Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia

Clare, Linda; Woods, Bob

doi:10.1002/14651858.cd003260

Cited by 424 publications

(362 citation statements)

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“…Na literatura internacional, as modalidades mais comuns de intervenção cognitiva parecem caminhar para um consenso taxonômico (Bahar-Fuchs, Clare, & Woods, 2013), delimitando três tipos principais: (a) estimulação mental, que geralmente envolve a realização e a prática repetida de tarefas cognitivas padronizadas; (b) treino cognitivo, que engloba tarefas de estimulação mental, mas avança em termos de esforço de aprendizagem ao focar no ensino de estratégias cognitivas para potencializar os efeitos da intervenção (Bruschet et al, 2003;Clare & Woods, 2004); e (c) reabilitação cognitiva, conhecida também como abordagem individualizada, em que se atinge, uma de cada vez, deficiências específicas na vida cotidiana, em vez de melhorar o desempenho em tarefas cognitivas particulares (Clare, Woods, Cook, Orrell, & Spector, 2003;Clare & Woods, 2004). Essas abordagens são complementares, sendo que a escolha de um tipo particular depende dos objetivos da melhoria ou manutenção cognitiva e do perfil cognitivo da população-alvo (Burschet et al, 2010).…”

Section: Introductionunclassified

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Treino Cognitivo para Idosos: Uma Revisão Sistemática dos Estudos Nacionais

Santos

Flores-Mendoza

2017

Psico-USF

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ResumoEste artigo de revisão sistemática sobre treino cognitivo para idosos saudáveis objetivou analisar 23 estudos nacionais em seus aspectos metodológicos e quanto às evidências de eficácia das intervenções. Os estudos foram publicados entre os anos 2000 e 2015. Uma busca foi feita nas bases SciELO, PubMed e PsycInfo utilizando-se os termos (português e inglês): "treino cognitivo", "estimulação cognitiva", "envelhecimento", "idoso" e "brasileiro". Em uma segunda etapa, as referências dos artigos encontrados foram consultadas para identificar quaisquer estudos pertinentes adicionais. A quase totalidade dos estudos utilizou a modalidade coletiva de intervenção (n = 20). O número de sessões com os participantes variou de 2 a 48 encontros. Em relação às habilidades cognitivas que foram alvo de intervenção, 60,8% dos estudos (n = 14) tiveram como foco o treino de memória episódica. Como medidas cognitivas, 90,4% dos estudos (n = 20) incluíram escalas de domínio comum (não restritas a psicólogos). No tocante aos resultados, 47,6% dos estudos (n = 10) identificaram efeitos de treino para pelo menos uma medida cognitiva utilizada. Conclui-se que o panorama nacional em treino cognitivo para idosos destaca-se por uma tendência a intervenções coletivas e voltadas à estimulação da memória episódica. Discute-se a importância de um avanço na área em relação à ampliação das pesquisas e à testagem da eficácia das intervenções padronizadas para o contexto brasileiro. Palavras-chave: inteligência, intervenção, revisão A search was performed in Scielo, PubMed and PsycInfo databases using the terms (Portuguese and English): cognitive training, cognitive stimulation, aging, elderly, and Brazilian. In a second step, the references of retrieved articles were consulted to identify any additional relevant studies. Almost all studies used the group intervention modality (n = 20). The number of sessions with participants ranged from 2 to 48 meetings. Regarding the cognitive skills that were targeted for intervention, 60.8% of the studies (n = 14) were focused on episodic memory training. For cognitive measures, 90.4% of the studies (n = 20) included common domain scales (not restricted to psychologists). Regarding the results, 47.6% of studies (n = 10) identified training purposes for at least one cognitive measure used. In conclusion, the national scene in cognitive training for older adults stands out for a tendency for collective interventions aimed at stimulating episodic memory. The present article argues for the importance of testing the effectiveness of interventions protocols. Keywords: Intelligence, Intervention, Revision Entrenamiento cognitivo para ancianos: una revisión sistemática de estudios nacionales

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Section: Introductionunclassified

“…As intervenções do tipo estimulação cognitiva e treino cognitivo foram selecionadas para revisão e consideradas sem distinção devido à sua proximidade e ao fato de serem definidas como complementares em trabalhos que buscaram um referencial taxonômico para a área (ex. : Belleville, 2008;BaharFuchs, Clare, & Woods, 2013;Clare et al, 2003).…”

Section: Introductionunclassified

Treino Cognitivo para Idosos: Uma Revisão Sistemática dos Estudos Nacionais

Santos

Flores-Mendoza

2017

Psico-USF

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“…Findings on the temporal stability of the outcomes of cognitive activation programs and the transfer of these effects to functions other than those targeted directly are inconsistent [10,13]. Accordingly, it remains uncertain whether cognitive training might reduce the need for assistance with activities of daily living among elderly, multimorbid residents of nursing homes who already show cognitive impairment.…”

