The effect of co-dependent (thinking in motion [TIM]) versus single-modality (CogniFit) interventions on cognition and gait among community-dwelling older adults with cognitive impairment: a randomized controlled study.


Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
31 08 2022
Historique:
received: 11 07 2021
accepted: 17 08 2022
entrez: 31 8 2022
pubmed: 1 9 2022
medline: 9 9 2022
Statut: epublish

Résumé

Cognition and motor skills are interrelated throughout the aging process and often show simultaneous deterioration among older adults with cognitive impairment. Co-dependent training has the potential to ameliorate both domains; however, its effect on the gait and cognition of older adults with cognitive impairment has yet to be explored. The aim of this study is to compare the effects of the well-established single-modality cognitive computerized training program, CogniFit, with "Thinking in Motion (TIM)," a co-dependent group intervention, among community-dwelling older adults with cognitive impairment. Employing a single-blind randomized control trial design, 47 community-dwelling older adults with cognitive impairment were randomly assigned to 8 weeks of thrice-weekly trainings of TIM or CogniFit. Pre- and post-intervention assessments included cognitive performance, evaluated by a CogniFit battery, as a primary outcome; and gait, under single- and dual-task conditions, as a secondary outcome. CogniFit total Z scores significantly improved from baseline to post-intervention for both groups. There was a significant main effect for time [F (1, 44) = 17.43, p < .001, η The findings show that single-modality (CogniFit) and co-dependent (TIM) trainings improve cognition but not gait in older adults with cognitive impairment. Such investigations should be extended to include various populations and a broader set of outcome measurements. ACTRN12616001543471. Date: 08/11/2016.

Sections du résumé

BACKGROUND
Cognition and motor skills are interrelated throughout the aging process and often show simultaneous deterioration among older adults with cognitive impairment. Co-dependent training has the potential to ameliorate both domains; however, its effect on the gait and cognition of older adults with cognitive impairment has yet to be explored. The aim of this study is to compare the effects of the well-established single-modality cognitive computerized training program, CogniFit, with "Thinking in Motion (TIM)," a co-dependent group intervention, among community-dwelling older adults with cognitive impairment.
METHODS
Employing a single-blind randomized control trial design, 47 community-dwelling older adults with cognitive impairment were randomly assigned to 8 weeks of thrice-weekly trainings of TIM or CogniFit. Pre- and post-intervention assessments included cognitive performance, evaluated by a CogniFit battery, as a primary outcome; and gait, under single- and dual-task conditions, as a secondary outcome.
RESULTS
CogniFit total Z scores significantly improved from baseline to post-intervention for both groups. There was a significant main effect for time [F (1, 44) = 17.43, p < .001, η
CONCLUSIONS
The findings show that single-modality (CogniFit) and co-dependent (TIM) trainings improve cognition but not gait in older adults with cognitive impairment. Such investigations should be extended to include various populations and a broader set of outcome measurements.
TRIAL REGISTRATION
ACTRN12616001543471. Date: 08/11/2016.

Identifiants

pubmed: 36045345
doi: 10.1186/s12877-022-03403-x
pii: 10.1186/s12877-022-03403-x
pmc: PMC9429752
doi:

Banques de données

ANZCTR
['ACTRN12616001543471']

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

720

Informations de copyright

© 2022. The Author(s).

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Auteurs

Shiri Embon-Magal (S)

Department of Gerontology, Faculty of Social Science and Welfare, University of Haifa, Neve-Yamin, Israel.

Tal Krasovsky (T)

School of Physical Therapy, Faculty of Social Science and Welfare, University of Haifa, Neve-Yamin, Israel.

Israel Doron (I)

Department of Gerontology, CRSA - Center for Research & Study of Aging, Faculty of Social Science and Welfare, University of Haifa, Neve-Yamin, Israel.

Kfir Asraf (K)

Department of Psychology, University of Haifa, Neve-Yamin, Israel.

Iris Haimov (I)

Department of Psychology, The Max Stern Yezreel Valley College, Neve-Yamin, Israel.

Efrat Gil (E)

Clalit Health Services, Neve-Yamin, Israel.
Faculty of Medicine, Technion, Neve-Yamin, Israel.

Maayan Agmon (M)

School of Nursing, Faculty of Social Science and Welfare, University of Haifa, Neve-Yamin, Israel. magmon@univ.haifa.ac.il.

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Classifications MeSH