One-Year Follow-Up of Healthy Older Adults with Electroencephalographic Risk for Neurocognitive Disorder After Neurofeedback Training

Background: In healthy older adults, excess theta activity is an electroencephalographic (EEG) predictor of cognitive impairment. In a previous study, neurofeedback (NFB) treatment reinforcing reductions theta activity resulted in EEG reorganization and cognitive improvement. Objective: To explore the clinical applicability of this NFB treatment, the present study performed a 1-year follow-up to determine its lasting effects. Methods: Twenty seniors with excessive theta activity in their EEG were randomly assigned to the experimental or control group. The experimental group received an auditory reward when the theta absolute power (AP) was reduced. The control group received the reward randomly. Results: Both groups showed a significant decrease in theta activity at the training electrode. However, the EEG results showed that only the experimental group underwent global changes after treatment. These changes consisted of delta and theta decreases and beta increases. Although no changes were found in any group during the period between the posttreatment evaluation and follow-up, more pronounced theta decreases and beta increases were observed in the experimental group when the follow-up and pretreatment measures were compared. Executive functions showed a tendency to improve two months after treatment which became significant one year later. Conclusion: These results suggest that the EEG and behavioral benefits of this NFB treatment persist for at least one year, which adds up to the available evidence contributing to identifying factors that increase its efficacy level. The relevance of this study lies in its prophylactic features of addressing a clinically healthy population with EEG risk of cognitive decline.

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Longitudinal impact and effects of booster sessions in a cognitive training program for healthy elderly

10.31234/osf.io/uqgdw ◽

2020 ◽

Author(s):

Lucas Matias Felix ◽

Marcela Mansur Alves ◽

Mariana Teles ◽

Laura Jamison ◽

Hudson Golino

Keyword(s):

Older Adults ◽

Cognitive Training ◽

Passive Control ◽

Control Group ◽

Longitudinal Impact ◽

Healthy Older Adults ◽

Booster Sessions ◽

Experimental Group

This paper reports the results from a three-years follow-up study to access the long-term efficacy of a cognitive training for healthy older adults and investigates the effects of booster sessions on the cognitive performance of the participants using an innovative analytical approach from information theory. Design: semi-randomized quasi-experimental controlled design. Participants: 50 healthy older adults, (M = 73.3, SD = 7.77) were assigned into an experimental (N = 25; Mean age = 73.9; SD = 8.62) and a passive control group (N = 25; mean age = 72.9; SD = 6.97). Instruments: six subtests of WAIS and two episodic memory tasks. Procedures: the participants were assessed in four occasions: after the end of the original intervention, pre-booster sessions (three years after the original intervention), immediately after the booster sessions and three months after the booster sessions. Results: the repeated measures ANOVA showed that two gains reported in the original intervention were identified in the follow-up: Coding (F(1, 44) = 11.79, MSE = 0.77, p = .001, ηˆG2 = .084) and Picture Completion (F(1, 47) = 10.01, MSE = 0.73, p = .003, ηˆG2 = .060). After the booster sessions, all variables presented a significant interaction between group and time favorable to the experimental group (moderate to high effect sizes). To compare the level of cohesion of the cognitive variables between the groups, an entropy-based metric was used. The experimental group presented a lower level of cohesion in three of the four measurement occasions, suggesting a differential impact of the intervention with immediate and short-term effects, but without long-term effects.

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Effects of a simple reminiscence intervention program on the reminiscence functions in older adults

International Psychogeriatrics ◽

10.1017/s1041610220000174 ◽

2020 ◽

pp. 1-10

Author(s):

Encarnación Satorres ◽

Iraida Delhom ◽

Juan C. Meléndez

Keyword(s):

