevant improvements in cognition is to understand effective engagement, i.e., the pattern of energy investment that ensures CCT effectiveness. Even though previous studies have assessed whether particular variables (e.g., gamification) predict engagement and/or CCT effectiveness, the field lacks a systematic approach to understanding effective engagement. Here, by comprehensively reviewing and evaluating engagement and adjacent literature, we propose a standardized measurement and operational framework to promote effective engagement with CCT targeting cognitive decline in older adults. We suggest that promoting effective engagement with CCT has two key steps: 1) comprehensively measuring engagement with CCT and 2) identifying which aspects of engagement are essential to achieve the pre-specified outcome of clinically relevant improvements in cognition. The proposed measurement and operational framework of effective engagement will allow future research to maximize older adults’ engagement with CCT to slow/prevent age-related cognitive decline.

查看原文本刊更多论文

老年人计算机化认知训练的有效参与。

计算机认知训练（CCT）是预防或减缓与年龄相关的认知能力下降的一线治疗方法。CCT研究提供临床相关认知改善的先决条件是了解有效参与，即确保CCT有效性的能量投入模式。尽管之前的研究已经评估了特定变量（如游戏化）是否能预测用户粘性和/或CCT有效性，但该领域缺乏理解有效用户粘性的系统方法。在此，通过全面回顾和评估参与和相关文献，我们提出了一个标准化的测量和操作框架，以促进有效参与针对老年人认知衰退的CCT。我们建议，促进CCT的有效参与有两个关键步骤：1)全面测量CCT的参与程度；2)确定参与的哪些方面对于实现临床相关认知改善的预先指定结果至关重要。提出的有效参与的测量和操作框架将使未来的研究能够最大限度地提高老年人对CCT的参与，以减缓/预防与年龄相关的认知衰退。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ageing Research Reviews 医学-老年医学

CiteScore

19.80

自引率

2.30%

发文量

216

审稿时长

55 days

期刊介绍： With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.