Cognitive Training Interventions for Patients with Alzheimer’s Disease: A Systematic Review

Kallio, Eeva-Liisa; Öhman, Hanna; Kautiainen, Hannu; Hietanen, Marja; Pitkälä, Kaisu H.

doi:10.3233/jad-160810

Cited by 70 publications

(70 citation statements)

References 49 publications

(312 reference statements)

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“…It relies on rigorous methodology, because it is a randomized, single‐blind, controlled trial, with separate study personnel performing assessments and interventions. The study had a larger sample size than most previous trials; to our knowledge, there is only one larger RCT, recently conducted in France . The FINCOG intervention was carefully planned and executed to enhance subskills of executive function (attention, working memory, cognitive flexibility, planning).…”

Section: Discussionmentioning

confidence: 99%

“…Growing scientific effort, as well as public interest, has focused on CT in recent decades, especially for older adults and individuals with neurodegenerative diseases . Despite this interest, the efficacy of CT in dementia remains unclear …”

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confidence: 99%

“…The efficacy of CT in individuals with dementia has rarely been investigated in large‐scale studies. Trials have often been small, with typical sample sizes ranging from 20 to 80, and had methodological flaws . In a recent systematic review of 31 randomized controlled trials (RCTs), the pattern of effects of CT was inconsistent across studies; positive effects were mostly observed in a single global or one or two training‐specific outcomes .…”

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confidence: 99%

“…Trials have often been small, with typical sample sizes ranging from 20 to 80, and had methodological flaws . In a recent systematic review of 31 randomized controlled trials (RCTs), the pattern of effects of CT was inconsistent across studies; positive effects were mostly observed in a single global or one or two training‐specific outcomes . A few high‐quality but small‐scale studies have suggested positive effects in separate cognitive domains, such as working memory, decision‐making, and executive function, but these findings need to be treated as preliminary.…”

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confidence: 99%

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Effects of Cognitive Training on Cognition and Quality of Life of Older Persons with Dementia

Kallio

Öhman

Hietanen

et al. 2018

J American Geriatrics Society

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confidence: 99%

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confidence: 99%

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Effects of Cognitive Training on Cognition and Quality of Life of Older Persons with Dementia

Kallio

Öhman

Hietanen

et al. 2018

J American Geriatrics Society

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“…A recent systematic review of cognitive training interventions to improve or stabilize cognition and everyday functioning in patients with AD (Kallio, Ohman, Kautiainen, Hietanen, & Pitkala, 2017) uncovered several types of such shortcomings in many of the studied trials. Most prominent were: inaccurate descriptions of training exercises, inadequate statistical procedures, and incomplete follow-ups.…”

Section: Discussionmentioning

confidence: 99%

A methodological framework for exploring the applicability of virtual reality in cognitive disabilities care

Betances¹,

Isabel²

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There is always going to be a reason why you can't do something, your job is toconstantly look for the reasons why you can achieve your dreams. Shannon Miller -7x Olympic Gymnast medallist AcknowledgmentsI would like to firstly express my sincere gratitude to my advisor ProfessorMaría Teresa Arredondo Waldmeyer for her continuous support of my PhD studies and related research, and for her inspiration, tenacity, and immense knowledge.In addition to my advisor, I thank Prof. María Fernanda Cabrera-Umpiérrez and Prof. Francisco J. García-Sánchez, not only for their insightful commentaries and supportive encouragement, but also for the helpful suggestions and revision recommendations which motivated me to extend the scope of my research work to wider perspectives.I also thank my former colleagues and present fellow teammates at LifeSTech for the stimulating discussions, help and advice, as well as for the interesting times we shared working and learning together at several projects during the last years.Last but not least, I thank my family and friends for supporting all my life goals and purposes, and for the patience shown while I was writing this thesis.ix AbstractHandling the care needs of people affected by Alzheimer's disease and related dementias (ADRD) represents nowadays a personal, familial and social challenge of enormous proportions, which poses an ever growing human and economic burden on the world's society in general. Information and communication technologies (ICT) have the potential to make a considerable impact to help revert this trend, especially through the use of advanced virtual reality (VR)-based computerized diagnostic and therapeutic cognitive interventions for people living with, or at risk of developing,ADRD. This doctoral thesis aims to facilitate the use of such VR-based interventions.To that end, it makes specific original contributions regarding: the categorization of VR systems particularly designed for ADRD; an analysis and assessment of the current relevance and impact of the 'brain training debate' involving commercial brain training products; an up-to-date critical description of the technical and scientific challenges faced today for the development of effective VR-based cognitive training tools; and finally, this thesis proposes a novel methodological design framework to provide guidance to researchers and developers with the design process of VR-based tools to address the care needs of people with ADRD. The framework is based on our previous critical analysis of the most recent knowledge available about VR cognitive interventions. The framework and its ensuing roadmap take into account, not only universal design principles, standard techniques and methodologies, but also addresses the specific aspects of accessibility and usability that are particular to the use VR-based platforms on patients with ADRD-associated cognitive impairments.x xi ResumenEl manejo de las necesidades de atención de las personas afectadas por la enfermedad de Alzheimer y demencias relacionadas (EADR)...

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The design, evaluation, and reporting on non‐pharmacological, cognition‐oriented treatments for older adults: Results of a survey of experts

Simon

Castellani

Belleville

et al. 2020

A&D Transl Res & Clin Interv

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Introduction: Cognitive decline and dementia significantly affect independence and quality of life in older adults; therefore, it is critical to identify effective cognitionoriented treatments (COTs; eg, cognitive training, rehabilitation) that can help maintain or enhance cognitive functioning in older adults, as well as reduce dementia risk or alleviate symptoms associated with pathological processes. Methods: The Cognitive Intervention Design Evaluation and Reporting (CIDER), a working group from the Non-Pharmacological Interventions Professional Interest Area (NPI-PIA) of the Alzheimer's Association conducted as survey in 2017 with experts in COTs worldwide. The survey's aims were three-fold: (1) determine the common attitudes, beliefs, and practices of experts involved in the COTs research targeting older people; (2) identify areas of relative agreement and disagreement among experts in the field; and (3) offer a critical review of the literature, including recommendations for future research. Results:The survey identified several areas of agreements among experts on critical features of COTs, and on study design and outcome measures. Nevertheless, there were some areas with relative disagreement. Critically, expert opinions were not always supported by scientific evidence, suggesting that methodologic improvements are needed regarding design, implementation, and reporting of COTs. There was a clear consensus that COTs provide benefits and should be offered to cognitively unimpaired olderThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. c

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Cognitive Training Interventions for Patients with Alzheimer’s Disease: A Systematic Review

Cited by 70 publications

References 49 publications

Effects of Cognitive Training on Cognition and Quality of Life of Older Persons with Dementia

Effects of Cognitive Training on Cognition and Quality of Life of Older Persons with Dementia

A methodological framework for exploring the applicability of virtual reality in cognitive disabilities care

The design, evaluation, and reporting on non‐pharmacological, cognition‐oriented treatments for older adults: Results of a survey of experts

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