Older Adults ◽

Problem Solving ◽

Intervention Program ◽

Intervention Group ◽

The Self ◽

Control Group ◽

Identity Problem ◽

Healthy Older Adults ◽

Positive Functions

ABSTRACT Objectives: Reminiscence promotes the acceptance of oneself and others, a sense of meaning, and the integration of the present and the past. The currently accepted classification contains eight reminiscence functions grouped in three broader functions: self-positive functions (identity, problem-solving, and death preparation); self-negative functions (bitterness revival, boredom reduction, and intimacy maintenance); and prosocial functions (conversation and teach-inform). The main objective of this study was to investigate how the eight dimensions change over time in a sample of healthy older adults after an intervention based on simple reminiscence and subsequent follow-up. Design: Participants were randomly assigned to the treatment or control group. Setting: Participants were evaluated individually before, immediately after, and 3 months after the intervention. Participants: Participants included 139 healthy older adults (71 intervention group and 68 control group). Intervention: Ten weekly sessions lasting 2 hours each were administered, based on a simple reminiscence program. Measurements: Participants were assessed with the Reminiscence Functions Scale. Results: After the intervention, in the treatment group, there was a significant increase in the self-positive functions of problem-solving and death preparation, and these effects were maintained even at the follow-up; there was a significant reduction in the self-negative functions of bitterness revival and intimacy maintenance; and there was a significant increase in the prosocial function of conversation. Conclusions: When applying an intervention based on reminiscence, it is important to evaluate how it influences these functions because this information can help us to modify the objectives of the intervention and increase its effectiveness.

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One-year Follow-up Data on the Face-to-face Autonomy-Supportive Intervention Program for Physical Education Teachers

10.31234/osf.io/qu8jm ◽

2021 ◽

Author(s):

Henri Tilga ◽

Hanna Kalajas-Tilga ◽

Vello Hein ◽

Lennart Raudsepp ◽

Andre Koka

Keyword(s):

Physical Education ◽

Intervention Program ◽

Psychological Needs ◽

Need Satisfaction ◽

Basic Psychological Needs ◽

Control Group ◽

One Year ◽

Experimental Group ◽

Supportive Intervention

In a recent manuscript published in International Journal of Sport Psychology, entitled “Effects of a brief one-day autonomy-supportive intervention on improving basic psychological needs, motivation, and behaviours of physical activity among middle-school students: A multidimensional approach”, we reported that a one-day eight-hour Autonomy-Supportive Intervention Program for Physical Education (ASIP-PE) was effective (Tilga et al., in press) in changing students’ perceptions of their physical education (PE) teachers’ cognitive and procedural autonomy support at a one-month follow-up, compared to control group students. After the intervention, a significant increase was also found in the experimental group students’ need satisfaction for autonomy and competence. Also, a significant decrease was found in experimental group students’ perceptions of their PE teachers’ intimidation and negative conditional regard, and in students’ need frustration for autonomy. This letter is to briefly convey additional data regarding the long-term benefits of ASIP-PE now that we have been able to conduct one-year follow-up analyses.

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EFFECTS OF A GROUP-BASED 8-WEEK MULTICOMPONENT COGNITIVE TRAINING ON COGNITION, MOOD AND ACTIVITIES OF DAILY LIVING AMONG HEALTHY OLDER ADULTS: A ONE-YEAR FOLLOW-UP OF A RANDOMIZED CONTROLLED TRIAL

Journal of Prevention of Alzheimer's Disease ◽

10.14283/jpad.2019.42 ◽

2019 ◽

pp. 1-10

Author(s):

P. Srisuwan ◽

D. Nakawiro ◽

S. Chansirikarnjana ◽

O. Kuha ◽

P. Chaikongthong ◽

...

Keyword(s):

