Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults

BackgroundEvidence for the beneficial effects of cognitive training on cognitive function and daily living activities is inconclusive. Variable study quality and design does not allow for robust comparisons/meta-analyses of different cognitive training programmes. Fairly low adherence to extended co...

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Main Authors: Celeste A. de Jager Loots, Geraint Price, Mariagnese Barbera, Anna Stigsdotter Neely, Hanna M. Gavelin, Jenni Lehtisalo, Tiia Ngandu, Alina Solomon, Francesca Mangialasche, Miia Kivipelto
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Dementia
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Online Access:https://www.frontiersin.org/articles/10.3389/frdem.2024.1331741/full
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author Celeste A. de Jager Loots
Geraint Price
Mariagnese Barbera
Mariagnese Barbera
Anna Stigsdotter Neely
Anna Stigsdotter Neely
Hanna M. Gavelin
Jenni Lehtisalo
Jenni Lehtisalo
Tiia Ngandu
Tiia Ngandu
Alina Solomon
Alina Solomon
Alina Solomon
Francesca Mangialasche
Francesca Mangialasche
Francesca Mangialasche
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
author_facet Celeste A. de Jager Loots
Geraint Price
Mariagnese Barbera
Mariagnese Barbera
Anna Stigsdotter Neely
Anna Stigsdotter Neely
Hanna M. Gavelin
Jenni Lehtisalo
Jenni Lehtisalo
Tiia Ngandu
Tiia Ngandu
Alina Solomon
Alina Solomon
Alina Solomon
Francesca Mangialasche
Francesca Mangialasche
Francesca Mangialasche
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
author_sort Celeste A. de Jager Loots
collection DOAJ
description BackgroundEvidence for the beneficial effects of cognitive training on cognitive function and daily living activities is inconclusive. Variable study quality and design does not allow for robust comparisons/meta-analyses of different cognitive training programmes. Fairly low adherence to extended cognitive training interventions in clinical trials has been reported.AimsThe aim of further developing a Cognitive Training Support Programme (CTSP) is to supplement the Computerised Cognitive Training (CCT) intervention component of the multimodal Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER), which is adapted to different cultural, regional and economic settings within the Word-Wide FINGERS (WW-FINGERS) Network. The main objectives are to improve adherence to cognitive training through a behaviour change framework and provide information about cognitive stimulation, social engagement and lifestyle risk factors for dementia.MethodsSix CTSP sessions were re-designed covering topics including (1) CCT instructions and tasks, (2) Cognitive domains: episodic memory, executive function and processing speed, (3) Successful ageing and compensatory strategies, (4) Cognitive stimulation and engagement, (5) Wellbeing factors affecting cognition (e.g., sleep and mood), (6) Sensory factors. Session content will be related to everyday life, with participant reflection and behaviour change techniques incorporated, e.g., strategies, goal-setting, active planning to enhance motivation, and adherence to the CCT and in relevant lifestyle changes.ConclusionsThrough interactive presentations promoting brain health, the programme provides for personal reflection that may enhance capability, opportunity and motivation for behaviour change. This will support adherence to the CCT within multidomain intervention trials. Efficacy of the programme will be evaluated through participant feedback and adherence metrics.