Section: Improving Physical Performancementioning

confidence: 99%

Effects of a multimodal activation program (SimA-P) in residents of nursing homes

Oswald

Gunzelmann

Ackermann

2007

Eur Rev Aging Phys Act

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Is it possible to maintain or even enhance functional and cognitive independence in residents of nursing homes? Little is known about the potentials and limits of therapeutic methods designed to maintain independence in elderly people already in need of residential nursing care. The aim of the "Rehabilitation in Nursing Homes" research project was to determine the practicability and effectiveness of a rehabilitative approach targeting residents of nursing homes. The main objectives of the activation program were to maintain and enhance residents' cognitive and functional autonomy. Data on psychological, functional, and medical variables were obtained from a sample of 294 nursing home residents (age range=70-99 years) at three points of measurement over a 12-month period. The intervention approach draws on the theoretical and practical findings of the SimA Study ("Bedingungen der Erhaltung und Förderung von Selbstständigkeit im höheren Lebensalter," "conditions on maintaining and supporting independent living in old age"; Oswald et al., Z. Gerontopsychol. Psychiatr., 15:61-84, 2002, Z. Gerontopsychol. Psychiatr., 15:13-31, 2002) and incorporates the results of recent therapeutic and rehabilitative studies in the fields of geriatrics and gerontopsychiatry. The intervention involves a combined program of cognitive and physical activation. An alternative program based on biographical information was designed specifically for residents with dementia. Results show that the intervention had significant effects on cognitive and functional parameters. Moreover, transfer effects were observed with respect to activities of daily living and frequency of falls.Keywords Nursing homes . Rehabilitation . Cognitive activation . Fall prevention . Activities of daily living Rehabilitation in nursing homesMost residents of nursing homes are elderly people in need of regular or around-the-clock nursing care [43]. Some 80% of the residents of nursing homes for the elderly have impaired mobility, 80% show cognitive impairment, and 70% experience symptoms of depression. Against this background, rehabilitative approaches to care [12] seek to maintain, enhance, or restore functional ability, or at least to prevent or delay the deterioration or loss of functioning and to help individuals adapt to irreversible losses in functional capacity.Epidemiological studies show that need for care is not determined by physical impairment or illness alone. In fact, it is characterized by multiple factors such as multimorbidity, mobility problems, cognitive impairment, psychological symptoms (primarily depression), and social isolation [25,40, 52]. Accordingly, multimodal intervention programs that target physical exercise and cognitive performance while, at the same time, promoting psychological well-being and social interaction should be most likely to have rehabilitative effects [1].

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“…The disorder challenges the patients' abilities and impact on their family members, along with an increased need for adaptation to change and significant planning for the future (Werner, 2012). Therefore, interventions increasing the performance of patients in daily life seem essential for optimizing their life quality (Clare, Woods, Moniz Cook, Orrell, & Spector, 2005).…”

Section: Introductionmentioning

confidence: 99%

Effect of Cognitive Rehabilitation on Set-Shifting Attention of Adult with Mild Cognitive Impairment

Oskoei

Ajilchi

Geranmayepour

2016

IJPS

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The aim of the study was the effect of Cognitive Rehabilitation on the Set-Shifting Attention Ability of Adult Individuals with Mild Cognitive Impairment. The present study consisted of a quasi-experimental study with pre-test and post-test stages. The statistical population consisted of subjects of more than 55 years of age, referred to a neurology clinic in Tehran/Iran in 2012. Forty patients with mild cognitive impairment were selected by convenience sampling based on the diagnosis of a neurologist and a clinical psychologist (MMSE score lower than 25 and The Wechsler Memory Test). The experimental group (20 patients) attended 12 sessions of a cognitive rehabilitation program. As evaluated, by the Wisconsin Cart Sorting Test (WCST). Data were analyzed using MANCOVA. The findings demonstrated that the mean score of the experimental group was greater than the control group (P<0.05) in terms of their shifting attention. The follow-up test revealed that the experimental group experienced an effective rehabilitation intervention over a six month period. Cognitive rehabilitation can impact on improving Shifting attention in individuals with mild cognitive impairment.

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Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia

Cited by 424 publications

References 66 publications

Treino Cognitivo para Idosos: Uma Revisão Sistemática dos Estudos Nacionais

Treino Cognitivo para Idosos: Uma Revisão Sistemática dos Estudos Nacionais

Effects of a multimodal activation program (SimA-P) in residents of nursing homes

Effect of Cognitive Rehabilitation on Set-Shifting Attention of Adult with Mild Cognitive Impairment

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