Older Adults ◽

Executive Function ◽

Activities Of Daily Living ◽

Cognitive Training ◽

Daily Living ◽

Controlled Trial ◽

Control Group ◽

Treatment As Usual ◽

Healthy Older Adults

ACKGROUND: Cognitive interventions have the potential to enhance cognition among healthy older adults. However, little attention has been paid to the effect of cognitive training (CT) on mood and activities of daily living (ADL). OBJECTIVES: To assess the effectiveness of a multicomponent CT using a training program of executive functions, attention, memory and visuospatial functions (TEAM-V Program) on cognition, mood and instrumental ADL. DESIGN: A randomized, single-blinded, treatment-as-usual controlled trial. SETTING: Geriatric clinic in Bangkok, Thailand. PARTICIPANTS: 77 nondemented community-dwelling older adults (mean age 65.7±4.3 years). INTERVENTION: The CT (TEAM-V) program or the treatment-as-usual controlled group. The TEAM-V intervention was conducted over 5 sessions, with a 2-week interval between each session. Of 77 participants randomized (n=40 the TEAM-V program; n=37 the control group). MEASUREMENTS: The Thai version of Montreal Cognitive Assessment (MoCA), The Alzheimer’s Disease Assessment Scale-Cognitive Subscale (ADAS-cog), Thai version of Hospital Anxiety and Depression Scale (HADS) and The Chula ADL were used to assess at baseline, 6 months and 1 year. RESULTS: Compared with the control arm, the TEAM-V Program was associated with reducing anxiety (P = 0.004). Compared with the baseline, participants receiving the TEAM-V Program were associated with significantly improved general cognition (MoCA, P < 0.001), immediate recall (word recall task, P = 0.01), retrieval and retention of memory process (word recognition task, P = 0.01), attention (number cancellation part A, P < 0.001) and executive function (maze test, P = 0.02) at 1 year. No training effects on depression (P = 0.097) and IADL (P = 0.27) were detected. CONCLUSIONS: The TEAM-V Program was effective in reducing anxiety. Even though, the program did not significantly improve cognition, depression and ADL compared with the control group, global cognition, memory, attention and executive function improved in the intervention group compared with baseline. Further studies incorporating a larger sample size, longitudinal follow-up and higher-intensity CT should be conducted.

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Evaluation of an Experimental Treatment for Problem Drivers

Human Factors The Journal of the Human Factors and Ergonomics Society ◽

10.1177/001872087802000414 ◽

1978 ◽

Vol 20 (4) ◽

pp. 489-493 ◽

Cited By ~ 6

Author(s):

Jon C. Prothero

Keyword(s):

Experimental Treatment ◽

Control Group ◽

Record Data ◽

Preliminary Study ◽

New Treatment ◽

One Year ◽

Hearing Officers ◽

Experimental Group

This preliminary study compared the effectiveness of a new treatment for problem drivers with the National Safety Council's Defensive Driving Course (DDC) and a control group. Hearing officers from four large Florida cities randomly assigned 432 problem drivers, whose licenses had been suspended, to three groups. Safety officers from each of the four locations taught both the experimental course and the DDC. Pretests and posttests on driving knowlege and attitudes were administered to the three groups. Driving record data of the 358 subjects who completed treatment were used to help identify long-term effectiveness of the treatments. Although there was no significant improvements between the groups in driving knowledge or in attitudes after treatment, the experimental group had a greater reduction than the DDC group and a significantly greater reduction than the control group in traffic law violations and collisions during a one year follow-up period. A larger investigation of the effectiveness of the experimental course is recommended.

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Mixed-effects models: Family burden and functionality in patients with bipolar disorder

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1147 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S331-S331 ◽

Cited By ~ 1

Author(s):

C. Bermúdez-Ampudia ◽

A. García-Alocén ◽

M. Martínez-Cengotitabengoa ◽

S. Alberich ◽

I. González-Ortega ◽

...

Keyword(s):