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spelling doaj.art-a7147ec84c504548b007c4ee34d037092024-02-23T05:00:27ZengFrontiers Media S.A.Frontiers in Dementia2813-39192024-02-01310.3389/frdem.2024.13317411331741Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adultsCeleste A. de Jager Loots0Geraint Price1Mariagnese Barbera2Mariagnese Barbera3Anna Stigsdotter Neely4Anna Stigsdotter Neely5Hanna M. Gavelin6Jenni Lehtisalo7Jenni Lehtisalo8Tiia Ngandu9Tiia Ngandu10Alina Solomon11Alina Solomon12Alina Solomon13Francesca Mangialasche14Francesca Mangialasche15Francesca Mangialasche16Miia Kivipelto17Miia Kivipelto18Miia Kivipelto19Miia Kivipelto20Miia Kivipelto21Ageing Epidemiology Research Unit, School of Public Health, Imperial College London, London, United KingdomAgeing Epidemiology Research Unit, School of Public Health, Imperial College London, London, United KingdomAgeing Epidemiology Research Unit, School of Public Health, Imperial College London, London, United KingdomDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, FinlandDepartment of Social and Psychological Studies, Karlstad University, Karlstad, SwedenDepartment of Health, Education and Technology, Luleå University of Technology, Luleå, SwedenDepartment of Psychology, Umeå University, Umeå, SwedenDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, FinlandPopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki, FinlandPopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki, FinlandDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenAgeing Epidemiology Research Unit, School of Public Health, Imperial College London, London, United KingdomDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, FinlandDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenFINGERS Brain Health Institute, Stockholm, SwedenTheme Inflammation and Aging, Medical Unit Aging, Karolinska University Hospital, Stockholm, SwedenAgeing Epidemiology Research Unit, School of Public Health, Imperial College London, London, United KingdomDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenFINGERS Brain Health Institute, Stockholm, SwedenTheme Inflammation and Aging, Medical Unit Aging, Karolinska University Hospital, Stockholm, Sweden0Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, FinlandBackgroundEvidence for the beneficial effects of cognitive training on cognitive function and daily living activities is inconclusive. Variable study quality and design does not allow for robust comparisons/meta-analyses of different cognitive training programmes. Fairly low adherence to extended cognitive training interventions in clinical trials has been reported.AimsThe aim of further developing a Cognitive Training Support Programme (CTSP) is to supplement the Computerised Cognitive Training (CCT) intervention component of the multimodal Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER), which is adapted to different cultural, regional and economic settings within the Word-Wide FINGERS (WW-FINGERS) Network. The main objectives are to improve adherence to cognitive training through a behaviour change framework and provide information about cognitive stimulation, social engagement and lifestyle risk factors for dementia.MethodsSix CTSP sessions were re-designed covering topics including (1) CCT instructions and tasks, (2) Cognitive domains: episodic memory, executive function and processing speed, (3) Successful ageing and compensatory strategies, (4) Cognitive stimulation and engagement, (5) Wellbeing factors affecting cognition (e.g., sleep and mood), (6) Sensory factors. Session content will be related to everyday life, with participant reflection and behaviour change techniques incorporated, e.g., strategies, goal-setting, active planning to enhance motivation, and adherence to the CCT and in relevant lifestyle changes.ConclusionsThrough interactive presentations promoting brain health, the programme provides for personal reflection that may enhance capability, opportunity and motivation for behaviour change. This will support adherence to the CCT within multidomain intervention trials. Efficacy of the programme will be evaluated through participant feedback and adherence metrics.https://www.frontiersin.org/articles/10.3389/frdem.2024.1331741/fullComputerised Cognitive Training (CCT)lifestyle interventionsbehaviour changedementia risk factorscognitive reservebrain maintenance
spellingShingle Celeste A. de Jager Loots
Geraint Price
Mariagnese Barbera
Mariagnese Barbera
Anna Stigsdotter Neely
Anna Stigsdotter Neely
Hanna M. Gavelin
Jenni Lehtisalo
Jenni Lehtisalo
Tiia Ngandu
Tiia Ngandu
Alina Solomon
Alina Solomon
Alina Solomon
Francesca Mangialasche
Francesca Mangialasche
Francesca Mangialasche
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults
Frontiers in Dementia
Computerised Cognitive Training (CCT)
lifestyle interventions
behaviour change
dementia risk factors
cognitive reserve
brain maintenance
title Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults
title_full Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults
title_fullStr Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults
title_full_unstemmed Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults
title_short Development of a Cognitive Training Support Programme for prevention of dementia and cognitive decline in at-risk older adults
title_sort development of a cognitive training support programme for prevention of dementia and cognitive decline in at risk older adults
topic Computerised Cognitive Training (CCT)
lifestyle interventions
behaviour change
dementia risk factors
cognitive reserve
brain maintenance
url https://www.frontiersin.org/articles/10.3389/frdem.2024.1331741/full
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