与坚持以片剂为基础的认知训练相关的因素:J-MINT研究

IF 4.9 Q1 CLINICAL NEUROLOGY
Taiki Sugimoto, Kazuaki Uchida, Kenji Sato, Yoko Yokoyama, Ayaka Onoyama, Kosuke Fujita, Yujiro Kuroda, Satomu Wakayama, Hidenori Arai, Takashi Sakurai, J-MINT study group
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引用次数: 0

摘要

认知训练是预防认知衰退的多领域干预的关键组成部分;然而,低依从性仍然是一个挑战。在日本预防痴呆多模式干预试验(J-MINT)的事后分析中,研究了轻度认知障碍老年人认知训练依从性的相关因素。方法J-MINT为18个月的随机对照试验。分析包括191名完成试验的参与者(干预组)。通过计算参与者参与基于平板电脑的认知训练至少30分钟的天数来评估依从性。结果视力困难和更大的朋友网络与依从性呈负相关。女性、较高的认知功能、对训练任务和实施目标的满意度与依从性呈正相关。研究结果表明,训练任务的设计和实施目标的设定(训练持续时间和频率)与依从性有关。本试验已在大学医院医学信息网(UMIN)临床试验注册中心注册(UMIN000038671)。重点评估与坚持认知训练相关的因素。视力困难与依从性呈负相关。更大的朋友网络与依从性呈负相关。女性性别和更高的认知功能与依从性呈正相关。对培训任务和实施目标的满意度与依从性有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with adherence to tablet-based cognitive training: J-MINT study

INTRODUCTION

Cognitive training is a key component of multidomain interventions to prevent cognitive decline; however, low adherence remains a challenge. In this post hoc analysis of the Japan-Multimodal Intervention Trial for Prevention of Dementia (J-MINT), factors associated with cognitive training adherence in older adults with mild cognitive impairment were investigated.

METHODS

J-MINT was an 18-month randomized controlled trial. The analyses included 191 participants (intervention group) who completed the trial. Adherence was assessed by calculating the number of days the participants engaged in tablet-based cognitive training for at least 30 min.

RESULTS

Vision difficulty and a larger friend network were negatively associated with adherence. Female sex, higher cognitive function, and satisfaction with training tasks and implementation goals were positively associated with adherence.

DISCUSSION

The results imply that not only the participants’ characteristics but also the training task design and implementation goal setting (training duration and frequency) are associated with adherence.

Clinical trial registration number

This trial was registered with the University hospital Medical Information Network (UMIN) Clinical Trial Registry (UMIN000038671).

Highlights

  • Factors associated with adherence to cognitive training were evaluated.
  • Vision difficulty was negatively associated with adherence.
  • A larger network of friends was negatively associated with adherence.
  • Female sex and higher cognitive function were positively associated with adherence.
  • Satisfaction with training tasks and implementation goals was related to adherence.
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来源期刊
CiteScore
10.10
自引率
2.10%
发文量
134
审稿时长
10 weeks
期刊介绍: Alzheimer''s & Dementia: Translational Research & Clinical Interventions (TRCI) is a peer-reviewed, open access,journal from the Alzheimer''s Association®. The journal seeks to bridge the full scope of explorations between basic research on drug discovery and clinical studies, validating putative therapies for aging-related chronic brain conditions that affect cognition, motor functions, and other behavioral or clinical symptoms associated with all forms dementia and Alzheimer''s disease. The journal will publish findings from diverse domains of research and disciplines to accelerate the conversion of abstract facts into practical knowledge: specifically, to translate what is learned at the bench into bedside applications. The journal seeks to publish articles that go beyond a singular emphasis on either basic drug discovery research or clinical research. Rather, an important theme of articles will be the linkages between and among the various discrete steps in the complex continuum of therapy development. For rapid communication among a multidisciplinary research audience involving the range of therapeutic interventions, TRCI will consider only original contributions that include feature length research articles, systematic reviews, meta-analyses, brief reports, narrative reviews, commentaries, letters, perspectives, and research news that would advance wide range of interventions to ameliorate symptoms or alter the progression of chronic neurocognitive disorders such as dementia and Alzheimer''s disease. The journal will publish on topics related to medicine, geriatrics, neuroscience, neurophysiology, neurology, psychiatry, clinical psychology, bioinformatics, pharmaco-genetics, regulatory issues, health economics, pharmacoeconomics, and public health policy as these apply to preclinical and clinical research on therapeutics.
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