Bipolar Disorder ◽

Control Group ◽

Subjective Burden ◽

The Family ◽

Modifiable Factor ◽

Objective Burden ◽

Competing Interest ◽

One Year ◽

Experimental Group

IntroductionThe bipolar disorder (BD) has an important effect over the lives of patients and families. The attitude of the family is a modifiable factor through specific interventions and it has been related with BD prognosis.ObjectivesStudy a sample of families and patients with BD.AimsCompare between two groups its course of burden of caring for family members with BD. Also, we will see the course of the functionality in patients.MethodsSample of 148 individuals who caring a familiar with BD. Seventy-six of these followed psychoeducation session are going to be experimental group (EG), and the others 72 did not followed any session are going to be control group (CG). There is a follow-up at 6 months and one year. To see the course of the burden and the functionality it will be used mixed models.ResultsAt baseline, there were not significant differences between CG and EG in objective and subjective burden and functionality. But over time there were significant results in the three cases. For objective burden (b = −0.016; P = 0.0001) EG presented a drop (b = −0.014; P = 0.0062), while CG did not show changes (b = 0.002; P = 0.4691). For subjective burden (b = −0.014; P = 0.0058) without significant results for CG (b = −0.352; P = 0.3203) and a significant decrease in EG (b = −0.017; P = 0.003). For the functionality (b = 1.474; P = 0.000) there was a significant increase in EG (b = 1.349; P = 0.000) but not for CG (b = −0.125; P = 0.3828).ConclusionsTwo groups did not differ at baseline however after the psychoeducation sessions appear clear differences, decreasing the burden for EG group and the functionality also improved for EG.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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The effectiveness of a training programme in everyday cognition in healthy older adults: a randomised controlled trial

BMC Geriatrics ◽

10.1186/s12877-020-01998-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Celia Sánchez Gómez ◽

Eduardo José Fernández Rodríguez

Keyword(s):

Older Adults ◽

Randomised Controlled Trial ◽

Cognitive Performance ◽

Controlled Trial ◽

Training Programme ◽

Control Group ◽

Healthy Older Adults ◽

Everyday Cognition ◽

Randomised Controlled ◽

Experimental Group

Abstract Background Everyday cognition is the application of basic cognitive skills and knowledge of the specific cognitive domain for the resolution of problems that are integrated within the instrumental domains of functioning. The main objective is to evaluate the effectiveness of a Training Programme in Everyday Cognition in order to improve the levels of everyday cognition and global cognitive performance in older adults. Methods A randomised controlled trial of two groups. The sample was composed of healthy older adults. The intervention of the experimental group consisted of an Everyday Cognition Training Programme, and the intervention of the control group consisted of a Conventional Cognitive Training Programme. The Rapid Assessment of Cognitive Functions test (ERFC) and the Everyday Cognition Battery test (ECB) were used to assess the intervention. Results Total sample (n = 237) composed of 44 men and 223 women, with a mean age of 73.45 years. Statistically significant differences (p < 0.001) were evidenced between the control group and the experimental group in both the ECB and ERFC; in the final evaluation of the study and in the follow-up. Conclusion The use of a Daily Cognition Training Programme presents greater benefits in terms of both global cognitive performance and everyday cognition than the use of a Conventional Cognitive Training Programme in elderly adults. Trial registration ClinicalTrials.gov: NCT04041999. Retrospectively registered. Date of trial registration: 8th July 2019.

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The Effectiveness of a Training Programme in Everyday Cognition in Healthy Older Adults: A Randomised Controlled Trial

10.21203/rs.3.rs-34131/v3 ◽

2020 ◽

Author(s):

Celia Sánchez Gómez ◽

Eduardo José Fernández Rodríguez

Keyword(s):

Older Adults ◽

Randomised Controlled Trial ◽

Cognitive Performance ◽

Controlled Trial ◽

Training Programme ◽

Control Group ◽

Healthy Older Adults ◽

Everyday Cognition ◽

Randomised Controlled ◽

Experimental Group

Abstract Background: Everyday cognition is the application of basic cognitive skills and knowledge of the specific cognitive domain for the resolution of problems that are integrated within the instrumental domains of functioning. The main objective is to evaluate the effectiveness of a Training Programme in Everyday Cognition in order to improve the levels of everyday cognition and global cognitive performance in older adults.Methods: A randomised controlled trial of two groups. The sample was composed of healthy older adults. The intervention of the experimental group consisted of an Everyday Cognition Training Programme, and the intervention of the control group consisted of a Conventional Cognitive Training Programme. The Rapid Assessment of Cognitive Functions test (ERFC) and the Everyday Cognition Battery test (ECB) were used to assess the intervention.Results: Total sample (n=237) composed of 44 men and 223 women, with a mean age of 73.45 years. Statistically significant differences (p <0.001) were evidenced between the control group and the experimental group in both the ECB and ERFC; in the final evaluation of the study and in the follow-up.Conclusion: The use of a Daily Cognition Training Programme presents greater benefits in terms of both global cognitive performance and everyday cognition than the use of a Conventional Cognitive Training Programme in elderly adults.Trial registration:ClinicalTrials.gov: NCT04041999 (https://clinicaltrials.gov/ct2/show/NCT04041999)Retrospectively registered.

