Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment

There is currently limited and mixed evidence for the cognitive benefits of Computerized Cognitive Training (CCT) and yoga in persons with Mild Cognitive Impairment (pwMCI). The objective of this study was to investigate the benefit of computerized cognitive training (CCT) vs. physical (yoga) interv...

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Main Authors: Vaishali S. Phatak, Glenn E. Smith, Dona Locke, Anne Shandera-Ochsner, Pamela M. Dean, Colleen Ball, Gianna Gutierrez, Melanie J. Chandler
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/8/988
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author Vaishali S. Phatak
Glenn E. Smith
Dona Locke
Anne Shandera-Ochsner
Pamela M. Dean
Colleen Ball
Gianna Gutierrez
Melanie J. Chandler
author_facet Vaishali S. Phatak
Glenn E. Smith
Dona Locke
Anne Shandera-Ochsner
Pamela M. Dean
Colleen Ball
Gianna Gutierrez
Melanie J. Chandler
author_sort Vaishali S. Phatak
collection DOAJ
description There is currently limited and mixed evidence for the cognitive benefits of Computerized Cognitive Training (CCT) and yoga in persons with Mild Cognitive Impairment (pwMCI). The objective of this study was to investigate the benefit of computerized cognitive training (CCT) vs. physical (yoga) intervention on cognitive abilities. Participants in this study were part of the larger Mayo Clinic’s Healthy Action to Benefit Independence and Thinking (HABIT) program comparative effectiveness trial. The HABIT program is designed for pwMCI and their care partner and consists of five behavioral interventions: CCT, Memory Support System-Calendar (MSS-Calendar), wellness education, support groups, and yoga. The subtractive study design randomly withheld one of the interventions for a total of five study arms. Longitudinal mixed-effects regression models were used to investigate the hypothesis that CCT and yoga has a greater positive impact on psychomotor and basic attention abilities at 12 months post-intervention as compared to the other HABIT interventions. Findings showed CCT had a positive impact compared to yoga on the Cogstate psychomotor/attention composite at 12 months post-intervention (ES = 0.54; unadjusted <i>p</i> value = 0.007, adjusted <i>p</i> value = 0.021). The impact of yoga or combining CCT with yoga did not show statistically significant improvement. Continued CCT practice at home showed further benefit on psychomotor/attention at 12 months post-intervention. There was no significant benefit of CCT or yoga on Cogstate learning/working memory composite.
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spelling doaj.art-3326f2b5450946b59fadba6d9876a74f2023-11-22T06:58:24ZengMDPI AGBrain Sciences2076-34252021-07-0111898810.3390/brainsci11080988Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive ImpairmentVaishali S. Phatak0Glenn E. Smith1Dona Locke2Anne Shandera-Ochsner3Pamela M. Dean4Colleen Ball5Gianna Gutierrez6Melanie J. Chandler7Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE 68131, USADepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL 32610, USADepartment of Psychiatry and Psychology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USADepartment of Psychiatry and Psychology, Mayo Clinic Health System, La Crosse, WI 54601, USADepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98108, USADivision of Clinical Trials and Biostatistics, Mayo Clinic Florida, Jacksonville, FL 32224, USADepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL 32610, USADepartment of Psychiatry and Psychology, Mayo Clinic Florida, Jacksonville, FL 32224, USAThere is currently limited and mixed evidence for the cognitive benefits of Computerized Cognitive Training (CCT) and yoga in persons with Mild Cognitive Impairment (pwMCI). The objective of this study was to investigate the benefit of computerized cognitive training (CCT) vs. physical (yoga) intervention on cognitive abilities. Participants in this study were part of the larger Mayo Clinic’s Healthy Action to Benefit Independence and Thinking (HABIT) program comparative effectiveness trial. The HABIT program is designed for pwMCI and their care partner and consists of five behavioral interventions: CCT, Memory Support System-Calendar (MSS-Calendar), wellness education, support groups, and yoga. The subtractive study design randomly withheld one of the interventions for a total of five study arms. Longitudinal mixed-effects regression models were used to investigate the hypothesis that CCT and yoga has a greater positive impact on psychomotor and basic attention abilities at 12 months post-intervention as compared to the other HABIT interventions. Findings showed CCT had a positive impact compared to yoga on the Cogstate psychomotor/attention composite at 12 months post-intervention (ES = 0.54; unadjusted <i>p</i> value = 0.007, adjusted <i>p</i> value = 0.021). The impact of yoga or combining CCT with yoga did not show statistically significant improvement. Continued CCT practice at home showed further benefit on psychomotor/attention at 12 months post-intervention. There was no significant benefit of CCT or yoga on Cogstate learning/working memory composite.https://www.mdpi.com/2076-3425/11/8/988behavioral interventionscomputerized cognitive training (CCT)physical exerciseyogamild cognitive impairment (MCI)cognitive enrichment
spellingShingle Vaishali S. Phatak
Glenn E. Smith
Dona Locke
Anne Shandera-Ochsner
Pamela M. Dean
Colleen Ball
Gianna Gutierrez
Melanie J. Chandler
Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment
Brain Sciences
behavioral interventions
computerized cognitive training (CCT)
physical exercise
yoga
mild cognitive impairment (MCI)
cognitive enrichment
title Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment
title_full Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment
title_fullStr Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment
title_full_unstemmed Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment
title_short Computerized Cognitive Training (CCT) versus Yoga Impact on 12 Month Post Intervention Cognitive Outcome in Individuals with Mild Cognitive Impairment
title_sort computerized cognitive training cct versus yoga impact on 12 month post intervention cognitive outcome in individuals with mild cognitive impairment
topic behavioral interventions
computerized cognitive training (CCT)
physical exercise
yoga
mild cognitive impairment (MCI)
cognitive enrichment
url https://www.mdpi.com/2076-3425/11/8/988
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