计算机化认知训练改善老年人生活环境中的情绪:一项随机对照试验的设计。

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Open Access Journal of Clinical Trials Pub Date : 2018-01-01 Epub Date: 2018-04-26 DOI:10.2147/OAJCT.S154782
Marianne Smith, Michael P Jones, Megan M Dotson, Fredric D Wolinsky
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引用次数: 4

摘要

目的:本两组随机对照试验旨在评估计算机化的认知处理速度(SOP)训练,称为Road Tour,用于居住在辅助生活(AL)和相关老年住房的一般老年人群体。研究的目的集中在早期的SOP研究中观察到的与抑郁相关的结果,这些研究使用Road Tour对年轻的居家老年人进行了研究。讨论了研究设计和基线结果。参与者和方法:基于社区的设计将人工智能和相关的老年生活环境作为研究的合作伙伴。选定的工作人员作为现场研究助理,接受培训,从人工智能和独立生活(IL)项目中招募、同意和培训300名参与者,以使用干预和注意力控制的计算机化培训。最初的10小时计算机化训练之后,在5个月和11个月时进行两次强化训练。结果测量包括有用视场(UFOV)、9项患者健康问卷(PHQ-9)、12项流行病学研究中心抑郁量表(csd -12)、7项广泛性焦虑障碍量表(GAD-7)、简短疼痛量表(BPI)和SF-36健康调查。评估在随机化前(训练前)、训练后、26周和52周进行。结果:351名参与者被随机分为干预组(n=173)和注意控制组(n=178)。除了受教育程度和骨质疏松报告外,两组间的人口统计学特征没有显著差异。在基线时,两组之间的研究结果无显著差异。与同一校区的IL项目相比,AL项目的参与者的SOP和自评健康显著降低,抑郁、焦虑和疼痛显著增加。结论:与早期使用Road Tour进行的SOP训练研究相比,该样本的老年生活参与者年龄更大,报告的健康状况更多,整体健康状况更差,基线时UFOV得分更低,抑郁症状更严重。此外,AL组的参与者比IL组有更大的健康挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Computerized Cognitive Training to Improve Mood in Senior Living Settings: Design of a Randomized Controlled Trial.

Computerized Cognitive Training to Improve Mood in Senior Living Settings: Design of a Randomized Controlled Trial.

Computerized Cognitive Training to Improve Mood in Senior Living Settings: Design of a Randomized Controlled Trial.

Computerized Cognitive Training to Improve Mood in Senior Living Settings: Design of a Randomized Controlled Trial.

Purpose: This two-arm, randomized controlled trial was designed to evaluate a computerized cognitive speed of processing (SOP) training known as Road Tour in the generally older group of adults residing in assisted living (AL) and related senior housing. Study aims focused on depression-related outcomes that were observed in earlier SOP studies using Road Tour with younger, home-dwelling seniors. Study design and baseline outcomes are discussed.

Participants and methods: A community-based design engaged AL and related senior living settings as partners in research. Selected staff served as on-site research assistants who were trained to recruit, consent, and train a target of 300 participants from AL and independent living (IL) programs to use the intervention and attention-control computerized training. Ten hours of initial computerized training was followed by two booster sessions at 5 and 11 months. Outcome measures included Useful Field of View (UFOV), 9-item Patient Health Questionnaire (PHQ-9), 12-item Centers for Epidemiological Studies Depression scale (CESD-12), 7-item Generalized Anxiety Disorders GAD-7), Brief Pain Inventory (BPI) and SF-36 Health Survey. Assessments occurred before randomization (pre-training), post-training, 26 and 52 weeks.

Results: A total of 351 participants were randomized to the intervention (n=173) and attention-control (n=178) groups. There were no significant differences between groups in demographic characteristics with the exception of education and reported osteoporosis. There were no significant differences in study outcomes between groups at baseline. Participants in AL had significantly lower SOP and self-rated health, and significantly higher depression, anxiety and pain when compared to those in IL programs on the same campus.

Conclusions: Compared to earlier SOP training studies using Road Tour, this sample of senior living participants were older, reported more health conditions and poorer overall health, had lower UFOV scores and greater depressive symptoms at baseline. Moreover, participants in AL had greater health challenges than those in IL.

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来源期刊
Open Access Journal of Clinical Trials
Open Access Journal of Clinical Trials MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
3.90
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0.00%
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2
审稿时长
16 weeks
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