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The effectiveness of a training programme in everyday cognition in healthy older adults: A randomised controlled trial

10.21203/rs.3.rs-34131/v4 ◽

2021 ◽

Author(s):

Celia Sánchez Gómez ◽

Eduardo José Fernández Rodríguez

Keyword(s):

Older Adults ◽

Randomised Controlled Trial ◽

Cognitive Performance ◽

Controlled Trial ◽

Training Programme ◽

Control Group ◽

Healthy Older Adults ◽

Everyday Cognition ◽

Randomised Controlled ◽

Experimental Group

Abstract Background: Everyday cognition is the application of basic cognitive skills and knowledge of the specific cognitive domain for the resolution of problems that are integrated within the instrumental domains of functioning. The main objective is to evaluate the effectiveness of a Training Programme in Everyday Cognition in order to improve the levels of everyday cognition and global cognitive performance in older adults.Methods: A randomised controlled trial of two groups. The sample was composed of healthy older adults. The intervention of the experimental group consisted of an Everyday Cognition Training Programme, and the intervention of the control group consisted of a Conventional Cognitive Training Programme. The Rapid Assessment of Cognitive Functions test (ERFC) and the Everyday Cognition Battery test (ECB) were used to assess the intervention.Results: Total sample (n=237) composed of 44 men and 223 women, with a mean age of 73.45 years. Statistically significant differences (p <0.001) were evidenced between the control group and the experimental group in both the ECB and ERFC; in the final evaluation of the study and in the follow-up.Conclusion: The use of a Daily Cognition Training Programme presents greater benefits in terms of both global cognitive performance and everyday cognition than the use of a Conventional Cognitive Training Programme in elderly adults.Trial registration: ClinicalTrials.gov: NCT04041999 (https://clinicaltrials.gov/ct2/show/NCT04041999)Retrospectively registered. Date of trial registration: 8th July 2019.

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Positive effects on life satisfaction following health-promoting interventions for frail older adults: a randomized controlled study

Health Psychology Research ◽

10.4081/hpr.2013.636 ◽

2013 ◽

Vol 1 (1) ◽

pp. 12 ◽

Cited By ~ 4

Author(s):

Katarina Wilhelmson ◽

Kajsa Eklund

Keyword(s):

Older Adults ◽

At Risk ◽

Life Satisfaction ◽

Home Visit ◽

Control Group ◽

Health Promoting ◽

Group Meetings ◽

One Year ◽

Over Time

Life satisfaction among older adults is known to decrease over time and with deteriorated health. The aim of this study was to analyze the effects of the health-promoting intervention study <em>Elderly Persons in the Risk Zone </em>on life satisfaction. A randomized, three-armed, single-blind, and controlled trial with follow-ups at 3 months, 1 and 2 years. A total of 459 community-dwelling persons at risk of frailty, 80-years or older were included. The participants were independent of help from others in ADL and cognitively intact. The two interventions were i) four weekly multi-professional senior group meetings including a follow-up home visit or ii) one preventive home visit. Life satisfaction was measured with eight questions from LiSat-11. Analyses were made in accordance with the intention-to-treat principle. Life satisfaction decreased over time, with a lower decrease in the intervention groups than in the control group. The proportion of satisfied persons was significantly higher in the intervention group of senior group meetings compared to the control group for five of the eight life satisfaction variables at one year and for all variables at the two-year follow-up. For preventive home visits, there was a significant difference compared to the control group at the one-year follow-up for three of the life satisfaction variables, and at the two-year follow-up for seven variables. We can conclude that a health-promoting intervention can delay the decline in life satisfaction among older adults (aged 80 or older) who are at risk of becoming frail.

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