Efficacy of a cognitive intervention program in patients with mild cognitive impairment

Rojas, Galeno; Villar, Veronica; Iturry, Mónica; Harris, Paula; Serrano, Cecília; Herrera, Jorge; Allegri, Ricardo

doi:10.1017/s1041610213000045

Cited by 74 publications

(85 citation statements)

References 24 publications

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Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

“…The summary of evidence for benefits of treatment is shown in Table 1. [19][20][21][22][23][24][25][26][27][28][29][30] A summary of the GRADE decision table can be found in Appendix 3 (available at www.cmaj.ca/lookup/suppl/doi:10.1503/ cmaj.141165/-/DC1), with detailed tables provided in the accompanying evidence review. 10 The recommendation applies to communitydwelling adults 65 years of age or older who do not have noticeable symptoms suggestive of mild cognitive impairment or dementia.…”

Section: We Recommend Not Screening Asymptomatic Older Adults (≥ 65 Ymentioning

confidence: 99%

“…The systematic review identified five studies [26][27][28][29][30] (n = 408) that examined the effects on cognition of nonpharmacologic interventions (Appendix 4), including exercise, a holistic cognitive rehabilitation program and a multimodal intervention with stimulation and cognitive training sessions. 10 Using ADAS-Cog to measure cognition, one trial 28 (n = 92) showed no significant differences between the intervention and control groups (mean difference −0.60, 95% CI −1.44 to 0.24 [negative scores indicate improvement of symptoms]).…”

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

“…The MoCA is also scored out of 30 and provides interpretive guidance as follows: mild cognitive impairment (scores of [18][19][20][21][22][23][24][25][26], moderate…”

mentioning

confidence: 99%

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Recommendations on screening for cognitive impairment in older adults

Pottie

Rahal

Jaramillo

et al. 2015

CMAJ

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• Practitioners should consider cognitive assessment for patients with signs and symptoms of impairment or when family members or patients express concerns about potential cognitive decline. cognitive impairment (scores of 10-17) and severe impairment (scores less than 10). Key points 13The ADAS-cog is a cognitive testing instrument not normally used in practice but often used in research studies. It consists of 11 tasks measuring disturbances of memory, language, praxis (i.e., application or use of specific knowledge or skills such as drawing geometric figures or fitting a page into an envelope), attention and other cognitive abilities. 9 A change in the ADAS-cog score of 4 points is considered by many clinical experts to represent a clinically important change. The MMSE and the MoCA tools are commonly used by Canadian clinicians in clinical practice.14 Treatments include medications such as cholinesterase inhibitors (i.e., donepezil, rivastigmine and galantamine), dietary supplements and vitamins, and nonpharmacologic interventions such as exercise, and cognitive training and rehabilitation. 10 Provincial payment for the medications used in primary care practice is often linked to cognitive assessment scores measured by the screening instruments.The objective of this guideline, which updates the 2001 Canadian Task Force on Preventive Health Care recommendations, 15 is to provide evidence-based recommendations on screening for cognitive impairment in adults. The guideline focuses on screening asymptomatic adults. This recommendation does not apply to men and women who are concerned about their own cognitive performance (i.e., patients who report cognitive changes to their clinician or others) or who are suspected of having mild cognitive impairment or dementia by clinicians or nonclinicians (i.e., caregivers, family or friends) and who have symptoms suggestive of mild cognitive impairment or dementia (e.g., loss of memory, language, attention, visuospatial or executive functioning, or behavioural or psychological symptoms that may mildly or substantially affect a patient's day-to-day life or usual activities). MethodsThe Canadian Task Force on Preventive Health Care is an independent panel of volunteer clinicians and methodologists that makes recommendations about clinical manoeuvres aimed at primary and secondary prevention (www.canadian taskforce.ca). The development of these recommendations was led by a workgroup of eight members of the task force and scientific staff at the Public Health Agency of Canada. The task force established this topic as a priority based on the potential to decrease inconsistencies in screening in primary care practice and a need to determine whether benefits of screening outweigh harms.The US Preventive Services Task Force recently published a systematic review on screening and treatment for cognitive impairment.11 Initially, the Canadian task force updated the US task force review, assessing the effects of screening for cognitive impairment on health outcomes. 9 The Evidence Revie...

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Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

Section: We Recommend Not Screening Asymptomatic Older Adults (≥ 65 Ymentioning

confidence: 99%

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

“…The MoCA is also scored out of 30 and provides interpretive guidance as follows: mild cognitive impairment (scores of [18][19][20][21][22][23][24][25][26], moderate…”

mentioning

confidence: 99%

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Recommendations on screening for cognitive impairment in older adults

Pottie

Rahal

Jaramillo

et al. 2015

CMAJ

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“…Generally these findings suggest that the implementation of CT with aging adults with MCI is effective in improving various aspects of memory performance, executive functioning, processing speed, attention, fluid intelligence and subjects' perception of memory functioning, as measured by formal and task specific measures, as well as particular MRI measures of brain connectivity. In seven out of 26 randomized control trials where follow-up data was provided, positive effects on memory, recall, speed of processing and fluid intelligence were preserved anywhere from one week to two years following training [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Memory and Cognitive Prevention Training for Typically Aging Seniors in a University Clinic Setting: A Feasibility Study

Kouri¹

2017

J Speech Pathol Ther

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Purpose: While diagnosis and treatment are the major focus for SLPs, professional roles are expanding to include preventative related services with the elderly. Evidence exists as to the effects of preventative cognitive training (CT), yet few studies have examined viable models for SLP implementation. The purpose of this feasibility study was to compare group and individual CT programs delivered in a university based speech and hearing clinic.Method: Forty-eight adults, between the ages of 68-92 years-old were assigned to individual or group based conditions in which they received sixteen hours of CT, implemented by an SLP and graduate student clinicians. Cognitive, memory, language, visuospatial and other skills were trained. Formal and informal, pre-post and 12-week follow-up measures were administered. Function and Satisfaction surveys were administered to determine participant perceptions of functional outcomes. Results:Participants in both CT conditions demonstrated pre-post training gains, although individually trained seniors made more significant improvements than group trained seniors on specific formal measures. The amount of pre to post gain on all assessment measures was similar between groups. Improvements in test scores were maintained at 12-week follow-up testing intervals by both groups. Survey results indicated high satisfaction with CT, although differences were found in perceptual outcomes between groups.Conclusions: Whereas individual participants yielded more significant effects, the Group condition also represents an effective and efficient model for prevention related services with elderly populations, as demonstrated by pre-post training effects and participant satisfaction responses. Clinical training applications for CT implementation in a university training setting are discussed.

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Cognitive training interventions for dementia and mild cognitive impairment in Parkinson’s Disease

Orgeta

McDonald

Poliakoff

et al. 2015

Cochrane Database of Systematic Reviews

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Efficacy of a cognitive intervention program in patients with mild cognitive impairment

Abstract: These results suggest that persons with MCI can improve their performance on cognitive and functional measures when provided with early cognitive training and it could persist in a long-term follow-up.

Cited by 74 publications

References 24 publications

Recommendations on screening for cognitive impairment in older adults

Recommendations on screening for cognitive impairment in older adults

Memory and Cognitive Prevention Training for Typically Aging Seniors in a University Clinic Setting: A Feasibility Study

Cognitive training interventions for dementia and mild cognitive impairment in Parkinson’s Disease

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